Clinching the cause: A review of foot drop secondary to lumbar degenerative diseases

J Neurol Sci. 2018 Dec 15:395:126-130. doi: 10.1016/j.jns.2018.09.036. Epub 2018 Oct 1.

Abstract

Foot drop is defined as weakness on dorsiflexion of the foot. The top two most common etiologies for foot drop include lumbar degenerative disease and common peroneal nerve injury. This review provides "updates" on understanding the lumbar etiologies of foot drop. Since the publication of "Preoperative motor strength and time to surgery are the most important predictors of improvement in foot drop due to degenerative lumbar disease" in the Journal of Neurological Sciences, three cohort studies have been published on spinal causes of foot drop. Classification, clinical features, diagnosis, and pathogenesis that may 'clinch' the cause of foot drop are discussed in the context of these recent publications.

Keywords: Dorsiflexion; Foot drop; L4; L5; Lumbar; Spinal.

Publication types

  • Review

MeSH terms

  • Gait Disorders, Neurologic / diagnosis
  • Gait Disorders, Neurologic / etiology*
  • Gait Disorders, Neurologic / physiopathology
  • Humans
  • Lumbar Vertebrae
  • Neurodegenerative Diseases / complications*
  • Neurodegenerative Diseases / diagnosis
  • Neurodegenerative Diseases / physiopathology
  • Spinal Cord Diseases / complications*
  • Spinal Cord Diseases / diagnosis
  • Spinal Cord Diseases / physiopathology