OBJECTIVES To determine the correlation between magnetic resonance imaging (MRI) pathology and the response to diagnostic facet medial branch block (MBB) and L5 dorsal ramus medial branch block and radiofrequency (RF) denervation of lumbar facet joints. METHODS The medical records of 127 consecutive patients who underwent MBB for suspected zygapophysial joint pain were reviewed. The lumbar sp...

RATIONALE Gout in the spine is very rare. The clinical symptoms of the spinal gout are various and lack of specificity. The authors report a case of spinal gout causing lumbar stenosis. We never find such wide-invasive spinal gouty lesion in the published studies. PATIENT CONCERNS A 68-year-old male had low back pain radiating to bilateral lower limbs, accompanying with intermittent claudicat...

OBJECTIVE We compared the results of two surgical techniques by retrospective study of 60 elderly patients (65 years or older) who underwent either decompression alone or fusion for the treatment of two-level or more lumbar spinal stenosis. METHODS During the period of 2003 and 2008, two-level or more decompression alone or fusion was performed for lumbar spinal stenosis by three surgeons at ...

Background: Lumbar spinal stenosis is the most frequent indication for spine surgery. The x-ray and MRI are choice of investigation. Justified use radiography can be cost effective in management lumbar stenosis. Objective was to evaluate compare sensitivity specificity plain diagnosis stenosis.Methods: A multicenter cross sectional analytical study carried out from July 2021 August 2022 on 70 p...

In some patients with lumbar spinal stenosis, opacification of the subarachnoid space beyond the stenosis is difficult to achieve during myelography. A second lumbar puncture caudal to the obstruction or computed tomography is often required to complete the examination. We encountered this difficulty in seven patients with this condition, and when the patients assumed a sitting position during ...

BACKGROUND Decompressive laminotomy is the standard surgical procedure in the treatment of patients with canal stenosis related intermittent neurogenic claudication. New techniques, such as interspinous process implants, claim a shorter hospital stay, less post-operative pain and equal long-term functional outcome. A comparative (cost-) effectiveness study has not been performed yet. This proto...

Objective: Recognizing cauda equina redundant nerve root syndrome is crucial before surgery. Magnetic resonance imaging (MRI) findings of this condition are demonstrated. The aim of this study is to identify patients with redundant nerve root syndrome (RNS), well demonstrate (MRI) findings, notify the surgeon before the surgery and therefore to prevent a potential catastrophe. Methods: Ten pati...

OBJECTIVE To study the effectiveness of electroacupuncture of the spinal nerve root using a selective spinal nerve block technique for the treatment of lumbar and lower limb symptoms in patients with lumbar spinal canal stenosis. METHODS Subjects were 17 patients with spinal canal stenosis who did not respond to 2 months of general conservative treatment and conventional acupuncture. Under x-...

Background: Grading stenosis based on morphology of the dural sac on MRI rather than surface measurements defines stenosis in various topics. To study the relations between the grading stenosis and the severity of clinical symptoms of spinal stenosis in patients diagnosed with lumbar spinal canal stenosis (LSCS). Methods: Patients diagnosed with lumbar spinal stenosis who were candidate for sur...