Standard criteria needed for spinal stenosis diagnosis

Standard criteria needed for spinal stenosis diagnosis
There is a need for a consensus on criteria to define and classify lumbar spinal stenosis, according to a review published in the April 15 issue of Spine.

(HealthDay)—There is a need for a consensus on criteria to define and classify lumbar spinal stenosis, according to a review published in the April 15 issue of Spine.

Evelien I.T. de Schepper, M.D., from Erasmus Medical Center in Rotterdam, Netherlands, and colleagues conducted an updated comprehensive literature search for diagnostic studies on lumbar spinal stenosis, in which one or more diagnostic tests were evaluated with a reference standard and was reported or could be calculated.

The researchers found that 22 additional articles in addition to the 24 included in the previous review (2004) met the inclusion criteria. In total there were 20 articles concerning imaging tests, 11 articles evaluating electrodiagnostic tests, and 15 articles evaluating clinical tests. There was variation in estimates of the diagnostic accuracy of the tests. (MRI) was found to be the most promising imaging test for lumbar spinal stenosis. There was no superior accuracy for electrodiagnostic studies compared to MRI.

"There is a need for a consensus on criteria to define and classify lumbar ," the authors write. "At present, the most promising imaging test for is MRI, avoiding myelography because of its invasiveness and lack of superior accuracy."

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Lumbar spinal stenosis lowers health-related QoL

date Apr 07, 2012

(HealthDay) -- Patients diagnosed with lumbar spinal stenosis (LSS) have a substantial burden of illness and reduced health-related quality of life (HRQL) compared to the general population, and their HRQL ...

Surgeon experience affects complication rate of spinal stenosis surgery

date Jun 07, 2012

For patients undergoing surgery for spinal stenosis, the risk of complications is higher when the surgeon performs very few such procedures—less than four per year, suggests a study in the June issue of Neurosurgery, official journal of the Congress of Neurological Surgeon ...

Recommended for you

Score IDs patients with upper extremity DVT at low risk

date 8 hours ago

(HealthDay)—For patients with upper-extremity deep vein thrombosis (DVT), six easily available factors can be used to create a score that identifies those at low risk of adverse events during the first ...

Combined drug treatment combats kidney disease

date 19 hours ago

A recent discovery by drug researchers whereby coupling specific cell membrane receptors has altered kidney cell function has triggered a re-think of how to treat chronic kidney disease (CKD) more effectively.

Active substance targeting dreaded hospital germs

date 19 hours ago

In the German Center for Infection Research (DZIF), scientists have conducted clinical studies on an active substance against the dreaded hospital pathogen Staphylococcus aureus: a highly effective protein from bacteriophages ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.