An Unusual Presentation of Bilateral Knee Osteoarthritis – A Case Report

Introduction: Tandem spinal stenosis commonly involves the cervical and lumbar spine. The prevalence of incidentally found cervical stenosis on MRI is 23% to 76%. There is paucity of literature regarding management of asymptomatic cervical stenosis with predominant or isolated lumbar symptoms and also the cause of this phenomenon has not been clearly defined. Case report: We present a case report of a 62 year Indian male presented to us with predominantly bilateral knee pains which was so debilitating that he was able to walk only few steps with stick support. He was considered for total knee replacement initially. He was operated with a cervical laminectomy and his leg symptoms improved drastically after surgery Conclusion: Lower limb symptoms may present with pathology localized in cervical spine. There may or may not be signs indicating cervical spine involvement. One must have a wider approach and routinely rule out clinically and radiologically whole spine upto cranio-vertebral junction to avoid delayed diagnosis due to false localization of sensory symptoms