Back and leg pain in the older population are of diagnostic and therap
eutic importance for both primary and tertiary care providers. Careful
assessment of the clinical presentation, potential differential diagn
osis, and treatment options are essential to optimize outcome results.
Well-proven conservative treatment modalities always should be the fi
rst regimen after confirmatory diagnostic studies. The available surgi
cal treatment options must be used judiciously for the correct indicat
ions in suitable patients. A team approach in taking care of this grou
p of patients is both essential and rewarding.