Introduction: Lumbar spinal stenosis (LSS) and lumbar neuroforaminal stenosis (LNS) are common diagnoses that plague patients with low back pain. Electrodiagnostic testing (EDX) can be used as an adjunct to investigate lower extremity radicular nerve pain and/or neurogenic claudication. However, there are only limited studies discussing the association of these diagnostic tools with radiculopathy. We investigate the association between EDX-confirmed radiculopathy and the degree of LSS and LNS found on MRI.
Methods: A retrospective cohort study of patients presenting to an outpatient pain medicine clinic who had a documented EDX and lumbar MRI. We used a Pearson chi-square test to compare the severity of radiographic LSS/LNS with EDX data. The data were fit to a multivariable logistic regression model.
Results: There were not any statistically significant correlations when comparing EDX evidence of radiculopathy and LSS (p = 0.50), LSS severity (p = 0.54), LNS (p = 0.69), or LNS severity (p = 0.11).
Conclusions: We found no significant associations between LSS/LNS severity and EDX findings. The presence and degree of severity of LSS/LNS on MRI were not reliable predictors of EDX findings.
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http://dx.doi.org/10.7759/cureus.69993 | DOI Listing |
Cureus
September 2024
Physical Medicine and Rehabilitation, Wayne State University, Michigan, USA.
Introduction: Lumbar spinal stenosis (LSS) and lumbar neuroforaminal stenosis (LNS) are common diagnoses that plague patients with low back pain. Electrodiagnostic testing (EDX) can be used as an adjunct to investigate lower extremity radicular nerve pain and/or neurogenic claudication. However, there are only limited studies discussing the association of these diagnostic tools with radiculopathy.
View Article and Find Full Text PDFBr J Neurosurg
July 2024
Department of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Background: Cervical foraminal stenosis on MRI may be assessed using the Kim, modified Kim or Siller methods. This study aimed to investigate which morphological features of cervical foraminal stenosis in patients with cervical radiculopathy correlated best with pre-operative and post-operative surgical outcome following Anterior Cervical Discectomy (ACD) or a Posterior Cervical Foraminotomy (PCF).
Methods: Pre-operative MRIs of adults with cervical radiculopathy were assessed by six raters.
Orthopadie (Heidelb)
August 2024
Lehrstuhl für Orthopädie und Unfallchirurgie, Universität Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Deutschland.
Cervical stenosis is a clinical picture that is regularly encountered by both hospital physicians and orthopedic surgeons in the daily clinical practice. While advanced cervical spinal canal stenosis may lead to myelopathic symptoms in cases of sufficient manifestation and spinal cord injury, neuroforaminal stenosis leads to radicular symptoms due to compression of the nerve roots. The clinical examination can provide initial clues as to the suspected cause of the patient's symptoms; however, reliable diagnostics are based only on sectional imaging of the cervical spine.
View Article and Find Full Text PDFCureus
May 2024
Neurological Surgery, University of Miami Miller School of Medicine, Miami, USA.
Minimally invasive surgical approaches to the spine that leverage indirect decompression are gaining increasing popularity. While there is excellent literature on the value of indirect decompression, there are limitations to this procedure. Specifically, in patients with severe stenosis and neurogenic claudication, there is a concern among many surgeons regarding the adequacy of indirect decompression alone.
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