Asymptomatic Cervical Cord Compression in Lumbar Spinal Stenosis Patients: A Whole Spine Magnetic Resonance Imaging Study
A retrospective study. To analyze incidence of asymptomatic cervical cord compression and related factors in lumbar stenosis patients. Neural compression resulted from degenerative disc is not unusual in the asymptomatic cervical spine. However, its incidence and clinically related factors in lumbar...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2010-11, Vol.35 (23), p.2057-2063 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | LEE, Sang-Hun KIM, Ki-Tack SUK, Kyung-Soo LEE, Jung-Hee SHIN, Jae-Hung SO, Dong-Hyuk KWACK, Yoon-Ho |
| description | A retrospective study.
To analyze incidence of asymptomatic cervical cord compression and related factors in lumbar stenosis patients.
Neural compression resulted from degenerative disc is not unusual in the asymptomatic cervical spine. However, its incidence and clinically related factors in lumbar stenosis patients have not been studied.
We analyzed lumbar stenosis index (LSI), cervical cord compression index (CCI), and Torg-Pavlov ratio of whole spine magnetic resonance images of 93 lumbar stenosis patients. We compared lumbar stenosis involving a single segment versus multiple segments in the cases with the LSI of double-level or more, patients in 60s versus in 70s, and male versus female for the above variables.
Of total 93 cases, 71 cases did not demonstrate cervical cord compression, but moderate or severe cervical cord compression was observed in 22 cases (23.7%). The multiple segment lumbar stenosis group, the 70s group, and male group had statistically significant higher CCI. The correlation coefficient between the CCI and the LSI indicated a strong positive linear relationship with 0.54 (P = 0).
Moderate or severe cervical cord compression was observed in 24% of lumbar stenosis patients. Asymptomatic cervical cord compression is more likely to be developed in lumbar stenosis patients who are aged, male, and involving multiple segments. These factors should be considered for management of lumbar stenosis patients. |
| doi_str_mv | 10.1097/BRS.0b013e3181f4588a |
| format | Article |
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To analyze incidence of asymptomatic cervical cord compression and related factors in lumbar stenosis patients.
Neural compression resulted from degenerative disc is not unusual in the asymptomatic cervical spine. However, its incidence and clinically related factors in lumbar stenosis patients have not been studied.
We analyzed lumbar stenosis index (LSI), cervical cord compression index (CCI), and Torg-Pavlov ratio of whole spine magnetic resonance images of 93 lumbar stenosis patients. We compared lumbar stenosis involving a single segment versus multiple segments in the cases with the LSI of double-level or more, patients in 60s versus in 70s, and male versus female for the above variables.
Of total 93 cases, 71 cases did not demonstrate cervical cord compression, but moderate or severe cervical cord compression was observed in 22 cases (23.7%). The multiple segment lumbar stenosis group, the 70s group, and male group had statistically significant higher CCI. The correlation coefficient between the CCI and the LSI indicated a strong positive linear relationship with 0.54 (P = 0).
Moderate or severe cervical cord compression was observed in 24% of lumbar stenosis patients. Asymptomatic cervical cord compression is more likely to be developed in lumbar stenosis patients who are aged, male, and involving multiple segments. These factors should be considered for management of lumbar stenosis patients.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0b013e3181f4588a</identifier><identifier>PMID: 20938381</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Aged ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Cervical Vertebrae - pathology ; Female ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Lumbar Vertebrae - pathology ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Retrospective Studies ; Spinal Cord Compression - etiology ; Spinal Cord Compression - pathology ; Spinal Stenosis - complications ; Spinal Stenosis - pathology ; Traumas. Diseases due to physical agents</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2010-11, Vol.35 (23), p.2057-2063</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c314t-eccf911bf4400faf5a29fdbddada05b962eb7acdea47355f0c020794f6a1bfdb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23415953$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20938381$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LEE, Sang-Hun</creatorcontrib><creatorcontrib>KIM, Ki-Tack</creatorcontrib><creatorcontrib>SUK, Kyung-Soo</creatorcontrib><creatorcontrib>LEE, Jung-Hee</creatorcontrib><creatorcontrib>SHIN, Jae-Hung</creatorcontrib><creatorcontrib>SO, Dong-Hyuk</creatorcontrib><creatorcontrib>KWACK, Yoon-Ho</creatorcontrib><title>Asymptomatic Cervical Cord Compression in Lumbar Spinal Stenosis Patients: A Whole Spine Magnetic Resonance Imaging Study</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A retrospective study.
To analyze incidence of asymptomatic cervical cord compression and related factors in lumbar stenosis patients.
Neural compression resulted from degenerative disc is not unusual in the asymptomatic cervical spine. However, its incidence and clinically related factors in lumbar stenosis patients have not been studied.
We analyzed lumbar stenosis index (LSI), cervical cord compression index (CCI), and Torg-Pavlov ratio of whole spine magnetic resonance images of 93 lumbar stenosis patients. We compared lumbar stenosis involving a single segment versus multiple segments in the cases with the LSI of double-level or more, patients in 60s versus in 70s, and male versus female for the above variables.
Of total 93 cases, 71 cases did not demonstrate cervical cord compression, but moderate or severe cervical cord compression was observed in 22 cases (23.7%). The multiple segment lumbar stenosis group, the 70s group, and male group had statistically significant higher CCI. The correlation coefficient between the CCI and the LSI indicated a strong positive linear relationship with 0.54 (P = 0).
