Abstract:
STUDY DESIGN:Clinical findings of spinal stenosis were compared to graded radiologic findings of dural sac narrowing. OBJECTIVES:To examine the changes of the dural sac area of the lumbar spine on computerized tomography (CT) performed without and with axial loading, and study the correlations between the radiologic findings and clinical symptoms suggestive of spinal stenosis. SUMMARY OF BACKGROUND DATA:Although several studies have been performed regarding the advantage of an external compression device in lumbar CT, to our knowledge, none of these studies have correlated radiologic findings with clinical symptoms. METHODS:The cross-sectional areas of the dural sac at the 3 lowest lumbar intravenous spaces, measured by CT both without and with external compression, were correlated to the clinical symptoms suggestive of spinal stenosis in 117 patients and 351 intervertebral levels. RESULTS:No statistically significant correlation between the severity of the clinical symptoms of spinal stenosis and dural cross-sectional areas was found. Neither did the use of an external compression device improve the correlation. CONCLUSION:Although an external compression simulates the dynamic condition in the back during standing position, it does not eliminate the need to compare the radiologic findings with the clinical symptoms of patients examined because of a suspected narrowing of the spinal canal.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Lohman CM,Tallroth K,Kettunen JA,Lindgren KAdoi
10.1097/01.brs.0000227370.65573.acsubject
Has Abstractpub_date
2006-07-15 00:00:00pages
1834-40issue
16eissn
0362-2436issn
1528-1159pii
00007632-200607150-00015journal_volume
31pub_type
杂志文章相关文献
SPINE文献大全abstract::A retrospective review of the treatment of chronic back and extremity pain is presented. Laminectomy is most effective for pain secondary to direct compression of the neural elements. Treatment of pseudoradicular pain requires identification of the source of pain input. Facet rhizotomy is specific for pain arising fro...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197903000-00009
更新日期:1979-03-01 00:00:00
abstract:STUDY DESIGN:Case report and literature review. OBJECTIVE:To describe a unique case of recurrent cerebral embolisms with "bilateral" atlantoaxial rotational vertebral artery occlusion (RVAO), and review the literature on this rare entity. SUMMARY OF BACKGROUND DATA:The few reports of bilateral bow hunter's stroke (BH...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000000341
更新日期:2014-06-15 00:00:00
abstract:STUDY DESIGN:Observational. OBJECTIVE:The authors present a detailed description of 25 skeletally immature patients with Chance fractures with a mean follow-up of 6.4 years. SUMMARY OF BACKGROUND DATA:Since the legislation mandating seat belt usage in Canada was first introduced, the fatality rate of automobile colli...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31815a5986
更新日期:2007-11-15 00:00:00
abstract:STUDY DESIGN:In vivo rodent model. OBJECTIVE:Investigate the effect of systemic corticosteroid administration on soft-tissue inflammation after local delivery of recombinant human bone morphogenetic protein-2 (rhBMP-2). SUMMARY OF BACKGROUND DATA:Corticosteroid use in cases of soft-tissue inflammation associated with...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31827eca09
更新日期:2013-05-01 00:00:00
abstract:STUDY DESIGN:The distribution of the lumbar plexus was analyzed using cadavers. OBJECTIVE:To clarify the safety zone to prevent nerve injuries with respect to retroperitoneal endoscopic surgery. SUMMARY OF BACKGROUND DATA:Surgical approaches to the retroperitoneal space vary among surgeons. Recently, retroperitoneal ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000049226.87064.3B
更新日期:2003-03-01 00:00:00
abstract:STUDY DESIGN:Human intervertebral disc tissue from the annulus was obtained in a prospective study investigating the ultrastructural features of disc cells and extracellular matrix. Experimental studies were approved by the authors' Human Subjects Institutional Review Board. Discs were obtained from surgical specimens ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200204150-00004
更新日期:2002-04-15 00:00:00
abstract:STUDY DESIGN:Three experimental groups and one control group of chickens underwent different surgical procedures to determine the effects of pineal gland transplantation on the development of scoliosis. OBJECTIVE:To determine whether transplantation of the pineal gland to the body wall musculature maintains serum mela...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200105010-00007
