Lumbar Spinal Canal Size of Sciatica Patients

1989 ◽  
Vol 30 (4) ◽  
pp. 353-357 ◽  
Author(s):  
M. Hurme ◽  
H. Alaranta ◽  
T. Aalto ◽  
L.-R. Knuts ◽  
H. Vanharanta ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spinal Canal ◽  
Clinical Manifestations ◽  
Disc Height ◽  
Low Back ◽  
Straight Leg Raising ◽  
One Year ◽  
Lumbar Spinal ◽  
Pain Patients

Seven measures at the three lowest lumbar interspaces were recorded from conventional radiographs of the lumbar spines of 160 consecutive patients with low back pain and sciatica admitted for myelography and possible surgery. Eighty-eight patients were operated upon for disc herniation, and of the conservatively-treated 72 patients, 18 had a pathologic and 54 a normal myelogram. The results were evaluated after one year using the occupational handicap scales of WHO. Correlations of radiographic measures to stature were moderate and to age small. After adjusting for stature and age, only the male interpedicular distances and the antero-posterior diameter of intervertebral foramen at L3 were greater than those of females. The males with a pathologic myelogram had smaller posterior disc height at L3 and a smaller interarticular distance at L3 and L4 than those with normal myelogram, likewise the midsagittal diameter at L3 and L4 in females. In all patients other measures besides posterior disc height were smaller than those for low back pain patients (p<0.001) or for cadavers (p<0.001). The only correlation between measures and clinical manifestations was between pedicular length at L3 and limited straight leg raising. Where the disc material had been extruded into the spinal canal, the interpedicular distance was significantly wider. Only anterior disc height at L3 revealed differences between good and poor outcome one year after surgery, as did the interarticular distance at S1 in patients with normal myelogram after conservative treatment.

Early Intervention Options for Acute Low Back Pain Patients: A Randomized Clinical Trial with One-Year Follow-Up Outcomes

2010 ◽  
Vol 20 (2) ◽  
pp. 256-263 ◽  
Author(s):  
Travis Whitfill ◽  
Robbie Haggard ◽  
Samuel M. Bierner ◽  
Glenn Pransky ◽  
Robert G. Hassett ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Early Intervention ◽  
Randomized Clinical Trial ◽  
Low Back ◽  
Acute Low Back Pain ◽  
One Year ◽  
Pain Patients

In Vivo Three-Dimensional Morphometric Analysis of the Lumbar Spinal Bony Canal in Healthy and Low Back Pain Patients

2011 ◽  
Author(s):  
J. S. An ◽  
A. A. Espinoza Orías ◽  
H. S. An ◽  
G. B. J. Andersson ◽  
N. Inoue
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Imaging Technique ◽  
Three Dimensional ◽  
Low Back ◽  
Bony Canal ◽  
Three Dimensional Models ◽  
Lumbar Spinal ◽  
Pain Patients

To accurately quantify the anatomic parameters of the lumbar spinal bony canal using a novel three-dimensional imaging technique based on in vivo CT three-dimensional models.

scholarly journals The physical effect of lumbar spinal supports

1982 ◽  
Vol 6 (2) ◽  
pp. 79-84 ◽  
Author(s):  
N. D. Grew ◽  
G. Deane
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Skin Temperature ◽  
Physical Dependence ◽  
Normal Male ◽  
Low Back ◽  
Physical Effects ◽  
Lumbar Spinal ◽  
Pain Patients ◽  
Male Subjects

A study has been performed to investigate the physical effects of lumbar spinal supports. Two groups were studied, a group of normal male subjects and a group of male low back pain patients. Five different spinal supports were investigated and their effects upon the skin temperature, spinal movements and intra-abdominal pressures of these individuals were examined. The results show surprisingly similar patterns for the widely varying designs of support. The findings also suggest that the longer term wearing of a spinal support results in a degree of physical dependence. The results of this study are aimed at improving the prescription and use of spinal supports in the treatment of low back pain.

