An analysis on reliability of the lee and wildermuth magnetic resonance imaging grading systems for lumbar neural foraminal stenosis

Varghese, Binoj; Babu, Arun C

doi:10.4103/1115-3474.192750

Cited by 4 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our study found the mean age of patients was 49.1±8.3, 55% of them belong group 40-60 year and 45% belong group 20-39 year. Ratio of Males to females was 1.3: 1 the male constituent 56.7% of sample in accordance with previous studies and in contrast to other studies recruited older age group [10][11][12].…”

Section: Discussionsupporting

confidence: 91%

Role of Mri in the Diagnosis of Causes of Spinal Stenosis at Lumbosacral Region

Jawad¹,

Abdulsattar²,

Mashtah³

2022

Rejr

View full text Add to dashboard Cite

urpose. Spinal stenosis is an abnormal narrowing of the spinal canal or neural foramen that results in pressure on the spinal cord or nerve roots. MRI has become the most frequently used study to diagnose spinal stenosis. Aim of the study was to assess the beneficial role of MRI in evaluate and differentiation causes of spinal stenosis at lumbosacral spine. Materials and methods.A cross-sectional study was recruited patient lower back pain, it's launched in 1st August 2021 to 1st September 2022, in Department of Radiology. Collection of data based on well-defined questionnaire contain three parts. MRI was perform with a 1.5 Tesla systems (Achieva; Philips Medical Systems, the Netherlands) using a SENSE body coil. Data was collected and analyzed using SPSS 23.Result. The mean age of patients was 49.1±8.3 years, 55% of them in age group 40-60 years and 45% in age group 20-39 years. Male to female ratio was 1.3:1. The MRI findings, the stenosis was presented in 83.3% of patients of them 13.3% was mild stenosis and 70% was moderate stenosis. The spinal level of L4-L5 was the major region of stenosis in 50% of sample whereas the L2-L3 level 16% and L3-L4 26% of patients.Conclusion. MRI modality is a useful diagnostic option in evaluation of lumbosacral spinal stenosis, as it can describe appropriate variable pathological changes, such as disc degeneration.

show abstract

Section: Discussionsupporting

confidence: 91%

Role of Mri in the Diagnosis of Causes of Spinal Stenosis at Lumbosacral Region

Jawad¹,

Abdulsattar²,

Mashtah³

2022

Rejr

View full text Add to dashboard Cite

show abstract

“…Foraminal stenosis grading based on magnetic resonance imaging findings has been published in the literature; however, none of the existing literature presents an algorithm for treatment selection based on grading. 7,8 The structure causing foraminal stenosis must be carefully assessed, and a plan for treatment must be made accordingly. For example, in stable type I foraminal stenosis, the nerve root is compressed between the 2 pedicles, and in type II, the nerve root is compressed between the upper pedicle and posterior aspect of the underlying vertebral body; therefore, the caudal part of the compressing factor is completely different.…”

Section: Discussionmentioning

confidence: 99%

Lumbar Foraminal Stenosis Classification That Guides Surgical Treatment

et al. 2022

View full text Add to dashboard Cite

Background: There are numerous radiological and anatomical studies on lumbar foramina in the literature, but there are no distinctive studies about the relationship between treatment and the type of foraminal stenosis. This study was conducted to better evaluate foraminal stenosis and to plan treatment accordingly.Methods: Foraminal stenosis was divided into 2 groups: stable and unstable stenosis. Both groups were also divided into 4 subgroups in relation to the cause and type of compression and based on the structure of the intervertebral disc. The visual analog scale for leg pain (VAS-LP) and Oswestry Disability Index (ODI) scores were investigated before and after surgery.Results: A total of 115 patients (59 women and 56 men) underwent surgery for lumbar foraminal stenosis. The mean patient age was 56.1 years (range 17-80 years). The mean follow-up was 29 months (range 24-39 months). There were 36 patients (32%) with stable foraminal stenosis and 79 patients (68%) with unstable foraminal stenosis. The majority of the patients were identified as having unstable type 1 foraminal stenosis (45 of 115). The VAS-LP and ODI scores for each group decreased gradually during the follow-up periods and showed significant decrease during the last follow-up (P < 0.001). Interobserver and intraobserver agreement in the classification of foraminal stenosis was found to be nearly perfect. No patients experienced postoperative radiculopathy complication. Only 2 patients experienced superficial operation site infection and 1 showed deep wound infection. The patient who had a deep wound infection needed to repeat surgery for the infection.Conclusions: We introduced a novel classification system for lumbar foraminal stenosis. We aimed to guide appropriate treatment modality depending on the determined classification. This classification helps to determine the optimal treatment. In the light of our findings, the patients who were operated according to our classification experienced satisfactory clinical outcomes and low complication rates.