更新日期:2001-05-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional radiographic study. OBJECTIVE:The aim of this study was to establish the age- and sex-related normative values of whole-body sagittal alignment in asymptomatic Chinese adult population, and to investigate the changes and possible associated compensation mechanisms across age groups. SUM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003187
更新日期:2020-01-15 00:00:00
abstract::The evaluation of the clinical utility of the clinical diagnostic tests and procedures, what works in spinal disorders, and for whom and how treatment affects a patient's symptoms and function are key questions of outcomes research. This paper describes the advantages and limitations of the main study approaches used....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409151-00004
更新日期:1994-09-15 00:00:00
abstract:STUDY DESIGN:A retrospective, follow-up cohort study. OBJECTIVE:To evaluate the 25-year (or longer) outcome of discectomy for lumbar disc herniation by validated instruments. SUMMARY OF BACKGROUND DATA:A comprehensive patient-oriented evaluation should include measurements of pain and disability along with a reliable...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000240726.26096.be
更新日期:2006-10-15 00:00:00
abstract:STUDY DESIGN:Stiffness and load to failure were studied in a human cadaver model of Type II odontoid fractures stabilized with either a single partially threaded lag screw and washer or a headless fully threaded variable pitch screw. OBJECTIVE:To determine whether a headless fully threaded variable pitch screw provide...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31811ec2bb
更新日期:2007-08-01 00:00:00
abstract::The "Back-Pain Institute" at Sundsvall offers an advanced rehabilitation program to people with long-standing back pain. This program has been evaluated in a controlled prospective study. Data were gathered from questionnaires mailed on three occasions, from the sick insurance office and from the bureau of employment....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198404000-00018
更新日期:1984-04-01 00:00:00
abstract:STUDY DESIGN:Evaluation of results a longer than 10-year follow-up of patients with upper cervical lesions due to rheumatoid arthritis who underwent occipitocervical fusion. OBJECTIVE:To determine the final outcome of patients with upper cervical lesions due to rheumatoid arthritis treated by occipitocervical fusion. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200007150-00002
更新日期:2000-07-15 00:00:00
abstract:STUDY DESIGN:Descriptive histologic analysis of spinal cord gene therapy. OBJECTIVE:To maximize protein expression in rat spinal cord using recombinant adenoassociate virus viral vector. SUMMARY OF BACKGROUND DATA:There are few reports of spinal cord genetic transfer. There have been no reports that compare technique...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000147909.59083.da
更新日期:2004-12-15 00:00:00
abstract:STUDY DESIGN:This is a technical note and review of the literature. OBJECTIVE:We propose to describe a revised surgical technique of C1 lateral mass screw insertion with protection of C1-C2 venous sinus surrounding the C2 nerve root. SUMMARY OF BACKGROUND DATA:During C1 lateral mass screw insertion and in posterior C...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181e215ff
更新日期:2010-10-01 00:00:00
abstract::The somatosensory cortical evoked potentials recorded during posterior spine fusion and instrumentation for 99 consecutive patients with idiopathic scoliosis, 18 years of age or younger, were retrospectively reviewed. The potentials were recorded from scalp electrodes while synchronously stimulating both tibial nerves...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1991-08-01 00:00:00
abstract:STUDY DESIGN:Case report and literature review. OBJECTIVES:Clinicians use methylmethacrylate vertebroplasty to treat vertebral hemangiomas, metastases, and osteoporotic fractures. Cement may leak out of the vertebral body and compress the adjacent spinal cord and nerve roots. We review a case of nerve-root and cord co...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200107010-00021
更新日期:2001-07-01 00:00:00
abstract::Care must be exercised in interpreting the clinical and radiologic findings when assessing patients with cervical spondylosis and involvement of neural structures for surgery. If the clinical picture cannot logically be explained by the radiologic findings, further investigation is indicated to exclude a coexistent di...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199015100-00007
更新日期:1990-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of this study was to analyze the relationship of the parameters of cervical sagittal alignment between those obtained from cervical CT and those obtained from radiography, as well as to determine which parameter would help predict physiological lordosis of the ce...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000281
