X-RAY AND MAGNETIC RESONANCE IMAGING FEATURES IN PATIENTS WITH ACQUIRED LUMBAR SPINAL STENOSIS

2018 ◽  
Vol 8 (6) ◽  
pp. 151-156
Author(s):  
Trung Hoang Van ◽  
Cuong Le Van Ngoc

Background: Lumbar spinal stenosis often associates with chronic pain described the abnormal narrowing of the lumbar spinal canal, resulting in compression of neural elements within the central spinal canal or the lateral recesses or the root canals or coordinate with each other. The purpose of this study was to describe and compare the plain X-ray and magnetic resonance imaging features of lumbar canal stenosis. Materials and methods: This was a cross-sectional study of 78 patients with an acquired lumbar spinal canal between October 2017 and May 2018. Results: The X-rays confirmed osteophytes in 92.3%, endplate sclerosis in 88.5% and disc space narrowing 62.8%. On MRI, 213 lumbar levels were lumbar spinal canal stenosis, 181 lumbar levels were evaluated for the grade of central spinal canal stenosis. Conclusions: X-ray examination has limitations in a diagnosis of lumbar spinal stenosis but also serves as a diagnostic aid. MRI is well diagnosed as spinal pathology as well as lumbar spinal stenosis. Key words: Lumbar spinal, Lumbar spinal stenosis, Magnetic resonance imaging (MRI), X-ray, Grading

2016 ◽  
Vol 26 (2) ◽  
pp. 353-361 ◽  
Author(s):  
Sebastian Winklhofer ◽  
Ulrike Held ◽  
Jakob M. Burgstaller ◽  
Tim Finkenstaedt ◽  
Nicolae Bolog ◽  
...  

Spine ◽  
2012 ◽  
Vol 37 (16) ◽  
pp. E985-E992 ◽  
Author(s):  
Haruo Kanno ◽  
Toshiki Endo ◽  
Hiroshi Ozawa ◽  
Yutaka Koizumi ◽  
Naoki Morozumi ◽  
...  

2008 ◽  
Vol 43 (5) ◽  
pp. 588 ◽  
Author(s):  
Dae Moo Shim ◽  
Yun Hong Choi ◽  
Jung Hwan Yang ◽  
Sung Kyun Oh ◽  
Chae Geun Kim ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
H. Michael Mayer ◽  
Franziska Heider

Objective.Selective, bilateral multisegmental microsurgical decompression of lumbar spinal canal stenosis through separate, alternating cross-over approaches.Indications. Two-segmental and multisegmental degenerative central and lateral lumbar spinal stenosis.Contraindications. None.Surgical Technique.Minimally invasive, muscle, and facet joint-sparing bilateral decompression of the lumbar spinal canal through 2 or more alternating microsurgical cross-over approaches from one side.Results.From December 2010 until December 2015 we operated on 202 patients with 2 or multisegmental stenosis (115 f; 87 m; average age 69.3 yrs, range 51–91 yrs). All patients were suffering from symptoms typical of a degenerative lumbar spinal stenosis. All patients complained about back pain; however the leg symptoms were dominant in all cases. Per decompressed segment, the average OR time was 36 min and the blood loss 45.7 cc. Patients were mobilized 6 hrs postop and hospitalization averaged 5.9 days. A total of 116/202 patients did not need submuscular drainage. 27/202 patients suffered from a complication (13.4%). Dural tears occurred in 3.5%, an epidural hematoma in 5.5%, a deep wound infection in 1.98%, and a temporary radiculopathy postop in 1.5%. Postop follow-up ranged from 12 to 24 months. There was a significant improvement of EQ 5 D, Oswestry Disability Index (ODI), VAS for Back and Leg Pain, and preoperative standing times and walking distances.


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