Is There an Association Between Pain and Magnetic Resonance Imaging Parameters in Patients With Lumbar Spinal Stenosis?
| Autor: | Sebastian Winklhofer, Filippo Del Grande, Gustav Andreisek, Michèle Mattle, Ulrike Held, Jakob M Burgstaller, Peter J. Schüffler, Florian Brunner, Joachim M. Buhmann, Johann Steurer, Georgios Karakoumis |
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| Přispěvatelé: | University of Zurich, Burgstaller, Jakob M |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Spinal stenosis Clinical Neurology 610 Medicine & health Lumbar vertebrae 03 medical and health sciences Spinal Stenosis 2732 Orthopedics and Sports Medicine 0302 clinical medicine 10043 Clinic for Neuroradiology medicine Back pain Humans Orthopedics and Sports Medicine In patient Prospective Studies Prospective cohort study Aged Pain Measurement Aged 80 and over 030203 arthritis & rheumatology Lumbar Vertebrae medicine.diagnostic_test 10042 Clinic for Diagnostic and Interventional Radiology business.industry 10051 Rheumatology Clinic and Institute of Physical Medicine Lumbar spinal stenosis Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging 2728 Neurology (clinical) medicine.anatomical_structure Back Pain Cohort Female 10046 Balgrist University Hospital Swiss Spinal Cord Injury Center Neurology (clinical) Radiology 10029 Clinic and Policlinic for Internal Medicine medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Spine. 41:E1053-E1062 |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000001544 |
| Popis: | A prospective multicenter cohort study.The aim of this study was to identify an association between pain and magnetic resonance imaging (MRI) parameters in patients with lumbar spinal stenosis (LSS).At present, the relationship between abnormal MRI findings and pain in patients with LSS is still unclear.First, we conducted a systematic literature search. We identified relationships of relevant MRI parameters and pain in patients with LSS. Second, we addressed the study question with a thorough descriptive and graphical analysis to establish a relationship between MRI parameters and pain using data of the LSS outcome study (LSOS).In the systematic review including four papers about the associations between radiological findings in the MRI and pain, the authors of two articles reported no association and two of them did. Of the latters, only one study found a moderate correlation between leg pain measured by Visual Analog Scale (VAS) and the degree of stenosis assessed by spine surgeons. In the data of the LSOS study, we could not identify a relevant association between any of the MRI parameters and buttock, leg, and back pain, quantified by the Spinal Stenosis Measure (SSM) and the Numeric Rating Scale (NRS). Even by restricting the analysis to the level of the lumbar spine with the most prominent radiological "stenosis," no relevant association could be shown.Despite a thorough analysis of the data, we were not able to prove any correlation between radiological findings (MRI) and the severity of pain. There is a need for innovative "methods/techniques" to learn more about the causal relationship between radiological findings and the patients' pain-related complaints.2. |
| Databáze: | OpenAIRE |
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