Document Detail


Motor deficit in lumbar spinal stenosis: a retrospective study of a series of 50 patients.
MedLine Citation:
PMID:  9726295     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Severe motor weakness is an infrequent symptom in the course of lumbar stenosis. The objectives of this study are threefold: to describe the motor deficit, evaluate the prognosis factors, and determine the type of stenosis most likely to be complicated by motor loss. Fifty consecutive patients with a mean age of 65 years, operated on for a lumbar stenosis and with a severe motor deficit, have been retrospectively studied with a mean follow-up of 38 months. The overall functional result was evaluated according to the Beaujon scoring system. The motor capacity was rated from 0 (complete paralysis) to 5 (normal strength). Prognosis factors were investigated with a multivariate analysis model. Motor weakness was rated as zero 11 times, as one 8 times, as two 8 times, and as three 23 times. According to our rating scale, the overall results were considered excellent in 25 cases, good in 17 cases, and fair in the 8 remaining cases. Regression of motor weakness was complete 15 times, partial 25 times, and null 10 times. In this study, favorable prognosis parameters of motor weakness recovery were as follows: association with a discal herniation, stenosis at one level, preoperative duration of motor weakness <6 weeks, age <65, and monoradicular deficit. In contrast, severity of the initial motor weakness, association with sphincter abnormalities, presence or not of degenerative spondylolisthesis, or of a complete block on the myelogram were not influential variables.
Authors:
P Guigui; M Benoist; C Delecourt; J Delhoume; A Deburge
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of spinal disorders     Volume:  11     ISSN:  0895-0385     ISO Abbreviation:  J Spinal Disord     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-11-20     Completed Date:  1998-11-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8904842     Medline TA:  J Spinal Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  283-8     Citation Subset:  IM    
Affiliation:
Orthopaedic Department, Hôpital Beaujon, Clichy, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Humans
Lumbosacral Region
Male
Middle Aged
Movement Disorders / etiology*,  physiopathology
Multivariate Analysis
Prognosis
Retrospective Studies
Spinal Stenosis / physiopathology*,  surgery
Treatment Outcome

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


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