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Objective: To determine the frequency of Lumbar Stenosis in symptomatic backache patients of more than 50 years age.
Methodology: This descriptive cross sectional study was conducted in Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, on 169 patients having symptoms from Feb 2017 to January 2019. Non-probability consecutive sampling was used to enroll the sample. After following the ethical practices, taking informed written consent, the pre-designed performa was filled along with the complete history and the examination. Magnetic Resonance Imaging (MRI) lumbosacral spine was advised and patients with lumbar spinal stenosis based on their history, MRI and examination were reported by the consultant radiologist.
Results: In total of 169 participants, the mean age was recorded to be 63±8.40 years, wherein 67 (39.6%) females and 102 (60.3%) were males. The frequency of spinal stenosis diagnosed on imaging in symptomatic patients was recorded to be as 37.3% (n=63). A significant relationship was recorded between gender and professions with LSS (p-value = <0.05), whereas age group and BMI had an insignificant relationship (p-value = >0.05).
Conclusion: The study concluded that 37% of the participants with any symptoms were diagnosed as LSS. Furthermore, a positive relationship was determined between gender and profession with LSS.
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Ohtori S, Sekiguchi M, Yonemoto K, Ka¬kuma T, Takahashi K, Konno S. Aware¬ness and use of diagnostic tools for lumbar spinal stenosis in Japan. J Or¬thop Sci. 2014; 19(3):412-7.
Kuittinen P, Sipola P, Saari T, Aalto TJ, Sinikallio S, Savolainen S, Kröger H, Turunen V, Leinonen V, Airaksinen O. Visually assessed severity of lumbar spinal canal stenosis is paradoxically associated with leg pain and objective walking ability. BMC musculoskeletal disord. 2014; 15(1):348.
Aizawa T, Kokubun S, Ozawa H, Kusak¬abe T, Tanaka Y, Hoshikawa T, et al. In¬creasing incidence of degenerative spi¬nal diseases in Japan during 25 years: the registration system of spinal surgery in tokohu university spine society. Toko¬hu J Exp Med. 2016; 238(2):153-63
Constandi S, Chopko S, Mekhail M, Dews T, Mekhail N. Lumbar spinal ste¬nosis: therapeutic options review. Pain Pract. 2015; 15(1):68-81.
Weinstein JN, Tosteson TD, Lurie JD, Tosteson A, Blood E, Herkowitz H, Cam¬misa F, et al. Surgical versus non-oper¬ative treatment for lumbar spinal steno¬sis four year results of the spine patient outcomes research trial. Spine. 2010; 35(14):1329-38.
Burnett MG, Stein SC, Bartels RH. Cost-effectiveness of current treat¬ment strategies for lumbar spinal stenosis: nonsurgical care, laminec¬tomy and X-STOP. J Neurosurg Spine. 2010;13(1):39-46.
Usman M, Ali M, Khanzada K, Ishaq M, Naeem-ul-Haq, Aman R, et al. Unilateral approach for bilateral decompression of lumbar spinal stenosis: a minimal inva¬sive surgery. J Coll Physicians Surg Pak. 2013; 23(12):852-6.
Lin CW, Haas M, Maher Cg, Machado LA, Van Tulder MW. Cost effectiveness of general practice for low back pain: a systemic review. Eur Spine J. 2011; 20(7):1012-23.
Khan MB, Bashir MU, Kumar R, Enam SA. Enduring improvement in Oswestry disability index outcomes following lum¬bar microscopic interlaminar decom¬pression: an appraisal of prospectively collected patient outcomes. J Cranio¬vertebr Junction Spine. 2015; 6(4): 195-9.
Hussain M, Nasir S, Moed A, Murtaza G. Variation in practice patterns among neurosurgeons and orthopedic sur¬geons in the management of spinal dis¬orders. Asian Spine J. 2011; 5(4):208- 12.
Kasukawa Y, Miyakoshi N, Kobayashi T, Kikuchi K, Ebata K, Ishikawa N, Suzuki T, Sasaki H, Hatakeyama Y, Hongo M, Ishi¬kawa Y. Limaprost or pregabalin: pre¬operative and postoperative medication for pain due to lumbar spinal stenosis. Pain Pract. 2018;18(5):625-30.
De Villiers PD, Booysen EL. Fibrous spinal stenosis. A report on 850 my¬elograms with water soluble contrast medium. Clin Orthop Relat Res. 1976; 140-4.
Deer T, Sayed D, Michels J, Josephson Y, Li S, Calodney AK. A review of lumbar spinal stenosis with intermittent neuro¬genic claudication: disease and diagno¬sis. Pain Med. 2019; 20(2): S32-44.
Fanuele JC, Birkmeyer NJ, Abdu WA, Tosteson TD, Weinstein JN. The impact of spinal stenosis on the health status of the patients: have we underestimated the effect? Spine. 2000; 25:1509-14.
Wiesel SW, Tsourmas N, Feffer HL, Citrin CM, Patronas N. A study of computer-assisted tomography. I. The incidence of positive CAT scans in an asymptomatic group of patients. Spine. 1984; 9:549-551.
Adachi S, Nakano A, Kin A, Baba I, et al. The tibial nerve compression test for the diagnosis of lumbar spinal canal stenosis- a simple and reliable physi¬cal examination for use by primary care physicians. Acta Orthop Traumatol Turc. 2017; (16)30143-2.
Machado GC, Ferreira PH, Yoo RI, Harris, et al. Surgical options for lumbar spinal stenosis. Cochrane Database Syst Rev. 2016; 11:12421.
Cheung JP, Kao PY, Sham P, Cheah KS, Chan D, Cheung KM, Samartzis D. Etiol¬ogy of developmental spinal stenosis: A genome-wide association study. J Orth Res. 2018; 36(4):1262-8.
Shah S, Dalvie S, Rai R. Congenital malformed posterior arch of atlas with fusion defect: a case of developmental canal stenosis causing cervical myelop¬athy. J Spine Surg. 2017; 3(3):489- 497.
Verbiest H. The significance and princi¬ples of computerized axial tomography in idiopathic developmental stenosis of the bonylumbar vertebral canal. Spine.1979; 4:369-378.
Ullrich CG, Binet EF, Sanecki MG, Kief¬fer SA. Quantitative assessment of the lumbar spinal canal by computed to¬mography. Radiology. 1980; 134:137- 143.
Lee BC, Kazam E, Newman AD. Com¬puted tomography of the spine and spi¬nal cord. Radiology. 1978; 128:95-102.
Schonstrom N, Willén J. Imaging lum¬bar spinal stenosis. Radiologic Clinics. 2001; 39(1):31-53.
Jarvik JJ, Hollingworth W, Heagerty P, Haynor DR, Deyo RA. The Longitudinal Assessment of Imaging and Disability of the Back (LAIDBack) Study: baseline data. Spine. 2001; 26:1158-1166.