Comparison of radiologic signs and clinical symptoms of spinal stenosis.

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

Spine

authors

Lohman CM,Tallroth K,Kettunen JA,Lindgren KA

doi

10.1097/01.brs.0000227370.65573.ac

subject

Has Abstract

pub_date

2006-07-15 00:00:00

pages

1834-40

issue

16

eissn

0362-2436

issn

1528-1159

pii

00007632-200607150-00015

journal_volume

31

pub_type

杂志文章

相关文献

SPINE文献大全
  • The role of laminectomy, facet rhizotomy, and epidural steroids.

    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

    authors: Oudenhoven RC

    更新日期:1979-03-01 00:00:00

  • Fusion surgery for recurrent cerebellar infarctions due to bilateral atlantoaxial rotational vertebral artery occlusion.

    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

    authors: Takeshima Y,Nishimura F,Park YS,Nakase H

    更新日期:2014-06-15 00:00:00

  • Outcome analysis of chance fractures of the skeletally immature spine.

    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

    authors: Mulpuri K,Jawadi A,Perdios A,Choit RL,Tredwell SJ,Reilly CW

    更新日期:2007-11-15 00:00:00

  • The effect of corticosteroid administration on soft-tissue inflammation associated with rhBMP-2 use in a rodent model of inflammation.

    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

    authors: Tan Y,Montgomery SR,Aghdasi BG,Inoue H,Kaner T,Tian H,Terrell R,Zhang X,Wang JC,Daubs MD

    更新日期:2013-05-01 00:00:00

  • An anatomic study of the lumbar plexus with respect to retroperitoneal endoscopic surgery.

    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

    authors: Moro T,Kikuchi S,Konno S,Yaginuma H

    更新日期:2003-03-01 00:00:00

  • Ultrastructure of the human intervertebral disc during aging and degeneration: comparison of surgical and control specimens.

    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

    authors: Gruber HE,Hanley EN Jr

    更新日期:2002-04-15 00:00:00

  • Pineal transplantation after pinealectomy in young chickens has no effect on the development of scoliosis.

    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

    authors: Bagnall KM,Beuerlein M,Johnson P,Wilson J,Raso VJ,Moreau M

    更新日期:2001-05-01 00:00:00

  • 2020 Young Investigator Award Winner: Age- and Sex-related Normative Value of Whole-body Sagittal Alignment Based on 584 Asymptomatic Chinese Adult Population From Age 20 to 89.

    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

    authors: Hu Z,Man GCW,Yeung KH,Cheung WH,Chu WCW,Law SW,Lam TP,Zhu Z,Qiu Y,Cheng JCY

    更新日期:2020-01-15 00:00:00

  • Strategies for outcome research in spinal disorders. An introduction.

    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

    authors: Liang MH,Andersson G,Bombardier C,Cherkin DC,Deyo RA,Keller RB,Lee CK,Lipscomb B,Shekelle P,Spratt KF

    更新日期:1994-09-15 00:00:00

  • Minimum 25-year outcome and functional assessment of lumbar discectomy.

    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

    authors: Mariconda M,Galasso O,Secondulfo V,Rotonda GD,Milano C

    更新日期:2006-10-15 00:00:00

  • Biomechanical comparison of a fully threaded, variable pitch screw and a partially threaded lag screw for internal fixation of Type II dens fractures.

    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

    authors: Magee W,Hettwer W,Badra M,Bay B,Hart R

    更新日期:2007-08-01 00:00:00

  • Evaluation of an advanced back pain rehabilitation program.

    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

    authors: Aberg J

    更新日期:1984-04-01 00:00:00

  • Results of a longer than 10-year follow-Up of patients with rheumatoid arthritis treated by occipitocervical fusion.

    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

    authors: Matsunaga S,Ijiri K,Koga H

    更新日期:2000-07-15 00:00:00

  • Effect of altering titer, serotype, and promoter in recombinant adenoassociate virus gene therapy expression of spinal cord neurons and astrocytes.