Radiographic Predictors of Residual Low Back Pain After Laminectomy for Lumbar Spinal Canal Stenosis

2008 ◽  
Vol 21 (3) ◽  
pp. 153-158 ◽  
Author(s):  
Yingpeng Xia ◽  
Ken Ishii ◽  
Morio Matsumoto ◽  
Masaya Nakamura ◽  
Yoshiaki Toyama ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Low Back ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

One-year trend in pain and disability relief recall in acute and chronic ambulatory low back pain patients

Pain ◽  
2002 ◽  
Vol 95 (1) ◽  
pp. 83-91 ◽  
Author(s):  
Mitchell Haas ◽  
Joanne Nyiendo ◽  
Mikel Aickin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
One Year ◽  
Pain Patients

scholarly journals PARAMETERS OF NUCLEAR MAGNETIC RESONANCE IN PATIENTS WITH CONGENITAL NARROWING OF THE LUMBAR SPINAL CANAL

2016 ◽  
Vol 15 (4) ◽  
pp. 287-289 ◽  
Author(s):  
ELIU HAZAEL MORALES-RANGEL ◽  
FERNANDO ESPINOZA-CHOQUE ◽  
ALFREDO JAVIER MOHENO-GALLARDO ◽  
LUIS ANTONIO SAAVEDRA-BADILLO ◽  
EULALIO ELIZALDE-MARTÍNEZ ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Spinal Canal ◽  
Surgical Planning ◽  
Morphological Parameters ◽  
Low Back ◽  
Proper Diagnosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

ABSTRACT Objective: To compare the morphological parameters of magnetic resonance in patients with congenital narrowing of the lumbar spinal canal with patients with low back pain. Methods: A descriptive, retrospective, observational study was conducted with measurements in the axial and sagittal magnetic resonance sections of the vertebral body and canal of the lumbar spine of 64 patients with diagnosis of low back pain, which were compared with resonance images taken from 31 Mexican patients with congenital narrowing of the lumbar spinal canal. Results: The results show that patients with congenital narrowing of the lumbar spinal canal in the axial sections have a difference in diameters, being L2<13.9 mm, L3<13.3 mm, L4<12.9 mm, L5<13.1 mm, compared with controls L2<20.5 mm, L3<20.5 mm, L4<19.3 mm, L5<18.1 mm with p = 0.000. Conclusions: We found different measurements in the Mexican population compared to those found by similar studies. With the parameters obtained, it would be possible to make the proper diagnosis, surgical planning, and treatment.

scholarly journals Tubular surgery with the assistance of endoscopic surgery via a paramedian or midline approach for lumbar spinal canal stenosis at the L4/5 level

2018 ◽  
Vol 26 (2) ◽  
pp. 230949901878254 ◽  
Author(s):  
Jun Komatsu ◽  
Tomoya Muta ◽  
Nana Nagura ◽  
Masumi Iwabuchi ◽  
Hironari Fukuda ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Minimally Invasive ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Low Back ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

Background: Lumbar spinal canal stenosis surgery has recently improved with the use of minimally invasive techniques. Less invasive procedures have emerged, and microendoscopic decompression through smaller incisions is frequently performed. Tubular surgery with the assistance of endoscopic surgery procedures has led to particularly remarkable changes in surgery, with reduced tissue trauma and morbidity. Purpose: The purpose of this study was to compare the clinical outcomes of two different minimally invasive decompressive surgical techniques (microendoscopic bilateral decompression surgery using the unilateral approach [microendoscopic laminectomy (MEL)] and microendoscopy-assisted muscle-preserving interlaminar decompression (MILD; ME-MILD)) using spinal endoscopy for lumbar spinal canal stenosis measured using a visual analog scale (VAS), the Japanese Orthopedic Association (JOA) score, and the JOA Back Pain Evaluation Questionnaire (JOABPEQ), which is based on a patient-oriented scoring system. Study design: This study was a retrospective review of prospectively collected surgical data. Methods: The study included 81 patients (MEL 39 patients, 20 men and 19 women, mean age 68.9 years; and ME-MILD 42 patients, 22 men and 20 women, mean age 73.1 years) with lumbar spinal stenosis (LSS). The indications for surgery were moderate-to-severe stenosis, persistent neurological symptoms, and failure of conservative treatment over 3 months, with a JOA score under 15 points or intermittent claudication at 100 m. This study included patients having LSS at a single vertebral level (L4/5). Results: Low back pain, buttock-leg pain, and numbness were significantly improved in terms of the VAS score from 3 months with both MEL and ME-MILD. In all periods, JOA scores over 3 years of follow-up were significantly higher than those obtained before surgery with both MEL and ME-MILD, and there were improvements of low back pain and walking function. Conclusions: These observations demonstrate that ME-MILD is a safe and very effective minimally invasive technique for degenerative LSS, similar to MEL.

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