The relationship between the cross-sectional area of the cauda equina and the preoperative symptoms in central lumbar spinal stenosis.

Abstract:

STUDY DESIGN:A cross-sectional registry and imaging cohort study. OBJECTIVES:To study the association between typical symptoms and signs of central spinal stenosis and the minimum cross-sectional area (mCSA) of the cauda equina in patients subsequently undergoing surgery. SUMMARY OF BACKGROUND DATA:Relations between mCSA and the symptoms of spinal stenosis have not been studied before. SUBJECTS AND METHODS:The preoperative walking ability, pain in the leg(s) and back, duration of symptoms and quality of life in 82 men and women subsequently operated for spinal stenosis were related to the digitally determined CSA of the single most constricted level, mCSA of their lumbar spines. RESULTS:A smaller mCSA was directly related to a shorter walking distance before claudication. A small mCSA meant more leg and back pain and a lower health-related quality of life. For those with a walking ability <100 m, the average mCSA was around 53 mm; whereas it was just <69 mm for those able to walk >500 m. The average mCSA did not differ depending on gender, age, or vertebral level. CONCLUSIONS:The mCSA was a strong predictor of the preoperative walking ability, leg and back pain, and was directly related to the quality of life of patients with central spinal stenosis.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Ogikubo O,Forsberg L,Hansson T

doi

10.1097/BRS.0b013e318060a5f5

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

1423-8; discussion 1429

issue

13

eissn

0362-2436

issn

1528-1159

pii

00007632-200706010-00010

journal_volume

32

pub_type

杂志文章

相关文献

SPINE文献大全
  • Relationship Between Proprioception and Pain and Disability in People With Non-Specific Low Back Pain: A Systematic Review With Meta-Analysis.

    abstract:STUDY DESIGN:Systematic review with meta-analysis. OBJECTIVE:To examine the association between proprioception and pain and disability in people with non-specific low back pain (NSLBP) and the impact of potential moderators on the strength of the association. SUMMARY OF BACKGROUND DATA:NSLBP is a common musculoskelet...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/BRS.0000000000002917

    authors: Lin J,Halaki M,Rajan P,Leaver A

    更新日期:2019-05-15 00:00:00

  • Abnormal spontaneous activities on needle electromyography and their relation with pain behavior and nerve fiber pathology in a rat model of lumbar disc herniation.

    abstract:STUDY DESIGN:This longitudinal experimental study was conducted to investigate electrophysiologic characteristics, pain behavior, and histological changes in a rat model of lumbar disc herniation. OBJECTIVE:To observe abnormal spontaneous activity (ASA) on needle electromyography (EMG) and to determine its relation wi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318210aa10

    authors: Kim SJ,Kim WR,Kim HS,Park HW,Cho YW,Jang SH,Hwang SJ,Ahn SH

    更新日期:2011-11-15 00:00:00

  • Vertebral 'corner' defect associated with lumbar disk herniation shown by magnetic resonance imaging.

    abstract::Two examples of a marked defect of the corner of the vertebral body adjacent to an intervertebral disk herniation are presented. The prevalence of this finding was assessed in 43 randomly selected patients with disk herniation (at 46 levels). None of these patients had such marked vertebral defects (moderate changes a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199301000-00016

    authors: Vincent JM,Baldwin JE,Sims C,Dixon AK

    更新日期:1993-01-01 00:00:00

  • Electrically induced muscle contractions influence bone density decline after spinal cord injury.

    abstract:STUDY DESIGN:Longitudinal repeated-measures; within-subject control. OBJECTIVE:We examined the extent to which an isometric plantar flexion training protocol attenuates bone loss longitudinally after SCI. SUMMARY OF BACKGROUND DATA:After spinal cord injury (SCI), bone mineral density (BMD) of paralyzed extremities ra...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000201303.49308.a8

    authors: Shields RK,Dudley-Javoroski S,Law LA

    更新日期:2006-03-01 00:00:00

  • Cost-effectiveness analysis of extended conservative therapy versus surgical intervention in the management of herniated lumbar intervertebral disc.