show abstract

“…When the intervertebral disc is narrowed, the posterior joint will overlap, and there may be pressure from the superior articular facet (Haldeman et al, 2002 of the older population (Attias et al 2016, Yawara et al 2016, Yamada et al 2017, and Varghese and Babu., 2018. (Lee et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Correlation of Lumbar Foraminal Stenosis Degree on Sagittal Mri With Joabpeq (Japanese Orthopaedic Association Backpain Questionnaire) and Odi (Oswestry Disability Index) on Lumbar Foraminal Stenosis L5-S1 Patients

et al. 2019

View full text Add to dashboard Cite

Lumbar Foraminal Stenosis (LFS) dapat secara signifikan mengurangi fungsi dan kualitas hidup pasien dan Magnetic Resonance Imaging (MRI) adalah alat pendukung yang umum digunakan untuk mengukur beratnya stenosis. Lee score umumnya digunakan untuk mengukur derajat LFS pada MRI sagital. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) dan Oswestry Disability Index (ODI) digunakan untuk menilai disabilitas dan skor fungsional pada pasien LFS. Penelitian ini bertujuan untuk mengetahui korelasi antara derajat LFS pada MRI sagital dengan kualitas hidup pada pasien dengan LFS. Penelitian ini merupakan penelitian analitik observasional yang melibatkan 25 pasien dengan gejala klinis LFS di RS. X Surakarta. Pasien dinilai dengan mengisi kuesioner JOABPEQ dan ODI, kemudian dilakukan evaluasi MRI sagittal lumbar untuk menentukan derajat Lee score, kemudian melakukan uji korelasi pada data yang diperoleh. Penelitian ini menunjukkan korelasi yang signifikan antara Skor Lee dengan JOABPEQ dan ODI. Tingkat LFS berdasarkan Lee Score memiliki korelasi yang signifikan dengan tingkat disabilitas menggunakan JOABPEQ dan ODI. JOABPEQ memiliki korelasi yang lebih signifikan dengan Skor Lee dibandingkan dengan ODI. Kata Kunci : Lumbar Foraminal Stenosis, Lee Score, JOABPEQ, ODI Lumbar Foraminal Stenosis (LFS) can significantly reduce the patient’s function and quality of life and Magnetic Resonance Imaging (MRI) is commonly used supporting tool to measure the degree of stenosis. Lee Score is commonly used to measure the degree of LFS on sagittal MRI. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and Oswestry Disability Index (ODI) to assess disability and functional scores in LFS patients. This study was conducted to determine the correlation between the degree of LFS on sagittal MRI images with quality of life in patients with LFS.This study is an observational analytics study involving 25 patients with clinical symptoms of LFS in X Hospital Surakarta. Patients were assessed by filling JOABPEQ dan ODI questionnaires, then performed sagittal lumbar MRI evaluation to determine the degree of Lee Score, then performed correlation test on the data obtained.This study shows a significant correlation between Lee Score with JOABPEQ and ODI. The degree of LFS based on Lee Score has a significant correlation with the degree of disability using JOABPEQ and ODI. JOABPEQ has a more significant correlation to Lee Score compared with ODI. Keywords:Lumbar Foraminal Stenosis, Lee Score, JOABPEQ, ODI

show abstract

An analysis on reliability of the lee and wildermuth magnetic resonance imaging grading systems for lumbar neural foraminal stenosis

Cited by 4 publications

References 0 publications

Role of Mri in the Diagnosis of Causes of Spinal Stenosis at Lumbosacral Region

Role of Mri in the Diagnosis of Causes of Spinal Stenosis at Lumbosacral Region

Lumbar Foraminal Stenosis Classification That Guides Surgical Treatment

Correlation of Lumbar Foraminal Stenosis Degree on Sagittal Mri With Joabpeq (Japanese Orthopaedic Association Backpain Questionnaire) and Odi (Oswestry Disability Index) on Lumbar Foraminal Stenosis L5-S1 Patients

Contact Info

Product

Resources

About