Document Detail

MRI versus CT for the diagnosis of lumbar spinal stenosis.
MedLine Citation:
PMID:  21489629     Owner:  NLM     Status:  Publisher    
OBJECTIVE: The purpose of the study was to compare the effectiveness of CT and MRI in visualizing soft tissues in lumbar spinal stenosis (LSS), and to correlate the images with preoperative symptoms. MATERIALS AND METHODS: A total of 163 patients who had undergone unilateral laminotomy for bilateral decompression to treat LSS at L4-5 were retrospectively analyzed. The narrowed spinal canal area was measured on axial images with CT and MRI, and compared with the acquired dimensions from preoperative Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) scores. RESULTS: The mean compromised spinal canal areas were 75.08mm(2) on MRI and 63.13mm(2) on CT, which were significantly different. Mean VAS for back pain was 5.37, and 7.94 for leg pain. Mean ODI was 55.17%. There was no significant correlation noted between clinical parameters and narrowed spinal canal area. CONCLUSION: Spinal canal area was more narrowed on CT than on MRI in axial cuts. This finding can be explained by the superior ability of multidetector CT to discriminate cortical bone from soft tissue such as the ligamentum flavum. Our study highlights the value of CT examination in combination with MRI prior to LSS surgery.
Sang Soo Eun; Ho-Yeon Lee; Sang-Ho Lee; Kyeong Hwan Kim; Wei Chiang Liu
Related Documents :
12648799 - Truefisp--technical considerations and cardiovascular applications.
3035729 - Interpretation of magnetic resonance images making use of in vitro examinations of spin...
19939579 - Quantification of artifact reduction with real-time cine four-dimensional computed tomo...
2778149 - Tuberous sclerosis: increased mr detection using gradient echo techniques.
11536399 - Steady-state free precession magnetic resonance imaging of the heart: comparison with s...
10467299 - A computationally efficient method for tracking reference position displacements for mo...
9857219 - Complete chromogen separation and analysis in double immunohistochemical stains using p...
11779759 - Imaging of tophaceous gout: computed tomography provides specific images compared with ...
9507479 - An analysis of the assumptions and their significance in the determination of required ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-11
Journal Detail:
Title:  Journal of neuroradiology. Journal de neuroradiologie     Volume:  -     ISSN:  0150-9861     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7705086     Medline TA:  J Neuroradiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Masson SAS. All rights reserved.
Department of Orthopedic Surgery, Wooridul Spine Hospital, Seoul, Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Glioblastoma multiforme presenting with ischemic stroke: Case report and review of the literature.
Next Document:  Neurocutaneous melanosis: Follow-up and literature review.