    abstract::The management of herniated lumbar intervertebral disc for patients not responding to an initial trial of conservative therapy is generally surgical. Little is known about the effect of continued conservative therapy on patients who have not improved or have deteriorated within the first 3 months. This study assessed ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199202000-00010

    authors: Shvartzman L,Weingarten E,Sherry H,Levin S,Persaud A

    更新日期:1992-02-01 00:00:00

  • A Whole Exome Study Identifies Novel Candidate Genes for Vertebral Bone Marrow Signal Changes (Modic Changes).

    abstract:STUDY DESIGN:A family-based study. OBJECTIVE:The aim of this study was to identify rare genetic factors predisposing to Modic changes (MCs). SUMMARY OF BACKGROUND DATA:Lumbar disc degeneration (LDD) is one of the contributing factors behind low back pain (LBP). Lumbar MC visualized as bone marrow signal intensity cha...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002049

    authors: Kraatari M,Skarp S,Niinimäki J,Karppinen J,Männikkö M

    更新日期:2017-08-15 00:00:00

  • Comparison of TLIF with rhBMP-2 versus no TLIF and higher posterolateral rhBMP-2 dose at L5-S1 for long fusions to the sacrum with sacropelvic fixation in patients with primary adult deformity.

    abstract:STUDY DESIGN:Comparvative case series. Data was prospectively entered and retrospectively analyzed. OBJECTIVE:To evaluate the need for distal lumbar interbody fusion when sufficient recombinant human bone morphogenetic protein-2 (rhBMP-2) is used posterolaterally at L5-S1 in long spinal constructs for adult deformity ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000045

    authors: Rahman RK,Buchowski JM,Stephens B,Dorward IG,Koester LA,Bridwell KH

    更新日期:2013-12-15 00:00:00

  • The use of fibrin sealant to reduce blood loss during Cotrel-Dubousset instrumentation for idiopathic scoliosis.

    abstract::The increased complexity of Cotrel-Dubousset instrumentation has, as an unexpected side effect, a potential increase in blood loss. A prospective randomized study was undertaken to test the hypothesis that application of a fibrin sealant to exposed cancellous bone can significantly reduce blood loss during Cotrel-Dubo...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-199009000-00014

    authors: Tredwell SJ,Sawatzky B

    更新日期:1990-09-01 00:00:00

  • Confirmation of the posterolateral technique to decompress and fuse thoracolumbar spine burst fractures.

    abstract::A posterolateral technique to decompress retropulsed bone from the spinal canal has been employed in nine patients, confirmed with intraoperative canal inspection and pre- and postoperative computed axial tomographic (CAT) evaluation. This technique has allowed reduction of retropulsed bony elements from the spinal ca...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198504000-00005

    authors: Garfin SR,Mowery CA,Guerra J Jr,Marshall LF

    更新日期:1985-04-01 00:00:00

  • Association Between Neurotrophic Factor Expression and Pain-Related Behavior Induced by Nucleus Pulposus Applied to Rat Nerve Root.

    abstract:STUDY DESIGN:An experimental animal study. OBJECTIVE:To investigate the relationship between pain-related behavior and the expression of neurotrophic factors in the dorsal root ganglion (DRG) and spinal cord (SC) using a nucleus pulposus (NP) rat model. SUMMARY OF BACKGROUND DATA:Neurotrophic factors are released fro...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002223

    authors: Seki S,Sekiguchi M,Konno SI

    更新日期:2018-01-01 00:00:00

  • Comparing the fixation of a novel hollow screw versus a conventional solid screw in human sacra under cyclic loading.

