Journal ArticleDOI
Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation
TLDR
In this paper, the authors performed magnetic resonance imaging on sixty-seven individuals who had never had low-back pain, sciatica, or neurogenic claudication, and found that about one-third of the subjects were found to have a substantial abnormality.Abstract:
We performed magnetic resonance imaging on sixty-seven individuals who had never had low-back pain, sciatica, or neurogenic claudication. The scans were interpreted independently by three neuro-radiologists who had no knowledge about the presence or absence of clinical symptoms in the subjects. About one-third of the subjects were found to have a substantial abnormality. Of those who were less than sixty years old, 20 per cent had a herniated nucleus pulposus and one had spinal stenosis. In the group that was sixty years old or older, the findings were abnormal on about 57 per cent of the scans: 36 per cent of the subjects had a herniated nucleus pulposus and 21 per cent had spinal stenosis. There was degeneration or bulging of a disc at at least one lumbar level in 35 per cent of the subjects between twenty and thirty-nine years old and in all but one of the sixty to eighty-year-old subjects. In view of these findings in asymptomatic subjects, we concluded that abnormalities on magnetic resonance images must be strictly correlated with age and any clinical signs and symptoms before operative treatment is contemplated.read more
Citations
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Journal ArticleDOI
Evidence for cervical cord tissue disorganisation with aging by diffusion tensor MRI
Federica Agosta,Marcella Laganà,Paola Valsasina,Stefania Sala,Luca Dall'Occhio,Maria Pia Sormani,Maria Pia Sormani,E. Judica,Massimo Filippi +8 more
TL;DR: The decrease of FA, in the absence of atrophy and MD changes, suggests gliosis as the most likely pathological feature of the aging cord.
Journal ArticleDOI
Clinical efficacy of imaging modalities in the diagnosis of low-back pain disorders.
N. Boos,Ph. H. Lander +1 more
TL;DR: It is demonstrated that the vast majority of reports evaluate imaging studies for the lumbar spine only at the technical efficacy level, and the spine specialist should become very critical in the interpretation of those studies and pay attention to patient selection and spectrum.
Journal ArticleDOI
Magnetic Resonance Imaging of the Lumbar Spine In Asymptomatic Adults
TL;DR: In this paper, the authors performed magnetic resonance imaging of the lumbar spine on 66 asymptomatic subjects and found that 12 (18%) had either a disc protrusion or herniation.
Journal ArticleDOI
The MIST Guidelines: The Lumbar Spinal Stenosis Consensus Group Guidelines for Minimally Invasive Spine Treatment.
Timothy R. Deer,Jay S. Grider,Jason E. Pope,Steven M. Falowski,Tim J. Lamer,Aaron K. Calodney,David A. Provenzano,Dawood Sayed,Eric T. Lee,Sayed E. Wahezi,Chong H. Kim,Corey W. Hunter,Mayank Gupta,Rasmin Benyamin,Bohdan Chopko,Didier Demesmin,Sudhir Diwan,Christopher G. Gharibo,Leo Kapural,David Kloth,Brian D. Klagges,Michael E. Harned,Tom Simopoulos,Tory McJunkin,Jonathan D. Carlson,Richard W. Rosenquist,Timothy R. Lubenow,Nagy Mekhail +27 more
TL;DR: Lumbar spinal stenosis has traditionally been treated with a variety of conservative and invasive options, but recently, several minimally invasive procedures have expanded the treatment options.
Journal ArticleDOI
Spine epidural steroids for patients with lumbar spinal stenosis.
TL;DR: The use of epidural steroid injections to relieve sciatic pain from spinal stenosis is extremely variable and controversial, and most studies do not support their use and highlight the potential complications.
References
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Journal ArticleDOI
Back pain and sciatica.
TL;DR: Low back pain is usually a self-limiting symptom, but it costs at least $16 billion each year and disables 5.4 million Americans, and the fact that a benign physical condition has such an importa...
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A study of computer-assisted tomography. I. The incidence of positive CAT scans in an asymptomatic group of patients.
TL;DR: To study the type and number of CAT scan abnormalities of the lumbar spine that occur in asymptomatic people, 52 studies from a control population with no history of back trouble were mixed randomly with six scans from patients with surgically proven spinal disease, and all were interpreted by three neuroradiologists in a blinded fashion.
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Abnormal myelograms in asymptomatic patients.
TL;DR: The incidence of myelographic abnormalities in 300 patients who were studied by posterior fossa myelography to establish a diagnosis of acoustic tumor is reported, even though patients had no symptoms of cervical or lumbar nerve root compression at the time of the examination.
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The question of lumbar discography.
TL;DR: It has not been established whether internal derangement of the lumbar disc is sufficiently symptom-producing to be a therapeutic objective, especially a surgical one, or whether it represetits anything more than an aging process, and the patterns of degeneration seen in 628 of 2,187 discs injected by the Cleveland group and 773 of 6,784 discs injections by Feinberg or 322 of 870 disc injected by Massie and Stevens may represent nothing more than normal patterns for the age
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Lumbar herniated disk disease and canal stenosis: prospective evaluation by surface coil MR, CT, and myelography
TL;DR: The results of this study indicate that a technically adequate MR examination was equivalent to CT and myelography in the diagnosis of lumbar canal stenosis and herniated disk disease.