Correlation of clinical signs and magnetic resonance imaging findings in patients with lumbar spondylosis
Özet
Objectives: The purpose of the study was to contribute further to this debated topic by investigating the correlation of magnetic resonance imaging (MRI) findings with the clinical picture in lumbar spondylosis patients. Patients and methods: This multicenter retrospective study (as part of the epidemiological project of the TLAR-OASG [Turkish League Against Rheumatism-Osteoarthritis Study Group]) included 514 patients (101 males, 413 females; mean age: 63.6±10.8 years; range, 40 to 85 years) who were diagnosed as lumbar spondylosis by clinical examination and direct X-ray between December 2016 and June 2018. Demographic characteristics of patients, Visual Analog Scale for pain, presence of radiating pain, Roland-Morris disability questionnaire, straight leg raise test, deep tendon reflexes, neurogenic intermittent claudication symptoms, any decrease of muscle strength, and abnormality of sensation were recorded. Lumbar MRI findings of the patients were recorded as positive or negative in terms of disc herniation, intervertebral disc degeneration, root compression, osteophytes, spinal stenosis. Statistical analysis was done to assess the correlation between the clinical symptoms, physical examination, and MRI findings. Results: Correlation analysis of the MRI results and the clinical findings showed a significant correlation between straight leg raise test and root compression (p<0.001, r=0.328) and a significant correlation between neurogenic intermittent claudication and spinal stenosis (p<0.001, r=0.376). Roland-Morris disability questionnaire had a significant correlation with all MRI findings (p<0.05, r<0.200). Conclusion: The results of this study corroborate the notion that diligent patient history and physical examination are more valuable than MRI findings, even though a higher incidence of abnormal MRI findings have been obtained in patients with disability and dermatomal radiating pain.
Anahtar kelimeler
Atıf için künye
Altan, L., Metin Ökmen, B., Tuncer, T., Sindel, D., Çay, H. F., Hepgüler, S., Sarıkaya, S., Ayhan, F., Bal, A., Bilgilisoy, M., Çapkın, E., Cerrahoğlu, L., Çevik, R., Dülgeroğlu, D., Durmaz, B., Duruöz, T., Gürer, G., Gürsoy, S., Hizmetli, S., … Uğurlu, H. (2023). Correlation of clinical signs and magnetic resonance imaging findings in patients with lumbar spondylosis. Archives of Rheumatology, 38(4), 512–520. https://doi.org/10.46497/archrheumatol.2023.9806
BibTeX
@article{altan2023-226248,
author = {Altan, Lale and Metin Ökmen, Burcu and Tuncer, Tiraje and Sindel, Dilşad and Çay, Hasan Fatih and Hepgüler, Simin and Sarıkaya, Selda and Ayhan, Figen and Bal, Ajda and Bilgilisoy, Meral and Çapkın, Erhan and Cerrahoğlu, Lale and Çevik, Remzi and Dülgeroğlu, Deniz and Durmaz, Berrin and Duruöz, Tuncay and Gürer, Gülcan and Gürsoy, Savaş and Hizmetli, Sami and Kaçar, Cahit and Kaptanoğlu, Ece and Ecesoy, Hilal and Alkan Melikoğlu, Meltem and Nas, Kemal and Nur, Hakan and Özçakır, Şüheda and Şahin, Nilay and Şahin, Özlem and Sarıdoğan, Merih and Şendur, Ömer Faruk and Sezer, İlhan and Bozbaş, Gülnur Taşçı and Tıkız, Canan and Uğurlu, Hatice},
title = {Correlation of clinical signs and magnetic resonance imaging findings in patients with lumbar spondylosis},
journal = {Archives of Rheumatology},
year = {2023},
volume = {38},
number = {4},
pages = {512--520},
issn = {2618-6500},
doi = {10.46497/archrheumatol.2023.9806},
url = {https://akademik.atauni.edu.tr/yayinlar/226248-correlation-of-clinical-signs-and-magnetic-resonance-imaging-findings-in}
}