    abstract:STUDY DESIGN:The loosening rates of two monocortical pedicle screw designs (hollow and solid) were compared in a cadaveric sacrum model subjected to cyclic loading. OBJECTIVE:To determine if a hollow screw would be more resistant to loosening than a solid pedicle screw when placed into the pedicles of S1 and tested un...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181808c75

    authors: McLachlin SD,Beaton BJ,Sabo MT,Gurr KR,Bailey SI,Bailey CS,Dunning CE

    更新日期:2008-08-01 00:00:00

  • Comparative effects of bone morphogenetic proteins and sox9 overexpression on extracellular matrix metabolism of bovine nucleus pulposus cells.

    abstract:STUDY DESIGN:An in vitro biologic study of the effects of adenovirus expressing bone morphogenetic proteins (BMPs) and adenovirus expressing Sox9 on extracellular matrix metabolism by bovine nucleus pulposus cells. OBJECTIVE:To compare the effects of recombinant adenoviral vectors expressing various BMPs (2, 3, 4, 5, ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000232792.66632.d8

    authors: Zhang Y,An HS,Thonar EJ,Chubinskaya S,He TC,Phillips FM

    更新日期:2006-09-01 00:00:00

  • Minimal clinically important change of the Neck Disability Index and the Numerical Rating Scale for patients with neck pain.

    abstract:STUDY DESIGN:Prospective, single-cohort study. OBJECTIVE:To assess the minimal clinically important change (MCIC) on the Neck Disability Index (NDI) and the Numerical Rating Scale (NRS) for pain in patients with neck pain. SUMMARY OF BACKGROUND DATA:Both measurement instruments are frequently used in research and cli...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31815cf75b

    authors: Pool JJ,Ostelo RW,Hoving JL,Bouter LM,de Vet HC

    更新日期:2007-12-15 00:00:00

  • Cervical Spine Fractures: Who Really Needs CT Angiography?

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:Compare a novel two-step algorithm for indicating a computed tomography angiography (CTA) in the setting of a cervical spine fracture with established gold standard criteria. SUMMARY OF BACKGROUND DATA:As CTA permits the rapid detection of blunt cerebrovascular injur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003163

    authors: Fourman MS,Shaw JD,Vaudreuil NJ,Dombrowski ME,Wawrose RA,Boakye LAT,Alarcon LH,Lee JY,Donaldson WF 3rd

    更新日期:2019-12-01 00:00:00

  • Lumbar spine mechanical response to axial compression load in vivo.

    abstract:STUDY DESIGN:Lumbar spine kinematic response to a 1.0 body weight compressive load was measured in vivo by comparison of relaxed and loaded magnetic resonance image sets in the sagittal plane. OBJECTIVES:To identify and measure acute response mechanisms of the lumbar spine during compression loading. SUMMARY OF BACKG...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200109150-00004

    authors: Wisleder D,Smith MB,Mosher TJ,Zatsiorsky V

    更新日期:2001-09-15 00:00:00

  • An anatomic, radiographic, and biomechanical assessment of extrapedicular screw fixation in the thoracic spine.

    abstract::This study performed a thorough review of the pertinent thoracic spine anatomy to determine the appropriate landmarks for extrapedicular screw placement and indentified the anatomic structures at risk; assessed the safety and accuracy of the newly proposed screw insertion technique; determined the stability and streng...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199309000-00018

    authors: Dvorak M,MacDonald S,Gurr KR,Bailey SI,Haddad RG

    更新日期:1993-09-15 00:00:00

  • A comparative study of localization of heat shock protein 27 and heat shock protein 72 in the developmental and degenerative intervertebral discs.

    abstract:STUDY DESIGN:The lumbar intervertebral discs of 135 subjects after autopsy were immunostained with antihuman heat shock protein 27 (HSP27) monoclonal antibody and antihuman heat shock protein 72 (HSP72) polyclonal antibody. OBJECTIVES:To present the data on metabolic changes that occurred in the chondrocytes of interv...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200202150-00007

    authors: Takao T,Iwaki T

    更新日期:2002-02-15 00:00:00

  • The action of resveratrol, a phytoestrogen found in grapes, on the intervertebral disc.

