Diagnostic value of electrical stimulation of lumbosacral roots in lumbar spinal stenosis

Zileli, Berna; Ertekin, Çumhur; Zılelı, Mehmet; Yünten, Nilgün

doi:10.1034/j.1600-0404.2002.1o143.x

Cited by 14 publications

(5 citation statements)

References 27 publications

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“…Study revealed distinct findings of both NCS and EMG and considered as it adds further diagnostic information [7]. This correlated to our study as both NC and EMG were equally important in diagnosis.…”

Section: Discussionsupporting

confidence: 90%

“…Regardless of abnormal MRI, electrodiagnostic abnormalities can help to select the best treatment option [6]. EDX can be utilized to separate neuromuscular problems, electromyography (EMG) method is utilized to restrict the myotomal conclusion and muscle examination is needed with both needle EMG and root stimulation [7]. The level of nerve damage is an important indicator in the clinical decision-making.…”

Section: Introductionmentioning

confidence: 99%

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Correlation between Electrodiagnostic Study and Magnetic Resonance Imaging in Lumbar Radiculopathy Patients in a Tertiary Care Hospital

Murtaza,

Haider,

Amin

et al. 2023

CRCM

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Background: Involvement of lumbar spinal nerve root, revealed as pain, numbness or weakness in the lower limbs. Typically caused by the compression of nerve at the spine level. Objective: The purpose of the study was to examine the patients with clinically presumed lumbar radiculopathy and find the correlation between their electrodiagnostic study and magnetic resonance imaging. Setting, duration and study type: Retrospective cross-sectional study of one year (January 2019 -February 2020) in Shifa International Hospital Islamabad. Methods: A total of 96 patients with clinically suspected lumbar radiculopathy were included. Chi-square test, international business machines (IBM) SPSS rendition 21.0 was applied on the clinical information, electrodiagnostic study and MRI were coordinated and affectability and particularity were judged. Selected patients were undergone both electrodiagnostic study and magnetic imaging resonance in the selected 1-year span. The study investigated correlation between both diagnostic tools in lumbar radiculopathy patients. Expected outcomes: Anatomical specificity in seen through magnetic resonance imaging while physiological through electrodiagnostic study, which may not correlate in the evaluation of lumbar radiculopathy.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Correlation between Electrodiagnostic Study and Magnetic Resonance Imaging in Lumbar Radiculopathy Patients in a Tertiary Care Hospital

Murtaza,

Haider,

Amin

et al. 2023

CRCM

View full text Add to dashboard Cite

show abstract

“…For each nerve type, SEPs were obtained twice and the average of two latencies of the symptomatic side was compared with contralateral side. A latency delay of over 3 ms was defined as abnormal [ 11 12 13 ]. The electrodiagnostic study was performed using a certified machine (Medelec Synergy; Oxford Instruments, Surrey, UK).…”

Section: Methodsmentioning

confidence: 99%

The Effect and Safety of Steroid Injection in Lumbar Spinal Stenosis: With or Without Local Anesthetics

Song

Ryu²,

Park

et al. 2016

Ann Rehabil Med

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ObjectiveTo compare the long-term effect and safety of an epidural steroid injection in spinal stenosis patients, with or without local anesthetics.MethodsTwenty-nine patients diagnosed with spinal stenosis were included and randomly divided into two groups. Translaminar epidural and selective nerve root spinal injection procedures were performed using steroids mixed with local anesthetics or normal saline. The effects of spinal injection procedures were measured with visual analogue scale (VAS) and functional rate index (FRI). These measurements were performed before injection, at 1 month after injection and at 3 months after injection. The occurrence of side effects was investigated each time.ResultsThe VAS and FRI scores were significantly reduced in both the local anesthetics group and normal saline group at 1 and 3 months after the injection. However, there was no significant difference in VAS and FRI score reduction between the two groups each time. Side effects are not noted in both groups.ConclusionThe spinal injection procedures using steroids mixed either with local anesthetics or normal saline have an effect in reducing pain and improving functional activities. However, there was no significant difference between the two groups in relation to side effects and the long-term effects of pain and function.

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“…In a small controlled trial with 20 persons with clinical spinal stenosis, EMG and nerve conduction findings detected 75% of cases while needle stimulation of the lumbar roots detected 85%. 43 Clinical Implications EDX has its strengths and weaknesses. In comparison with MRI, the equipment and testing are very cheap.…”

Section: Electrodiagnostic Findingsmentioning

confidence: 99%

The Sensitivity and Specificity of Electrodiagnostic Testing for the Clinical Syndrome of Lumbar Spinal Stenosis

Haig¹,

Tong²,

Yamakawa³

et al. 2005

Spine

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This first masked study in the 60-year history of needle electromyography also introduces anatomically validated needle placement, quantified and reproducible examination of the paraspinal muscles, and dual control populations to EDX research in spinal disorders. EDX has statistically significant, clinically meaningful specificity for spinal stenosis and detects neuromuscular diseases that may masquerade as stenosis.

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Diagnostic value of electrical stimulation of lumbosacral roots in lumbar spinal stenosis

Abstract: Electrical root stimulation revealed more abnormalities in patients with LSS in comparison with needle EMG. However, both methods seemed to complement each other to show additional pathology in a given patient.

Cited by 14 publications

References 27 publications

Correlation between Electrodiagnostic Study and Magnetic Resonance Imaging in Lumbar Radiculopathy Patients in a Tertiary Care Hospital

Correlation between Electrodiagnostic Study and Magnetic Resonance Imaging in Lumbar Radiculopathy Patients in a Tertiary Care Hospital

The Effect and Safety of Steroid Injection in Lumbar Spinal Stenosis: With or Without Local Anesthetics

The Sensitivity and Specificity of Electrodiagnostic Testing for the Clinical Syndrome of Lumbar Spinal Stenosis

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