Moderate or severe cervical cord compression was observed in 24% of lumbar stenosis patients. Asymptomatic cervical cord compression is more likely to be developed in lumbar stenosis patients who are aged, male, and involving multiple segments. These factors should be considered for management of lumbar stenosis patients.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Cervical Vertebrae - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Retrospective Studies</subject><subject>Spinal Cord Compression - etiology</subject><subject>Spinal Cord Compression - pathology</subject><subject>Spinal Stenosis - complications</subject><subject>Spinal Stenosis - pathology</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQQC1ERZfCP0DIF9RTWju288FtWRVaaRGoC-IYTezxYpTYwU4q7b_HbbcgcRlf3puRngl5w9kFZ219-eF2d8F6xgUK3nArVdPAM7LiqmwKzlX7nKyYqMqilKI6JS9T-sUYqwRvX5DTkrWiEQ1fkcM6HcZpDiPMTtMNxjunYaCbEE0e4xQxJRc8dZ5ul7GHSHeT85nYzehDcol-zSb6Ob2na_rjZxjwgUD6GfYe75feYgoevEZ6M8Le-X12F3N4RU4sDAlfH98z8v3j1bfNdbH98ulms94WWnA5F6i1bTnvrZSMWbAKytaa3hgwwFTfViX2NWiDIGuhlGWalaxupa0gS6YXZ-T8ce8Uw-8F09yNLmkcBvAYltTVFeNK8abOpHwkdQwpRbTdFN0I8dBx1t0373Lz7v_mWXt7PLD0I5q_0lPkDLw7ApByXBtzDJf-cULm71JC_AGGt421</recordid><startdate>20101101</startdate><enddate>20101101</enddate><creator>LEE, Sang-Hun</creator><creator>KIM, Ki-Tack</creator><creator>SUK, Kyung-Soo</creator><creator>LEE, Jung-Hee</creator><creator>SHIN, Jae-Hung</creator><creator>SO, Dong-Hyuk</creator><creator>KWACK, Yoon-Ho</creator><general>Lippincott Williams & 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>20101101</creationdate><title>Asymptomatic Cervical Cord Compression in Lumbar Spinal Stenosis Patients: A Whole Spine Magnetic Resonance Imaging Study</title><author>LEE, Sang-Hun ; KIM, Ki-Tack ; SUK, Kyung-Soo ; LEE, Jung-Hee ; SHIN, Jae-Hung ; SO, Dong-Hyuk ; KWACK, Yoon-Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-eccf911bf4400faf5a29fdbddada05b962eb7acdea47355f0c020794f6a1bfdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Cervical Vertebrae - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Retrospective Studies</topic><topic>Spinal Cord Compression - etiology</topic><topic>Spinal Cord Compression - pathology</topic><topic>Spinal Stenosis - complications</topic><topic>Spinal Stenosis - pathology</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LEE, Sang-Hun</creatorcontrib><creatorcontrib>KIM, Ki-Tack</creatorcontrib><creatorcontrib>SUK, Kyung-Soo</creatorcontrib><creatorcontrib>LEE, Jung-Hee</creatorcontrib><creatorcontrib>SHIN, Jae-Hung</creatorcontrib><creatorcontrib>SO, Dong-Hyuk</creatorcontrib><creatorcontrib>KWACK, Yoon-Ho</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>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LEE, Sang-Hun</au><au>KIM, Ki-Tack</au><au>SUK, Kyung-Soo</au><au>LEE, Jung-Hee</au><au>SHIN, Jae-Hung</au><au>SO, Dong-Hyuk</au><au>KWACK, Yoon-Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Asymptomatic Cervical Cord Compression in Lumbar Spinal Stenosis Patients: A Whole Spine Magnetic Resonance Imaging Study</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2010-11-01</date><risdate>2010</risdate><volume>35</volume><issue>23</issue><spage>2057</spage><epage>2063</epage><pages>2057-2063</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A retrospective study.
To analyze incidence of asymptomatic cervical cord compression and related factors in lumbar stenosis patients.
Neural compression resulted from degenerative disc is not unusual in the asymptomatic cervical spine. However, its incidence and clinically related factors in lumbar stenosis patients have not been studied.
We analyzed lumbar stenosis index (LSI), cervical cord compression index (CCI), and Torg-Pavlov ratio of whole spine magnetic resonance images of 93 lumbar stenosis patients. We compared lumbar stenosis involving a single segment versus multiple segments in the cases with the LSI of double-level or more, patients in 60s versus in 70s, and male versus female for the above variables.
Of total 93 cases, 71 cases did not demonstrate cervical cord compression, but moderate or severe cervical cord compression was observed in 22 cases (23.7%). The multiple segment lumbar stenosis group, the 70s group, and male group had statistically significant higher CCI. The correlation coefficient between the CCI and the LSI indicated a strong positive linear relationship with 0.54 (P = 0).
Moderate or severe cervical cord compression was observed in 24% of lumbar stenosis patients. Asymptomatic cervical cord compression is more likely to be developed in lumbar stenosis patients who are aged, male, and involving multiple segments. These factors should be considered for management of lumbar stenosis patients.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>20938381</pmid><doi>10.1097/BRS.0b013e3181f4588a</doi><tpages>7</tpages></addata></record> |
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| subjects | Aged Biological and medical sciences Cerebrospinal fluid. Meninges. Spinal cord Cervical Vertebrae - pathology Female Humans Injuries of the nervous system and the skull. Diseases due to physical agents Lumbar Vertebrae - pathology Magnetic Resonance Imaging Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology Retrospective Studies Spinal Cord Compression - etiology Spinal Cord Compression - pathology Spinal Stenosis - complications Spinal Stenosis - pathology Traumas. Diseases due to physical agents |
| title | Asymptomatic Cervical Cord Compression in Lumbar Spinal Stenosis Patients: A Whole Spine Magnetic Resonance Imaging Study |
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