    abstract:STUDY DESIGN:Basic science, biologic study. OBJECTIVE:To determine the potential benefits of using resveratrol (RSV) for intervertebral disc (IVD) matrix repair and regeneration. SUMMARY OF BACKGROUND DATA:The phytoestrogen RSV is a natural compound found in various plants including grapes and red wines. RSV has been...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181883883

    authors: Li X,Phillips FM,An HS,Ellman M,Thonar EJ,Wu W,Park D,Im HJ

    更新日期:2008-11-15 00:00:00

  • Aggressive thoracic actinomycosis complicated by vertebral osteomyelitis and epidural abscess leading to spinal cord compression.

    abstract:STUDY DESIGN:Report of a successfully diagnosed and treated case of spinal cord compression due to epidural actinomycosis. OBJECTIVE:To illustrate that proper use of imaging strategy can greatly facilitate diagnosis and management of this rare condition. SUMMARY OF BACKGROUND DATA:Spinal actinomycosis causing epidura...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200003150-00017

    authors: Yung BC,Cheng JC,Chan TT,Loke TK,Lo J,Lau PY

    更新日期:2000-03-15 00:00:00

  • Cultural adaptation, reliability, and validity of neck disability index in Indian rural population: a Marathi version study.

    abstract:STUDY DESIGN:A cross-sectional study to develop a cultural adaptation of the Marathi-neck disability index (NDI) and to investigate its validity and reliability. OBJECTIVE:To conduct a study concerning the cultural adaptation of the NDI and investigate the validity and reliability of its Marathi version in patients wi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000681

    authors: Joseph SD,Bellare B,Vernon H

    更新日期:2015-01-15 00:00:00

  • Finite element analysis of the effects of pedicle screw fixation nut loosening on lumbar interbody fusion based on the elasto-plateau plasticity of bone characteristics.

    abstract:STUDY DESIGN:Cylindrical cages and pedicle screw fixation (PSF) have been used for the setting of a lumbar interbody fusion. OBJECTIVE:To investigate the effects of PSF-nut loosening on lumbar interbody fusion based on the elasto-plateau plasticity of bone characteristics. SUMMARY OF BACKGROUND DATA:The stress-strain...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b6258a

    authors: Kim Y,Kim TW

    更新日期:2010-03-15 00:00:00

  • Thoracolumbar kyphosis in treated mucopolysaccharidosis 1 (Hurler syndrome).

    abstract:STUDY DESIGN:A retrospective radiographical follow-up study of thoracolumbar deformity in 33 children with mucopolysaccharidosis 1 (Hurler syndrome). OBJECTIVE:To report the severity, natural history, risk factors for progression, and results of intervention for thoracolumbar kyphosis in children with Hurler syndrome....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000157

    authors: Yasin MN,Sacho R,Oxborrow NJ,Wraith JE,Williamson JB,Siddique I

    更新日期:2014-03-01 00:00:00

  • Thoracic microendoscopic discectomy: a human cadaver study.

    abstract:STUDY DESIGN:Feasibility analysis of percutaneous posterolateral thoracic microendoscopic discectomy in a human cadaver model. OBJECTIVE:To describe a new, minimally invasive, posterolateral approach to the thoracic spine for the treatment of disc herniations. SUMMARY OF BACKGROUND:Thoracoscopic discectomy offers sur...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000162275.95579.ee

    authors: Isaacs RE,Podichetty VK,Sandhu FA,Santiago P,Spears JD,Aaronson O,Kelly K,Hrubes M,Fessler RG

    更新日期:2005-05-15 00:00:00

  • Coronal and sagittal balance in surgically treated adolescent idiopathic scoliosis with the King II curve pattern. A review of 67 consecutive cases having selective thoracic arthrodesis.

