Effect of Sagittal Spinal Balance on the Outcome of Decompression Surgery for Lumbar Canal Stenosis

2018 ◽  
Vol 119 ◽  
pp. e200-e208 ◽  
Author(s):  
Han Soo Chang
2020 ◽  
pp. 219256822097537
Author(s):  
Liqa A. Rousan ◽  
Mamoon H. Al-Omari ◽  
Rasha M. Musleh ◽  
Mohammad I. Amir ◽  
Hajar El Kortbi ◽  
...  

Study Design: Retrospective study. Objective: To describe the MRI findings of RNRs in patients with low back pain, and observe the imaging findings and the clinical outcome post decompression surgery. Methods: The lumbar spine MRI of 202 patients (122 females) with proven RNRs were retrospectively reviewed. The morphology and the location of the RNRs in relation to the level of stenosis were described. The level(s), grade and cause of lumbar canal stenosis were recorded. The persistence of symptoms and the imaging findings on follow up post decompression surgery were recorded. The imaging findings were correlated among each other and with patients’ demographics. Results: Two distinctive morphological appearance of the RNRs were noted: loop (56.4%), and serpentine-shaped. In the majority of the cases the RNRs were located above the level of stenosis (79.7%). Eighteen patients underwent decompression surgery, only 4 patients remained symptomatic post decompression surgery. The RNRs changed in shape and location after decompression surgery. Age was a strong predictor value in the location of the RNRs. There was no correlation between the shape and location of the RNRs, or with the gender of the patients. Conclusion: RNRs is not an uncommon finding on lumbar spine MRI with lumbar canal stenosis. Its importance remains a controversy. A common language between the radiologists and the clinicians is mandatory to aid in the management planning.


2017 ◽  
Vol 22 (6) ◽  
pp. 988-993 ◽  
Author(s):  
Ken Ninomiya ◽  
Nobuyuki Fujita ◽  
Naobumi Hosogane ◽  
Tomohiro Hikata ◽  
Kota Watanabe ◽  
...  

Author(s):  
Omar Youssef Abdalla ◽  
Hieder Al-Shami ◽  
Heba Medhat Maghraby ◽  
Abdelrhman Enayet

Abstract Background The prevalence of cervical canal stenosis alone is estimated to be present in 4.9% of the adult population. Co-existence of dual pathology may complicate clinical presentation and necessitates a wise and individually based decision process. Objectives To estimate the co-existence of cervical canal stenosis in surgical lumbar canal stenosis patients and its reflection on decision-making regarding surgery. Methods It is a prospective study that was conducted on 70 cases with symptomatic lumbar canal stenosis by investigating them for cervical canal stenosis clinically and radiologically. Results The co-existence of cervical and lumbar canal stenoses was seen in 62 cases (88.57%); cases with relative cervical stenosis were 25 (35.714%) and absolute cervical stenosis was 37 (52.857%). Cases with no cervical stenosis were 8 (11.428%) and cases with relative lumbar stenosis were 22 (31.428%), while cases with absolute lumbar stenosis were 48 (68.571%). Cases with symptomatic cervical canal stenosis were 30 (42.857%). Cases with asymptomtic cervical canal stenosis were 32 (45.71%). Conclusion Tandem spinal stenosis (TSS) is not uncommon and MRI cervical spine should be done for every lumbar canal stenosis patient especially if indicated by history or clinical examination.


2008 ◽  
Vol 8 (5) ◽  
pp. 121S-122S
Author(s):  
Anjali Nandakumar ◽  
Natasha Annette Clark ◽  
Naval Bilolikar ◽  
Agata Pawulska ◽  
Alexandru Mertic ◽  
...  

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