| The Correlation between Spurling Test and Imaging Studies in Detecting Cervical Radiculopathy. | |
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MedLine Citation:
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PMID: 21883627 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Cervical spine symptoms are a major cause of visits to general or spinal orthopedic surgeons or even primary care physicians. Although in this era the imaging studies can precisely rule out or diagnose pathologies in the spine, all of these studies have limitations. Computerized tomography (CT) scan consists of radiation exposure to the patients and it should be done with caution. Magnetic resonance imaging (MRI) is a highly effective imaging tool, but in many countries it is still costly. The goal of our study was to determine whether a simple clinical test can help the clinician to identify the patients who need to be sent for these imaging studies. METHODS: Two hundred fifty-seven patients with clinical cervical radiculopathy underwent complete physical examination that also included the Spurling test. After that, all patients were sent to imaging studies of the cervical spine (CT and/or MRI). Correlation between the physical examination using the Spurling test to the imaging studies was done. RESULTS: Sensitivity of the Spurling test to nerve root pathology was 95% and specificity was 94%. CONCLUSION: This paper demonstrate that patients with positive Spurling test have probable nerve root pressure and should be sent for further imaging studies. In patients with negative Spurling test, the possibility of nerve root pressure is less likely. |
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Authors:
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Shay Shabat; Yossi Leitner; Rami David; Yoram Folman |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-1 |
Journal Detail:
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Title: Journal of neuroimaging : official journal of the American Society of Neuroimaging Volume: - ISSN: 1552-6569 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9102705 Medline TA: J Neuroimaging Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 by the American Society of Neuroimaging. |
Affiliation:
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From the Unit of Spinal Surgery, Sapir Medical Center, Israel and Tel-Aviv Sackler Medical Faculty, Tel-Aviv, Israel (SS, YL, RD); Orthopaedic Surgery Department, Hillel-Yafe Medical Center, Hadera, Israel (YF). |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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