    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

    authors: Harrop JS,Poulsen DJ,Xiao W,Freese A,During MJ

    更新日期:2004-12-15 00:00:00

  • C1 lateral mass screw insertion with protection of C1-C2 venous sinus: technical note and review of the literature.

    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

    authors: Pan J,Li L,Qian L,Tan J,Sun G,Li X

    更新日期:2010-10-01 00:00:00

  • Somatosensory cortical evoked potential changes after deformity correction.

    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:

    authors: Albanese SA,Spadaro JA,Lubicky JP,Henderson NA

    更新日期:1991-08-01 00:00:00

  • Root and spinal cord compression from methylmethacrylate vertebroplasty.

    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

    authors: Ratliff J,Nguyen T,Heiss J

    更新日期:2001-07-01 00:00:00

  • The neurologic workup in patients with cervical spine disorders.

    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

    authors: Dvorák J,Janssen B,Grob D

    更新日期:1990-10-01 00:00:00

  • Is it possible to evaluate the parameters of cervical sagittal alignment on cervical computed tomographic scans?

    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

    authors: Jun HS,Chang IB,Song JH,Kim TH,Park MS,Kim SW,Oh JK

    更新日期:2014-05-01 00:00:00

  • Cervical and thoracic juxtafacet cysts causing neurologic deficits.

    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

    authors: Stoodley MA,Jones NR,Scott G

    更新日期:2000-04-15 00:00:00

  • Prospective radiographic and clinical outcomes of dual-rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis: comparison with single-rod constructs.

    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

    authors: Hurford RK Jr,Lenke LG,Lee SS,Cheng I,Sides B,Bridwell KH

    更新日期:2006-09-15 00:00:00

  • Preoperative serum albumin level as a predictor of postoperative complication after spine fusion.

    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

    authors: Adogwa O,Martin JR,Huang K,Verla T,Fatemi P,Thompson P,Cheng J,Kuchibhatla M,Lad SP,Bagley CA,Gottfried ON

    更新日期:2014-08-15 00:00:00

  • Local application of disc-related cytokines on spinal nerve roots.

    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

    authors: Aoki Y,Rydevik B,Kikuchi S,Olmarker K

    更新日期:2002-08-01 00:00:00

  • Symptomatic intraosseous synovial cyst in the cervical spine: a case report.

    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

    authors: Jost SC,Hsien Tu P,Wright NM

    更新日期:2003-09-01 00:00:00

  • Dynamic response of human cervical spine ligaments.

    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

    authors: Yoganandan N,Pintar F,Butler J,Reinartz J,Sances A Jr,Larson SJ

    更新日期:1989-10-01 00:00:00

  • Functional importance of degenerative spondylolisthesis in cervical spondylotic myelopathy in the elderly.

    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

    authors: Tani T,Kawasaki M,Taniguchi S,Ushida T

    更新日期:2003-06-01 00:00:00

  • Tuberculosis of the arch of the atlas. Case report.

    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

    authors: Corea JR,Tamimi TM

    更新日期:1987-07-01 00:00:00

  • Safety and efficacy of 1-stage surgical treatment of congenital spinal deformity associated with split spinal cord malformation.

    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

    authors: Hui H,Tao HR,Jiang XF,Fan HB,Yan M,Luo ZJ

    更新日期:2012-12-01 00:00:00

  • The role of anterior spinal instrumentation and allograft fibula for the treatment of pott disease.

    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

    authors: Ozdemir HM,Us AK,Oğün T

    更新日期:2003-03-01 00:00:00

  • Predictive Scores Underestimate Survival of Patients With Metastatic Spine Disease: A Retrospective Study of 315 Patients in Sweden.

    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

    authors: Carrwik C,Olerud C,Robinson Y

    更新日期:2020-03-15 00:00:00