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Journals / Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi / 2003 / Cilt: 49 - Sayı: 6

Lumbar spinal stenosis: Association between clinical and radiological features

Lomber spinal stenoz: Klinik ve radyolojik özellikler arasındaki ilişki

Funda LEVENDOĞLU
Hasan OĞUZ
Sibel KARAOĞLU
Pages
13–17
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

When compared with the controls, in the patients only at L4-5 level, lateral recess and interfacetal diameter decreased significahtly when the position changed from flexion to extention (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: in this study we investigated the relation between the clinical and radiological findings of lumbar spinal stenosis (LSS).
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Key Findings & Data:Results: Oswestry pain questionnaire score and duration of low back and leg pain increased in the patients who had high BMI (p=0.001, p=0.02 andp=0.04, respectively).
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Conclusion & Impact:When compared with the controls, in the patients only at L4-5 level, lateral recess and interfacetal diameter decreased significahtly when the position changed from flexion to extention (p
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: in this study we investigated the relation between the clinical and radiological findings of lumbar spinal stenosis (LSS). Methods: Thirty patients with LSS who had neurogenic intermittent claudication (NIC) and thirty controls were included in the study. The BMI, duration of NIC, duration of low back and/or leg(s) pain and association of the pain with walking up and downhill were recorded. The level of pain was evaluated by VAS and the effects of the pain on the daily living activities was evaluated by Oswestry pain questionnaire form. The patients were examined with magnetic resonance imaging (MRI) in flexion and extension positions. Results: Oswestry pain questionnaire score and duration of low back and leg pain increased in the patients who had high BMI (p=0.001, p=0.02 andp=0.04, respectively). The duration ofgait was short at the patients who had high BMI, VAS, Oswestry scores and decreased spine lenght (p=0.02, p=0.02, p=0.000 and p=0.01, respectively). When compared with the controls, in the patients only at L4-5 level, lateral recess and interfacetal diameter decreased significahtly when the position changed from flexion to extention (p

Özet

Bu çalışma lomber spinal stenozun (LSS) kliniği ile radyolojik özellikleri arasındaki ilişkiyi araştırmak için yapılmış prospektif bir çalışmadır. Metod: Çalışmaya nörojenik kladikasyo (NK)-tanımlayan 30 LSS'li hasta ve 30 kontrol grubu alındı. Hastaların vücut kitle indeksi (VKİ), bel ve bacak ağrı süresi, yokuş çıkma ve inme ile ağrının ilişkisi, nörojenik kladikasyo süreleri kaydedildi. Ağrı şiddeti VAS, ağrının günlük yaşama etkisi Oswestry ağrı sorgulama formu ile değerlendirildi. Hasta ve kontrol grubundaki olguların fleksiyon ve ekstansiyon pozisyonunda Manyetik Rezonans (MR) görüntüleri alındı. Bulgular: VKİ yüksek olan hastaların, Oswestry ağrı sorgulama skalası skorunun ve bel ve bacak ağrı sürelerinin uzun olduğu görüldü (sırasıyla p=0.001,p=0.02 ve p=0.04). VKİ, VAS, Oswestry skoru yüksek, omurga uzunluğu kısa olan hastaların, yürüme süreleri kısa olarak bulundu (sırasıyla p=0.02, p=0.02, p=0.000 ve p=0.01). Hastalarda kontrollerle karşılaştırıldığında fleksiyon pozisyonundan ekstansiyona geçişte sadece L4-5 seviyesinde ligamentöz interfasetal çap ve lateral reses çapında anlamlı azalma tespit edildi (p

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Cite This Article

LEVENDOĞLU, F., OĞUZ, H., KARAOĞLU, S. (2022). Lumbar spinal stenosis: Association between clinical and radiological features. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 49 - Sayı: 6, 13–17. https://ajindex.com/articles/629318

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References (16)

  1. Fritz JM, Delitto A, Welch WC, Erhard RE. Lumbar spinal stenosis: A review of current concepsts in evaluation, management, and outcome measurements. Arch Phys Med Rehabil 1998; 79: 700-8. 2. van Akkerveeken P: Classification and treatment of spinal stenosis. In: Wiesel SW, Weinstein JN, Herkowitz H, Dvorak J, Bell G (eds): The Lumbar Spine. WB Saunders Co. Philadelphia, 1996, p: 724-31
  2. Onel D, Sari H, Dönmez C: Lumbar spinal stenosis: Clinical/radiologic therapeutic evaluation in 145 patients. Spine 1993; 18: 291-8
  3. Inufusa A, An HS, Lim TH, Hasegawa T, et al. Anatomic changes of the spinal canal and intervertebral foramen associated with flexion-extension movement. Spine 1996; 21: 2412-20
  4. Penning L: Functional pathology of lumbar spinal stenosis. Clin Biomech 1992; 7: 3-17
  5. Penning L, Wilmink JT: Posture-dependent bilateral compression of L4-L5 nerve roots in facet hypertrophy. Spine volume 1987; 2:5: 491
  6. Sortland O, Magnaes B, Hauge T: Functional myelography with metrizamide in the diagnosis of lumber spinal stenosis. Acta Radiol 1977; 355 Suppl: 42S-54S
  7. Schönström N, Lindahl S, Willen J, Hansson T. Dynamic changes in the dimensions of the lumbar spinal canal: an experimental study in vitro/J. Orthop Res 1989; 7: 115-21
  8. Schönström N, Bolender N, Spengler DM: The pathomorphology of spinal stenosis as seen on CT scans of the lumbar spine. Spine 1985; 10: 806-11
  9. Verbiest H. The significance and principles of computerized axial tomography in idiopathic developmental stenosis of the bony lumbar vertebral canal. Spine 1979; 4: 369-78
  10. Bolender NF, Schonstrom NR, Spengler DM: Role of computed tomography and myelography in the diagnosis of central spinal stenosis. J Bone Joint Surg Am 1985; 67-A: 240-6
  11. Boden SD, Davis DO, Dina TS, Nicholas JP, et al. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. J. Bone Joint Surg Am 1990: 72-A: 403-8
  12. Aldemir T. Hastalarda ağrı ölçümü. Serdar Erdine ed. Ağrı. Nobel kitabevi, İstanbul, 2002: 93-98
  13. Ketenci A. Bel ağrılarında fonksiyonel değerlendirme. Emel Özcan ed. Bel ağrısı, tanı ve tedavisi. Nobel kitabevi, İstanbul, 2002: 73-89
  14. Beattie PF, Brooks WM, Rothstein JM, Sibbitt WL, et al: Effect of lordosis on the position of the nucleus pulposus in supine subjects. Spine 1994; 19: 18: 2096-102
  15. Johnsson KE, Rosen I, Uden A. The natural course of lumbar spinal stenosis. Clin Orthop 1992; 279: 82-6
  16. Schönström NSR, Hansson TH: Pressur