Standard criteria needed for spinal stenosis diagnosis

April 28, 2013
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

April 7, 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 is compounded by ...

Tests ID'd for use in outcome assessment of spinal stenosis

July 12, 2012

(HealthDay) -- For patients with lumbar spinal stenosis the Oswestry Disability Index, Modified Swiss Spinal Stenosis Scale (SSS), and Patient Specific Functional Scale have been shown to possess adequate psychometric properties ...

Tests don't predict outcome after spine fusion for back pain

November 15, 2012

(HealthDay)—Currently, there is no test available to reliably predict which patients with chronic low back pain (LBP) will achieve a good clinical outcome after spinal fusion surgery, according to the results of a literature ...

Recommended for you

Experimental MERS vaccine shows promise in animal studies

July 28, 2015

A two-step regimen of experimental vaccines against Middle East respiratory syndrome (MERS) prompted immune responses in mice and rhesus macaques, report National Institutes of Health scientists who designed the vaccines. ...

Can social isolation fuel epidemics?

July 21, 2015

Conventional wisdom has it that the more people stay within their own social groups and avoid others, the less likely it is small disease outbreaks turn into full-blown epidemics. But the conventional wisdom is wrong, according ...

Lack of knowledge on animal disease leaves humans at risk

July 20, 2015

Researchers from the University of Sydney have painted the most detailed picture to date of major infectious diseases shared between wildlife and livestock, and found a huge gap in knowledge about diseases which could spread ...

IBD genetically similar in Europeans and non-Europeans

July 20, 2015

The first genetic study of inflammatory bowel disease (IBD) to include individuals from diverse populations has shown that the regions of the genome underlying the disease are consistent around the world. This study, conducted ...

0 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.