    abstract:STUDY DESIGN:A retrospective study by an independent observer of a consecutive series of 67 cases of adolescent idiopathic scoliosis presenting with a King II curve pattern. OBJECTIVES:To demonstrate the validity of a selective thoracic fusion as a treatment of King II curves with special attention to immediate postop...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199810010-00005

    authors: McCance SE,Denis F,Lonstein JE,Winter RB

    更新日期:1998-10-01 00:00:00

  • Trends and Characteristics of Spine Research From 2006 to 2015: A Review of Spine Articles in a High Impact General Orthopedic Journal.

    abstract:STUDY DESIGN:Literature review. OBJECTIVE:To determine characteristics and trends in published spine research over a recent decade in a high impact, general orthopedic surgery journal. SUMMARY OF BACKGROUND DATA:Recent trends in published spine research in a high-impact orthopedic surgery journal are unknown. Such kn...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0000000000003189

    authors: Hollenberg AM,Bernstein DN,Baldwin AL,Beltejar MJ,Rubery PT,Mesfin A

    更新日期:2020-01-15 00:00:00

  • Pseudo-aneurysm of a lumbar artery after flexion-distraction injury of the thoraco-lumbar spine and surgical realignment: rupture treated by endovascular embolization.

    abstract:STUDY DESIGN:A unique case of pseudo-aneurysm of a lumbar artery after injury of the thoracolumbar spine was presented. OBJECTIVE:To describe the exceptional occurrence of pseudo-aneurysm of a lumbar artery after flexion-distraction fracture of thoracolumbar junction and to discuss the mechanism of formation and the t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181624b93

    authors: Domenicucci M,Ramieri A,Lenzi J,Fontana E,Martini S

    更新日期:2008-02-01 00:00:00

  • Basic fibroblast growth factor immunoreactivity in blood vessels and cells of disc herniations.

    abstract:STUDY DESIGN:Basic fibroblast growth factor immunoreactivity was studied in disc herniation tissue. OBJECTIVES:The first objective was to analyze in which tissue components, if any, fibroblast growth factor is expressed in the disc herniation. The second objective was to compare such expression with that in fresh cada...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199502000-00003

    authors: Tolonen J,Grönblad M,Virri J,Seitsalo S,Rytömaa T,Karaharju E

    更新日期:1995-02-01 00:00:00

  • Comparing the clinical and radiological outcomes of pedicular transvertebral screw fixation of the lumbosacral spine in spondylolisthesis versus unilateral transforaminal lumbar interbody fusion (TLIF) with posterior fixation using anterior cages.

    abstract:STUDY DESIGN:This study retrospectively compares the clinical and radiologic outcomes of unilateral transforaminal lumbar interbody fusion (TLIF) with those of transvertebral screw fixation of the lumbosacral spine in high-grade spondylolisthesis. OBJECTIVE:To examine the outcome and perioperative complications of uni...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31817ecc01

    authors: Rodriguez-Olaverri JC,Zimick NC,Merola A,Vicente J,Rodriguez J,Tabuenca A,Loste A,Suñen E,Burgos J,Hevia E,Piza-Vallespir G

    更新日期:2008-08-15 00:00:00

  • Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature.

    abstract::A meta-analysis was undertaken to determine the effects of surgery for lumbar spinal stenosis on pain and disability. Seventy-four journal articles met inclusion criteria and were independently reviewed by two readers. On average, 64% of patients treated surgically for lumbar spinal stenosis were reported to have good...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/00007632-199201000-00001

    authors: Turner JA,Ersek M,Herron L,Deyo R

    更新日期:1992-01-01 00:00:00

  • The use of pedicle screw fixation to improve correction in the lumbar spine of patients with idiopathic scoliosis. Is it warranted?

    abstract:STUDY DESIGN:A retrospective assessment of coronal, sagittal, and axial correction using convex lumbar pedicle screw constructs compared with hook constructs in patients with idiopathic scoliosis. OBJECTIVE:To determine if pedicle screw constructs can improve coronal, sagittal, and axial correction without increased c...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199605150-00020

    authors: Hamill CL,Lenke LG,Bridwell KH,Chapman MP,Blanke K,Baldus C

    更新日期:1996-05-15 00:00:00