更新日期:2014-05-01 00:00:00
abstract:STUDY DESIGN:Case reports and review of the literature. OBJECTIVES:To review the clinical features, treatment, and outcome of juxtafacet cysts. SUMMARY OF BACKGROUND DATA:There have previously been 4 reported cases of thoracic juxtafacet cysts and 19 cases of cervical juxtafacet cysts. Cervical cysts have usually ori...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-200004150-00012
更新日期:2000-04-15 00:00:00
abstract:STUDY DESIGN:Anterior single or dual-rod instrumentation may be performed for the treatment of main thoracic, thoracolumbar, or lumbar adolescent idiopathic scoliosis (AIS) curves. OBJECTIVE:To compare the results of anterior dual-rod instrumentation in single-major AIS curves with our previous experience using single...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000238966.75175.2b
更新日期:2006-09-15 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To investigate the association between preoperative baseline serum albumin and postoperative surgical complication. SUMMARY OF BACKGROUND DATA:The prevalence of malnutrition in the hospitalized patient population has only been recently recognized. Preoperative hypoal...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000450
更新日期:2014-08-15 00:00:00
abstract:STUDY DESIGN:To analyze the effects of tumor necrosis factor-alpha, interleukin-1beta, and interferon-gamma on cauda equina function and to define if any of these cytokines could induce nerve root dysfunction comparable with the situation with application of nucleus pulposus. SUMMARY OF BACKGROUND DATA:Proinflammatory...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200208010-00004
更新日期:2002-08-01 00:00:00
abstract:STUDY DESIGN:A case report and review of the literature are presented. OBJECTIVE:To describe an unusual location for a cervical synovial cyst and to review characteristic presentations and findings of synovial cysts in the cervical spine. SUMMARY OF BACKGROUND DATA:Synovial cysts in the cervical spine are rare. To da...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000090501.42188.2A
更新日期:2003-09-01 00:00:00
abstract::This study was undertaken to investigate the dynamic response of human cervical spine ligaments. Uniaxial tensile failure tests were conducted on anterior longitudinal ligament (AL) and ligamentum flavum (LF) structures. These ligaments were tested under in situ conditions by transecting all the elements except the on...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198910000-00013
更新日期:1989-10-01 00:00:00
abstract:STUDY DESIGN:A correlation was studied between degenerative spondylolisthesis (DSL) of the cervical spine and spinal-evoked potentials intraoperatively recorded in elderly patients who had surgical treatment for cervical spondylotic myelopathy. OBJECTIVE:To investigate the functional importance of cervical DSL in elde...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.BRS.0000067263.73474.97
更新日期:2003-06-01 00:00:00
abstract::This rare case of tuberculosis of the arch of atlas illustrates the potential difficulties in making a clinical diagnosis of tuberculosis of the upper cervical spine. Plain roentgenograms may not demonstrate an early lesion of the neural arch, and CT is a valuable adjunct. The use of a halo vest proved a successful al...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198707000-00022
更新日期:1987-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective clinical study. OBJECTIVE:The aim of this study was to evaluate retrospectively the safety and efficacy of 1-stage surgical treatment of 45 consecutive patients, who had progressive congenital spinal deformity associated with split spinal cord malformation (SSCM). SUMMARY OF BACKGROUND DATA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182608988
更新日期:2012-12-01 00:00:00
abstract:STUDY DESIGN:The authors retrospectively reviewed 28 patients with multilevel Pott disease who underwent anterior radical débridement, decompression, and fusion with anterior spinal instrumentation and fibular allograft replacement. OBJECTIVES:To assess the efficacy of allograft fibular fusion and anterior spinal stab...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000048666.17934.17
更新日期:2003-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To validate the precision of four predictive scoring systems for spinal metastatic disease and evaluate whether they underestimate or overestimate survival. SUMMARY OF BACKGROUND DATA:Metastatic spine disease is a common complication to malignancies. Several scoring ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003289
更新日期:2020-03-15 00:00:00