Lumbar lateral canal entrapment: Clinical, radiculographic and computed tomographic findings
The radiculographic and computed tomographic findings in those nerve roots compressed by lumbar lateral canal entrapment have been assessed in a prospective series of 44 patients in whom such entrapment was found at surgery. The radiological procedures were reported by radiologists who were unaware...
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| Veröffentlicht in: | Clinical radiology 1988-03, Vol.39 (2), p.144-149 |
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| container_title | Clinical radiology |
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| creator | Stockley, I. Getty, C.J.M. Dixon, A.K. Glaves, I. Euinton, H.A. Barrington, N.A. |
| description | The radiculographic and computed tomographic findings in those nerve roots compressed by lumbar lateral canal entrapment have been assessed in a prospective series of 44 patients in whom such entrapment was found at surgery. The radiological procedures were reported by radiologists who were unaware of the clinical findings. Radiculography was performed in 41 of the patients and enabled the site or sites of entrapment to be correctly predicted in 62% of patients undergoing primary decompression and in 42% of patients undergoing revision surgery. Computed tomography (CT) was performed in 24 of the patients and enabled entrapment to be correctly predicted in 75% of the patients in both groups. We conclude that computed tomography is superior to radiculography in demonstrating lumbar lateral entrapment, and should usually be reserved for patients in whom operation or other intervention is warranted on clinical grounds. Otherwise false positive results may occur, especially in elderly patients, although the true incidence of false positive results in this condition is not known and has not been assessed in this study. |
| doi_str_mv | 10.1016/S0009-9260(88)80012-6 |
| format | Article |
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The radiological procedures were reported by radiologists who were unaware of the clinical findings. Radiculography was performed in 41 of the patients and enabled the site or sites of entrapment to be correctly predicted in 62% of patients undergoing primary decompression and in 42% of patients undergoing revision surgery. Computed tomography (CT) was performed in 24 of the patients and enabled entrapment to be correctly predicted in 75% of the patients in both groups. We conclude that computed tomography is superior to radiculography in demonstrating lumbar lateral entrapment, and should usually be reserved for patients in whom operation or other intervention is warranted on clinical grounds. Otherwise false positive results may occur, especially in elderly patients, although the true incidence of false positive results in this condition is not known and has not been assessed in this study.</description><identifier>ISSN: 0009-9260</identifier><identifier>EISSN: 1365-229X</identifier><identifier>DOI: 10.1016/S0009-9260(88)80012-6</identifier><identifier>PMID: 3356095</identifier><identifier>CODEN: CLRAAG</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Nerve Compression Syndromes - diagnostic imaging ; Nerve Compression Syndromes - etiology ; Nerve Compression Syndromes - surgery ; Nervous system (semeiology, syndromes) ; Neurology ; Prospective Studies ; Spinal Canal - diagnostic imaging ; Spinal Nerve Roots - diagnostic imaging ; Spinal Stenosis - complications ; Spinal Stenosis - diagnostic imaging ; Spinal Stenosis - surgery ; Tomography, X-Ray Computed</subject><ispartof>Clinical radiology, 1988-03, Vol.39 (2), p.144-149</ispartof><rights>1988 The Royal College of Radiologists, 38 Portland Place, London W1N 3DG, UK. All rights reserved</rights><rights>1988 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-a10ff1ade430663feec1aadccf6eaaee2a55574a14290401d3cb8895addbc5823</citedby><cites>FETCH-LOGICAL-c389t-a10ff1ade430663feec1aadccf6eaaee2a55574a14290401d3cb8895addbc5823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0009-9260(88)80012-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7759729$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3356095$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stockley, I.</creatorcontrib><creatorcontrib>Getty, C.J.M.</creatorcontrib><creatorcontrib>Dixon, A.K.</creatorcontrib><creatorcontrib>Glaves, I.</creatorcontrib><creatorcontrib>Euinton, H.A.</creatorcontrib><creatorcontrib>Barrington, N.A.</creatorcontrib><title>Lumbar lateral canal entrapment: Clinical, radiculographic and computed tomographic findings</title><title>Clinical radiology</title><addtitle>Clin Radiol</addtitle><description>The radiculographic and computed tomographic findings in those nerve roots compressed by lumbar lateral canal entrapment have been assessed in a prospective series of 44 patients in whom such entrapment was found at surgery. The radiological procedures were reported by radiologists who were unaware of the clinical findings. Radiculography was performed in 41 of the patients and enabled the site or sites of entrapment to be correctly predicted in 62% of patients undergoing primary decompression and in 42% of patients undergoing revision surgery. Computed tomography (CT) was performed in 24 of the patients and enabled entrapment to be correctly predicted in 75% of the patients in both groups. We conclude that computed tomography is superior to radiculography in demonstrating lumbar lateral entrapment, and should usually be reserved for patients in whom operation or other intervention is warranted on clinical grounds. Otherwise false positive results may occur, especially in elderly patients, although the true incidence of false positive results in this condition is not known and has not been assessed in this study.