Abnormalities of the soleus H-reflex in lumbar spondylolisthesis : A possible early sign of bilateral S1 root dysfunction
Using routine electrodiagnostic procedures, the authors searched for physiologic evidence of nerve root compromise in patients with chronic mechanical perturbation to the lumbar spine. They examined 37 patients with spondylolisthesis and various degrees of degenerative changes in the lumbar canal. C...
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| Veröffentlicht in: | Journal of spinal disorders 2000-12, Vol.13 (6), p.487-495 |
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| container_title | Journal of spinal disorders |
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| creator | MAZZOCCHIO, Riccardo SCARFO, Giovanni Battista CARTOLARI, Roberto BOLOGNINI, Andrea MARIOTTINI, Aldo MUZII, Vitaliano F PALMA, Lucio |
| description | Using routine electrodiagnostic procedures, the authors searched for physiologic evidence of nerve root compromise in patients with chronic mechanical perturbation to the lumbar spine. They examined 37 patients with spondylolisthesis and various degrees of degenerative changes in the lumbar canal. Clinical and neurophysiologic findings were compared with data obtained from 36 healthy persons. The soleus H-reflex appeared to be a sensitive indicator of sensory fiber compromise at the S1 root level, because changes correlated well with the focal sensory signs and preceded clinical and electromyographic signs of motor root involvement. When these occurred, the clinical findings were consistent with a more severe nerve root deficit and with radiographic evidence of neural compression. The greater sensitivity of the soleus H-reflex may be related to the pathophysiologic events that occur at the lesion site. |
| doi_str_mv | 10.1097/00002517-200012000-00004 |
| format | Article |
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They examined 37 patients with spondylolisthesis and various degrees of degenerative changes in the lumbar canal. Clinical and neurophysiologic findings were compared with data obtained from 36 healthy persons. The soleus H-reflex appeared to be a sensitive indicator of sensory fiber compromise at the S1 root level, because changes correlated well with the focal sensory signs and preceded clinical and electromyographic signs of motor root involvement. When these occurred, the clinical findings were consistent with a more severe nerve root deficit and with radiographic evidence of neural compression. The greater sensitivity of the soleus H-reflex may be related to the pathophysiologic events that occur at the lesion site.</description><identifier>ISSN: 0895-0385</identifier><identifier>EISSN: 1531-2305</identifier><identifier>DOI: 10.1097/00002517-200012000-00004</identifier><identifier>PMID: 11132979</identifier><identifier>CODEN: JSDIEW</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams and Wilkins</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Diseases of the osteoarticular system ; Diseases of the spine ; H-Reflex - physiology ; Humans ; Low Back Pain - etiology ; Low Back Pain - pathology ; Low Back Pain - physiopathology ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - pathology ; Lumbar Vertebrae - physiopathology ; Medical sciences ; Middle Aged ; Muscle Weakness - diagnosis ; Muscle Weakness - etiology ; Muscle Weakness - physiopathology ; Muscle, Skeletal - innervation ; Muscle, Skeletal - pathology ; Muscle, Skeletal - physiopathology ; Neural Conduction - physiology ; Predictive Value of Tests ; Prognosis ; Radiography ; Spinal Nerve Roots - injuries ; Spinal Nerve Roots - pathology ; Spinal Nerve Roots - physiopathology ; Spondylolisthesis - complications ; Spondylolisthesis - pathology ; Spondylolisthesis - physiopathology</subject><ispartof>Journal of spinal disorders, 2000-12, Vol.13 (6), p.487-495</ispartof><rights>2001 