The Utility of Lumbar Paraspinal Mapping in the Diagnosis of Lumbar Spinal Stenosis

Yağcı, İlker; Gündüz, Osman Hakan; Ekinci, Gazenfer; Dıraçoğlu, Demirhan; Us, Önder; Akyüz, Gülseren

doi:10.1097/phm.0b013e3181b333a9

Cited by 40 publications

(42 citation statements)

References 22 publications

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“…62 In one study, this technique was found to be 93% sensitive in the diagnosis of radiologically confirmed symptomatic LSS. 63 A recent study focusing on lateral stenosis found that paraspinal electromyographic findings correlate significantly with lateral stenosis seen on magnetic resonance imaging (MRI) and with patient symptoms, including pain and disability. 64 This study concluded that electromyography may be useful in detecting lateral LSS.…”

Section: Natural Course Of Lssmentioning

confidence: 99%

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Management of lumbar spinal stenosis

Lurie¹,

Tomkins-Lane

2016

BMJ

412

310

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Lumbar spinal stenosis (LSS) affects more than 200,000 adults in the United States, resulting in substantial pain and disability. It is the most common reason for spinal surgery in patients over 65 years. Lumbar spinal stenosis is a clinical syndrome of pain in the buttocks or lower extremities, with or without back pain. It is associated with reduced space available for the neural and vascular elements of the lumbar spine. The condition is often exacerbated by standing, walking, or lumbar extension and relieved by forward flexion, sitting, or recumbency. Clinical care and research into lumbar spinal stenosis is complicated by the heterogeneity of the condition, the lack of standard criteria for diagnosis and inclusion in studies, and high rates of anatomic stenosis on imaging studies in older people who are completely asymptomatic. The options for non-surgical management include drugs, physiotherapy, spinal injections, lifestyle modification, and multidisciplinary rehabilitation. However, few high quality randomized trials have looked at conservative management. A systematic review concluded that there is insufficient evidence to recommend any specific type of non-surgical treatment. Several different surgical procedures are used to treat patients who do not improve with non-operative therapies. Given that rapid deterioration is rare and that symptoms often wax and wane or gradually improve, surgery is almost always elective and considered only if sufficiently bothersome symptoms persist despite trials of less invasive interventions. Outcomes (leg pain and disability) seem to be better for surgery than for non-operative treatment, but the evidence is heterogeneous and often of limited quality.

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Section: Natural Course Of Lssmentioning

confidence: 99%

“…63 To date, the diagnostic accuracy of other techniques, including dermatomal somatosensory evoked potentials and magnetic stimulation remain unclear. 48 Imaging Current LSS guidelines state that imaging provides the most definitive diagnostic information for patients with symptoms thought to be related to LSS.…”

Section: Natural Course Of Lssmentioning

confidence: 99%

Management of lumbar spinal stenosis

Lurie¹,

Tomkins-Lane

2016

BMJ

412

310

View full text Add to dashboard Cite

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“…Although conventional imaging studies have a high false positive rate (a anatomical stenosis level is clinically irrelevant) for disk herniations, PM rarely produces radiculopathy evidence in individuals without pain [12]. The PM is a sensitive method in dianosis of lumbar spinal stenosis and reflects the nerve root physiology better than the limb EMG [13]. Therefore, in lumbar spinal stenosis, changing of DTI parameters (FA) and/or PM scores may possibly reflect the lesions of the cauda equina and/ or nerve roots more accurately and further reduce the decompression levels of lumbar spinal stenosis than conventional MRI þ NE.…”

Section: Introductionmentioning

confidence: 99%

Enough positive rate of paraspinal mapping and diffusion tensor imaging with levels which should be decompressed in lumbar spinal stenosis

Chen

Zhong

et al. 2016

Journal of Orthopaedic Science

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“…However a number of recent studies have challenged the relationship between imaging results and the clinical syndrome (2, 3, 4, 5). The latter half of the definition, a ‘clinical syndrome’, has never been defined in a quantifiable or reproducible manner.…”

Section: Introductionmentioning

confidence: 99%

Reliability of the clinical examination in the diagnosis of neurogenic versus vascular claudication

et al. 2013

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The Utility of Lumbar Paraspinal Mapping in the Diagnosis of Lumbar Spinal Stenosis

Abstract: Paraspinal mapping technique is a sensitive method in the diagnosis of lumbar spinal stenosis and reflects physiology of nerve roots better than the limb electromyography.

Cited by 40 publications

References 22 publications

Management of lumbar spinal stenosis

Management of lumbar spinal stenosis

Enough positive rate of paraspinal mapping and diffusion tensor imaging with levels which should be decompressed in lumbar spinal stenosis

Reliability of the clinical examination in the diagnosis of neurogenic versus vascular claudication

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