Lumbar spinal stenosis and morphometry of lumbar vertebral canal

Singh, Vishram; Sethi, R. K.; Chauhan, B.K.S.; Thukral, Brij Bhushan

doi:10.1016/j.jasi.2016.07.008

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Singh et al's study (2016) reported that spinal canal anteroposterior diameters are larger in asymptomatic individuals than in low back pain patients. The authors suggested that spinal canal narrowing makes an individual susceptible to the compression of the cord and the eventual development of neurological signs and symptoms [ 14 ]. Dora et al have also highlighted the significance of measuring spinal canal dimensions in discriminating asymptomatic disc herniations from symptomatic individuals [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

The MRI of Lumbar Vertebral Canal in Low Back Pain: A Cross-Sectional Study

Badaam,

Sukre,

Hashmi

et al. 2023

Cureus

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Background The imaging of the lumbar canal is an important aspect of low back pain (LBP) management. Magnetic resonance imaging (MRI) has gained widespread acceptance for the evaluation of spine anatomy. Objective The objective of the study is to compare the MRI findings of the anteroposterior diameter, transverse diameter, and thecal sac area of the lumbar vertebral canal in symptomatic low back pain patients to that of patients without low back pain. Methods The cross-sectional study included 200 subjects of which 100 subjects (49 males and 51 females) were symptomatic cases of low back pain and 100 subjects (53 males and 47 females) had no symptoms of low back pain and were enrolled as controls. The MRI scans were studied for the anteroposterior diameter, transverse diameter, and thecal sac area of the lumbar vertebral canal. Results In our study, the anteroposterior diameter of the lumbar vertebral canal among cases was found to have a mean of 14.42, 14.09, 13.44, 13.63, and 13.79 with a standard deviation (SD) of 1.25, 1.32, 1.75, 1.75, and 2.65 at L1, L2, L3, L4, and L5 levels, respectively. The anteroposterior diameter of the lumbar vertebral canal among controls was found to have a mean of 15.26, 15.16, 14.71, 14.68, and 15.28 with an SD of 1.60, 1.67, 1.30, 1.36, and 1.97 at L1, L2, L3, L4, and L5 levels, respectively. The difference in anteroposterior diameters of the lumbar vertebral canal was found to be statistically significant at each level, between cases and controls. The transverse diameter of the vertebral canal was found to be smaller in cases as compared to controls with a statistically significant difference at each of the levels studied. The thecal sac area of the vertebral canal was found to be less in subjects with low back pain at each of the vertebral levels studied. Conclusion The study results provide insight into the lumbar vertebral parameters in the study population and give comparative data among the symptomatic low back pain patients and control subjects without low back pain. The MRI reflected decreased anteroposterior diameter, transverse diameter, and thecal sac area of the lumbar vertebral canal among symptomatic low back pain patients.

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Section: Discussionmentioning

confidence: 99%

The MRI of Lumbar Vertebral Canal in Low Back Pain: A Cross-Sectional Study

Badaam,

Sukre,

Hashmi

et al. 2023

Cureus

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“…LCS causa compressão da cauda equina ou raízes nervosas espinhais, resultando em inevitável dor lombar (DL). 2 O LCS é reconhecido como a diminuição do diâmetro do canal lombar ântero-posterior (AP) 3 que normalmente varia entre 15-27 mm, causando quadro clínico heterogêneo. 4 A claudicação neurogênica é uma das características fundamentais da LCS que induz desconforto e dor nas nádegas, pernas e coxas, e é indubitavelmente um motivo para cirurgias espinhais como laminectomias em indivíduos com estenose.…”

Section: Introductionunclassified

Manual therapy and canal enlargement exercises versus conventional physiotherapy in lumbar stenosis – a study protocol

2021

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INTRODUCTION: Lumbar Canal Stenosis (LCS) is known as the well-established reason for pain and depleted walking capacity in patients with manifestations of paresthesia and pain in the lower back, gluteal region, posterior thigh, and legs which are termed as ‘Neurogenic Claudication’ (NC). Manual therapy combined with canal enlargement exercises and conventional physiotherapy may be considered in eradicating pain and NC symptoms, hence improving the quality of life. METHODS AND MATERIALS: Patients with LCS with canal diameter 8-12 mm at the level of L4 and below will be recruited for this study. Through the Block randomization method, they will be randomized into two interventional groups: Manual Therapy & Canal Enlargement (MTCE) (n=16) and Conventional Physiotherapy (Cp) (n=16) groups. MTCE group will receive manual therapy and canal enlargement exercises, while the Cp group will receive only conventional physiotherapy. Both interventional groups will receive 3 days of treatment per week for 4 weeks. Modified Oswestry Disability questionnaire (MODI), Antero-Posterior (AP) canal diameter, Numeric Pain Rating Scale (NPRS), and Claudication Distance (CD) will be used for the evaluation. In addition, modified Oswestry Disability Index, AP canal Diameter, NPRS, Claudication distance, an SLR will be measured at baseline and post-intervention. DISCUSSION: The results of this research will dictate the applicability of manual therapy with an exercise protocol of canal enlargement exercises on pain and functional disability in patients with LCS.

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Spinal Stenosis

Waldman

2024

Atlas of Common Pain Syndromes

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Lumbar spinal stenosis and morphometry of lumbar vertebral canal

Cited by 3 publications

References 21 publications

The MRI of Lumbar Vertebral Canal in Low Back Pain: A Cross-Sectional Study

The MRI of Lumbar Vertebral Canal in Low Back Pain: A Cross-Sectional Study

Manual therapy and canal enlargement exercises versus conventional physiotherapy in lumbar stenosis – a study protocol

Spinal Stenosis

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