Analysis of Preoperative Anatomical Parameters: Helpful for Predicting Outcome after Decompression for Lumbar Stenosis?

2018 ◽  
Author(s):  
R. Schär ◽  
S. Kiebach ◽  
A. Raabe ◽  
C.T. Ulrich
1996 ◽  
Author(s):  
L. G. Castonguay ◽  
M. R Goldfried ◽  
S. Wiser ◽  
P. J. Raue ◽  
A. M. Hayes

2017 ◽  
pp. 124-130 ◽  
Author(s):  
S. G. Mlyavykh ◽  
A. Y. Aleynik ◽  
A. E. Bokov ◽  
M. V. Rasteryaeva ◽  
M. A. Kutlaeva

Сomputed tomography (CT) is widely used in the diagnosis of  degenerative pathology of the lumbar spine, but the relationship  between clinical manifestations of lumbar stenosis and its anatomical prerequisites has not been sufficiently studied to date.The objective: to determine the significance of the morphometric  parameters of lumbar stenosis according to CT scans and to  establish their relationship with the prevailing symptoms of the disease.Material and methods. Seventy-five consecutive patients with  clinically significant lumbar stenosis who underwent CT scan before  surgery were enrolled in this study. The average values of thirteen  different morphometric parameters were calculated at LIII–SI levels of the intervertebral discs and of the pedicels in the axial and sagittal views. The possibility of classification of clinical observations and the correlation of morphometric parameters with the clinical forms of lumbar stenosis were investigated using discriminant and logistic regression analysis. Results. CT scan with high probability allocates patients with  predominant symptoms of neurogenic claudication or bilateral  radiculopathy. The most significant morphometric predictors of this  clinical group are the depth of the lateral recesses and the cross-sectional area of the spinal canal.Conclusion. CT scan significantly expands the informative value of  magnetic resonance imaging and can be used in planning the  decompressive stage of the surgery intervention in patients with lumbar spinal canal stenosis.


2017 ◽  
Author(s):  
Jose Guimaraes Conscienci

1970 ◽  
Vol 11 (1) ◽  
Author(s):  
Mohan P. Devkota ◽  
Gerhard Glatzel

Effects of infection by the mistletoe Scurrula elata (Edgew.) Danser, on wood properties of its common host Rhododendron arboreum Sm., were studied in the Annapurna Conservation Area of Central Nepal Himalaya. Heavy infection by mistletoes invariably causes decline of the host. Infested branches show inhibition of growth, defoliation and eventual death of branch parts distal to the site of infection. Anatomical properties of wood were compared in samples of branches proximal to the infection and in uninfected branches. The hypothesis that infection induces changes in basic wood anatomy could not be proven. Vessel density, vessel area, percentage lumen area and mean vessel diameter of the wood of infested and uninfected branches did not show any significant differences. The studied anatomical parameters were not correlated to the diameter of the host branch. These results show that infection by S. elata did not cause any changes in basic wood anatomy of its host R. arboreum. It appears that the studied anatomical parameters of Rhododendron wood are fairly stable and are not changed by stress due to infection by mistletoes. The damage to the host distal to the infected area most likely results from an insufficiency of total conductive area to supply both mistletoe and host. Unfortunately we could not determine annual conductive area increment, because R arboreum does not develop usable annual tree rings in the climate of the study area. Key words: Himalayas, mistletoe. Rhododendron arboreum, Scurrula elata, water stress, wood anatomy. Ecoprint Vol.11(1) 2004.


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