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nerve Compression Syndromes - diagnostic imaging</subject><subject>Nerve Compression Syndromes - etiology</subject><subject>Nerve Compression Syndromes - surgery</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Prospective Studies</subject><subject>Spinal Canal - diagnostic imaging</subject><subject>Spinal Nerve Roots - diagnostic imaging</subject><subject>Spinal Stenosis - complications</subject><subject>Spinal Stenosis - diagnostic imaging</subject><subject>Spinal Stenosis - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE2LFDEQhoMo67j6Exb6IOKCveajk072IjL4sTDgQQUPQqipVK-R7vRs0r2w_96enWGuXqoo3qdS4WHsQvArwYV5_51z7monDX9r7aXlXMjaPGEroYyupXS_nrLVCXnOXpTydz82sjljZ0ppw51esd-bedhCrnqYKENfIaSlUpoy7IalXVfrPqaI0L-rMoSIcz_eLtmfiBWkUOE47OaJQjWNwynoYgox3ZaX7FkHfaFXx37Ofn7-9GP9td58-3Kz_ripUVk31SB41wkI1ChujOqIUAAExM4QAJEErXXbgGik4w0XQeHWWqchhC1qK9U5e3N4d5fHu5nK5IdYkPoeEo1z8a0VRhrlFlAfQMxjKZk6v8txgPzgBfd7q_7Rqt8r89b6R6veLHsXxwPzdqBw2jpqXPLXxxzKoqrLkDCWE9a22rVyf_7DAaNFxn2k7AtGSkghZsLJhzH-5yP_ACT4ld4</recordid><startdate>19880301</startdate><enddate>19880301</enddate><creator>Stockley, I.</creator><creator>Getty, C.J.M.</creator><creator>Dixon, A.K.</creator><creator>Glaves, I.</creator><creator>Euinton, H.A.</creator><creator>Barrington, N.A.</creator><general>Elsevier Ltd</general><general>Elsevier</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>19880301</creationdate><title>Lumbar lateral canal entrapment: Clinical, radiculographic and computed tomographic findings</title><author>Stockley, I. ; Getty, C.J.M. ; Dixon, A.K. ; Glaves, I. ; Euinton, H.A. ; Barrington, N.A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-a10ff1ade430663feec1aadccf6eaaee2a55574a14290401d3cb8895addbc5823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nerve Compression Syndromes - diagnostic imaging</topic><topic>Nerve Compression Syndromes - etiology</topic><topic>Nerve Compression Syndromes - surgery</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Prospective Studies</topic><topic>Spinal Canal - diagnostic imaging</topic><topic>Spinal Nerve Roots - diagnostic imaging</topic><topic>Spinal Stenosis - complications</topic><topic>Spinal Stenosis - diagnostic imaging</topic><topic>Spinal Stenosis - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stockley, I.</creatorcontrib><creatorcontrib>Getty, C.J.M.</creatorcontrib><creatorcontrib>Dixon, A.K.</creatorcontrib><creatorcontrib>Glaves, I.</creatorcontrib><creatorcontrib>Euinton, H.A.</creatorcontrib><creatorcontrib>Barrington, N.A.</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>Clinical radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stockley, I.</au><au>Getty, C.J.M.</au><au>Dixon, A.K.</au><au>Glaves, I.</au><au>Euinton, H.A.</au><au>Barrington, N.A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lumbar lateral canal entrapment: Clinical, radiculographic and computed tomographic findings</atitle><jtitle>Clinical radiology</jtitle><addtitle>Clin Radiol</addtitle><date>1988-03-01</date><risdate>1988</risdate><volume>39</volume><issue>2</issue><spage>144</spage><epage>149</epage><pages>144-149</pages><issn>0009-9260</issn><eissn>1365-229X</eissn><coden>CLRAAG</coden><abstract>The radiculographic and computed tomographic findings in those nerve roots compressed by lumbar lateral canal entrapment have been assessed in a prospective series of 44 patients in whom such entrapment was found at surgery. The radiological procedures were reported by radiologists who were unaware of the clinical findings. Radiculography was performed in 41 of the patients and enabled the site or sites of entrapment to be correctly predicted in 62% of patients undergoing primary decompression and in 42% of patients undergoing revision surgery. Computed tomography (CT) was performed in 24 of the patients and enabled entrapment to be correctly predicted in 75% of the patients in both groups. We conclude that computed tomography is superior to radiculography in demonstrating lumbar lateral entrapment, and should usually be reserved for patients in whom operation or other intervention is warranted on clinical grounds. Otherwise false positive results may occur, especially in elderly patients, although the true incidence of false positive results in this condition is not known and has not been assessed in this study.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>3356095</pmid><doi>10.1016/S0009-9260(88)80012-6</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Biological and medical sciences Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Female Humans Male Medical sciences Middle Aged Nerve Compression Syndromes - diagnostic imaging Nerve Compression Syndromes - etiology Nerve Compression Syndromes - surgery Nervous system (semeiology, syndromes) Neurology Prospective Studies Spinal Canal - diagnostic imaging Spinal Nerve Roots - diagnostic imaging Spinal Stenosis - complications Spinal Stenosis - diagnostic imaging Spinal Stenosis - surgery Tomography, X-Ray Computed |
| title | Lumbar lateral canal entrapment: Clinical, radiculographic and computed tomographic findings |
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