Is there a Correlation Between Degree of Radiologic Lumbar Spinal Stenosis and its Clinical Manifestation?

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F18%3A00068846" target="_blank" >RIV/65269705:_____/18:00068846 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/18:00104219

Result on the web

<a href="http://dx.doi.org/10.1097/BSD.0000000000000681" target="_blank" >http://dx.doi.org/10.1097/BSD.0000000000000681</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1097/BSD.0000000000000681" target="_blank" >10.1097/BSD.0000000000000681</a>

Result language

angličtina

Original language name

Is there a Correlation Between Degree of Radiologic Lumbar Spinal Stenosis and its Clinical Manifestation?

Original language description

Study Design: This was an observational cross-sectional study. Objective: The purpose of this study was to evaluate whether the degree of stenosis on magnetic resonance imaging (MRI) relates to the severity of clinical symptoms, disability, or neurological deficit in patients with symptomatic central lumbar spinal stenosis (LSS). Summary of Background Data: The relationship between radiologic findings and the clinical manifestations of LSS remains unclear. Materials and Methods: A total of 84 patients (42 men, median age 70 y) with neurogenic claudication and central degenerative LSS were included in the study. The MRI parameters describing severity (anteroposterior diameter of dural sac, cross-sectional area of the dural sac, stenosis ratio, and Schizas qualitative morphologic classification were evaluated at maximum stenotic level) and the extent of stenosis (the number of central stenotic levels) were correlated to symptoms (pain intensity, walking capacity), functional disability (measured in terms of the Oswestry Disability Index), and neurological signs of LSS (neurological status was evaluated and scored by Neurological Impairment Score in LSS). Results: A statistically significant correlation emerged only between the Neurological Impairment Score in LSS and Schizas morphologic classification (P = 0.006). Pain intensity, walking capacity, and functional disability displayed no correlation with the MRI parameters of LSS. Conclusions: LSS is a clinicoradiologic syndrome with complex relationships between degree of radiologic stenosis disclosed by MRI and clinical manifestations. Neurological impairment in the lower extremities reflects the degree of morphologic LSS on MRI. This study did not identify any association between the degree of stenosis and functional disability, pain intensity, or walking capacity.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30210 - Clinical neurology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Clinical Spine Surgery

ISSN

2380-0186

e-ISSN

—

Volume of the periodical

31

Issue of the periodical within the volume

8

Country of publishing house

US - UNITED STATES

Number of pages

6

Pages from-to

"E403"-"E408"

UT code for WoS article

000446526000014

EID of the result in the Scopus database

2-s2.0-85049225635