Correlation of clinical signs and magnetic resonance imaging findings in patients with lumbar spondylosis

Basit Öğe Kaydı
dc.contributor.authorAltan, Lale
dc.contributor.authorOkmen, Burcu Metin
dc.contributor.authorTuncer, Tiraje
dc.contributor.authorSindel, Dilsad
dc.contributor.authorCay, Hasan Fatih
dc.contributor.authorHepguler, Simin
dc.contributor.authorSarikaya, Selda
dc.date.accessioned2024-02-23T14:40:48Z
dc.date.available2024-02-23T14:40:48Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractObjectives: 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.en_US
dc.identifier.doi10.46497/ArchRheumatol.2023.9806
dc.identifier.endpage520en_US
dc.identifier.issn2618-6500
dc.identifier.issue4en_US
dc.identifier.pmid38125064en_US
dc.identifier.scopus2-s2.0-85178261680en_US
dc.identifier.startpage512en_US
dc.identifier.urihttps://doi.org/10.46497/ArchRheumatol.2023.9806
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16594
dc.identifier.volume38en_US
dc.identifier.wosWOS:001113260400007en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish League Against Rheumatismen_US
dc.relation.ispartofArchives Of Rheumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectClinical Manifestationsen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.subjectRoland-Morris Disability Questionnaireen_US
dc.subjectScreeningen_US
dc.subjectSpondylosisen_US
dc.titleCorrelation of clinical signs and magnetic resonance imaging findings in patients with lumbar spondylosisen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu