Magnetic resonance imaging predictors of surgical outcome in degenerative lumbar spinal stenosis

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dc.authoridAlicioglu, Banu/0000-0002-6334-7445
dc.authoridBulakbaşı, Nail/0000-0001-7528-8107
dc.authorwosidAlicioglu, Banu/M-8898-2017
dc.authorwosidYILMAZ, BARIS/A-1070-2018
dc.authorwosidBulakbaşı, Nail/ABG-8064-2021
dc.contributor.authorAlicioglu, Banu
dc.contributor.authorYilmaz, Baris
dc.contributor.authorBulakbasi, Nail
dc.contributor.authorCopuroglu, Cem
dc.contributor.authorYalniz, Erol
dc.contributor.authorAykac, Bilal
dc.contributor.authorUrut, Devrim Ulas
dc.date.accessioned2024-06-12T10:59:10Z
dc.date.available2024-06-12T10:59:10Z
dc.date.issued2012
dc.departmentTrakya Üniversitesien_US
dc.description.abstractTo identify any MRI predictors for surgical outcomes of patients with degenerative lumbar spinal stenosis (DLSS) having instrumented posterior decompression (IPD) surgery. Seventy patients with DLSS who underwent IPD were reviewed retrospectively. The clinical score of each patient was assessed using the JOAS (Japanese Orthopedics Association Scoring) system, which is mainly based on the subjective symptoms and physical signs of the patients before (JOAS-I) and after (JOAS-II) surgery. Healing rate (HR) was calculated as: [(JOAS-II) - (JOAS-I)] x 100/[15 - (JOAS-I)]. HR > 50 % was considered clinical improvement. Radiological stenosis was assessed on MRI and was graded from 0 to 3 at the laminectomy level in terms of thecal sac-nerve root compression, foraminal stenosis, and facet degeneration. Mean HR of the improved patients (n = 39) was 81.94; HR of the unimproved patients (n = 31) was 34.75 (p < 0.05). There was no statistical difference in radiological stenosis parameters between the two groups (p > 0.05). HR was worse in patients with severe facet degeneration. Surgical outcomes of DLSS depend on multiple variables. It is not possible to predict the outcomes by assessing only one parameter. The possible outcomes should be analyzed by considering all the factors individually.en_US
dc.identifier.doi10.1007/s11604-012-0125-0
dc.identifier.endpage818en_US
dc.identifier.issn1867-1071
dc.identifier.issue10en_US
dc.identifier.pmid22968746en_US
dc.identifier.scopus2-s2.0-84879768489en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage811en_US
dc.identifier.urihttps://doi.org/10.1007/s11604-012-0125-0
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20350
dc.identifier.volume30en_US
dc.identifier.wosWOS:000312582200004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofJapanese Journal Of Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDecompressionen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.subjectSpinal Stenosisen_US
dc.subjectOutcome Assessmenten_US
dc.subjectOswestry Disability Indexen_US
dc.subjectDecompressive Laminectomyen_US
dc.subjectSurgeryen_US
dc.subjectMrien_US
dc.subjectManagementen_US
dc.subjectStandarden_US
dc.titleMagnetic resonance imaging predictors of surgical outcome in degenerative lumbar spinal stenosisen_US
dc.typeArticleen_US

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