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-1531d24a0d37ea58e2b89e06edf270b28e582f31d2c332404cde250b227437be3</citedby><cites>FETCH-LOGICAL-c339t-1531d24a0d37ea58e2b89e06edf270b28e582f31d2c332404cde250b227437be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=834419$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11132979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MAZZOCCHIO, Riccardo</creatorcontrib><creatorcontrib>SCARFO, Giovanni Battista</creatorcontrib><creatorcontrib>CARTOLARI, Roberto</creatorcontrib><creatorcontrib>BOLOGNINI, Andrea</creatorcontrib><creatorcontrib>MARIOTTINI, Aldo</creatorcontrib><creatorcontrib>MUZII, Vitaliano F</creatorcontrib><creatorcontrib>PALMA, Lucio</creatorcontrib><title>Abnormalities of the soleus H-reflex in lumbar spondylolisthesis : A possible early sign of bilateral S1 root dysfunction</title><title>Journal of spinal disorders</title><addtitle>J Spinal Disord</addtitle><description>Using routine electrodiagnostic procedures, the authors searched for physiologic evidence of nerve root compromise in patients with chronic mechanical perturbation to the lumbar spine. They examined 37 patients with spondylolisthesis and various degrees of degenerative changes in the lumbar canal. Clinical and neurophysiologic findings were compared with data obtained from 36 healthy persons. The soleus H-reflex appeared to be a sensitive indicator of sensory fiber compromise at the S1 root level, because changes correlated well with the focal sensory signs and preceded clinical and electromyographic signs of motor root involvement. When these occurred, the clinical findings were consistent with a more severe nerve root deficit and with radiographic evidence of neural compression. The greater sensitivity of the soleus H-reflex may be related to the pathophysiologic events that occur at the lesion site.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>H-Reflex - physiology</subject><subject>Humans</subject><subject>Low Back Pain - etiology</subject><subject>Low Back Pain - pathology</subject><subject>Low Back Pain - physiopathology</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - physiopathology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle Weakness - diagnosis</subject><subject>Muscle Weakness - etiology</subject><subject>Muscle Weakness - physiopathology</subject><subject>Muscle, Skeletal - innervation</subject><subject>Muscle, Skeletal - pathology</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Neural Conduction - physiology</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Radiography</subject><subject>Spinal Nerve Roots - injuries</subject><subject>Spinal Nerve Roots - pathology</subject><subject>Spinal Nerve Roots - physiopathology</subject><subject>Spondylolisthesis - complications</subject><subject>Spondylolisthesis - pathology</subject><subject>Spondylolisthesis - physiopathology</subject><issn>0895-0385</issn><issn>1531-2305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkFtLxDAQhYMo7nr5CxIQfKvmuml9W8QbCD6ozyVtpxpJmzXTgv33prpqHpJh8p0ZziGEcnbOWWEuWDpCc5OJVPD5yuaW2iFLriXPhGR6lyxZXuiMyVwvyAHie9JwpeU-WXDOpShMsSTTuupD7Kx3gwOkoaXDG1AMHkakd1mE1sMndT31Y1fZSHET-mbywTtMIDqkl3RNNwHRVR4o2Ogniu61n0dVztsBovX0idMYwkCbCduxrwcX-iOy11qPcLx9D8nLzfXz1V328Hh7f7V-yGopiyGb_TRCWdZIA1bnIKq8ALaCphWGVSIHnYt2ZhIvFFN1A0KnD2GUNBXIQ3L2M3cTw8cIOJSdwxq8tz2EEUsjtGDFyiQw_wHrmOwk5-Umus7GqeSsnGMvf2Mv_2L_bqkkPdnuGKsOmn_hNucEnG4Bi7X1bbR97fCPy6VSvJBfkzKKnQ</recordid><startdate>20001201</startdate><enddate>20001201</enddate><creator>MAZZOCCHIO, Riccardo</creator><creator>SCARFO, Giovanni Battista</creator><creator>CARTOLARI, Roberto</creator><creator>BOLOGNINI, Andrea</creator><creator>MARIOTTINI, Aldo</creator><creator>MUZII, Vitaliano F</creator><creator>PALMA, Lucio</creator><general>Lippincott Williams and Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20001201</creationdate><title>Abnormalities of the soleus H-reflex in lumbar spondylolisthesis : A possible early sign of bilateral S1 root dysfunction</title><author>MAZZOCCHIO, Riccardo ; SCARFO, Giovanni Battista ; CARTOLARI, Roberto ; BOLOGNINI, Andrea ; MARIOTTINI, Aldo ; MUZII, Vitaliano F ; PALMA, Lucio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-1531d24a0d37ea58e2b89e06edf270b28e582f31d2c332404cde250b227437be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>H-Reflex - physiology</topic><topic>Humans</topic><topic>Low Back Pain - etiology</topic><topic>Low Back Pain - pathology</topic><topic>Low Back Pain - physiopathology</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Lumbar Vertebrae - physiopathology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle Weakness - diagnosis</topic><topic>Muscle Weakness - etiology</topic><topic>Muscle Weakness - physiopathology</topic><topic>Muscle, Skeletal - innervation</topic><topic>Muscle, Skeletal - pathology</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Neural Conduction - physiology</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Radiography</topic><topic>Spinal Nerve Roots - injuries</topic><topic>Spinal Nerve Roots - pathology</topic><topic>Spinal Nerve Roots - physiopathology</topic><topic>Spondylolisthesis - complications</topic><topic>Spondylolisthesis - pathology</topic><topic>Spondylolisthesis - physiopathology</topic><toplevel>online_resources</toplevel><creatorcontrib>MAZZOCCHIO, Riccardo</creatorcontrib><creatorcontrib>SCARFO, Giovanni Battista</creatorcontrib><creatorcontrib>CARTOLARI, Roberto</creatorcontrib><creatorcontrib>BOLOGNINI, Andrea</creatorcontrib><creatorcontrib>MARIOTTINI, Aldo</creatorcontrib><creatorcontrib>MUZII, Vitaliano F</creatorcontrib><creatorcontrib>PALMA, Lucio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of spinal disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MAZZOCCHIO, Riccardo</au><au>SCARFO, Giovanni Battista</au><au>CARTOLARI, Roberto</au><au>BOLOGNINI, Andrea</au><au>MARIOTTINI, Aldo</au><au>MUZII, Vitaliano F</au><au>PALMA, Lucio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abnormalities of the soleus H-reflex in lumbar spondylolisthesis : A possible early sign of bilateral S1 root dysfunction</atitle><jtitle>Journal of spinal disorders</jtitle><addtitle>J Spinal Disord</addtitle><date>2000-12-01</date><risdate>2000</risdate><volume>13</volume><issue>6</issue><spage>487</spage><epage>495</epage><pages>487-495</pages><issn>0895-0385</issn><eissn>1531-2305</eissn><coden>JSDIEW</coden><abstract>Using routine electrodiagnostic procedures, the authors searched for physiologic evidence of nerve root compromise in patients with chronic mechanical perturbation to the lumbar spine. They examined 37 patients with spondylolisthesis and various degrees of degenerative changes in the lumbar canal. Clinical and neurophysiologic findings were compared with data obtained from 36 healthy persons. The soleus H-reflex appeared to be a sensitive indicator of sensory fiber compromise at the S1 root level, because changes correlated well with the focal sensory signs and preceded clinical and electromyographic signs of motor root involvement. When these occurred, the clinical findings were consistent with a more severe nerve root deficit and with radiographic evidence of neural compression. The greater sensitivity of the soleus H-reflex may be related to the pathophysiologic events that occur at the lesion site.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams and Wilkins</pub><pmid>11132979</pmid><doi>10.1097/00002517-200012000-00004</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Diseases of the osteoarticular system Diseases of the spine H-Reflex - physiology Humans Low Back Pain - etiology Low Back Pain - pathology Low Back Pain - physiopathology Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - pathology Lumbar Vertebrae - physiopathology Medical sciences Middle Aged Muscle Weakness - diagnosis Muscle Weakness - etiology Muscle Weakness - physiopathology Muscle, Skeletal - innervation Muscle, Skeletal - pathology Muscle, Skeletal - physiopathology Neural Conduction - physiology Predictive Value of Tests Prognosis Radiography Spinal Nerve Roots - injuries Spinal Nerve Roots - pathology Spinal Nerve Roots - physiopathology Spondylolisthesis - complications Spondylolisthesis - pathology Spondylolisthesis - physiopathology |
| title | Abnormalities of the soleus H-reflex in lumbar spondylolisthesis : A possible early sign of bilateral S1 root dysfunction |
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