Lumbar lateral canal entrapment: clinical, radiculographic and computed tomographic findings. 1988

I Stockley, and C J Getty, and A K Dixon, and I Glaves, and H A Euinton, and N A Barrington
Problem Back Unit, Northern General Hospital, Sheffield.

The radiculographic and computed tomographic findings in those nerve roots compressed by lumbar lateral canal entrapment have been assessed in a prospective series of 44 patients in whom such entrapment was found at surgery. The radiological procedures were reported by radiologists who were unaware of the clinical findings. Radiculography was performed in 41 of the patients and enabled the site or sites of entrapment to be correctly predicted in 62% of patients undergoing primary decompression and in 42% of patients undergoing revision surgery. Computed tomography (CT) was performed in 24 of the patients and enabled entrapment to be correctly predicted in 75% of the patients in both groups. We conclude that computed tomography is superior to radiculography in demonstrating lumbar lateral entrapment, and should usually be reserved for patients in whom operation or other intervention is warranted on clinical grounds. Otherwise false positive results may occur, especially in elderly patients, although the true incidence of false positive results in this condition is not known and has not been assessed in this study.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009408 Nerve Compression Syndromes Mechanical compression of nerves or nerve roots from internal or external causes. These may result in a conduction block to nerve impulses (due to MYELIN SHEATH dysfunction) or axonal loss. The nerve and nerve sheath injuries may be caused by ISCHEMIA; INFLAMMATION; or a direct mechanical effect. Entrapment Neuropathies,Nerve Entrapments,External Nerve Compression Syndromes,Internal Nerve Compression Syndromes,Nerve Compression Syndromes, External,Nerve Compression Syndromes, Internal,Compression Syndrome, Nerve,Compression Syndromes, Nerve,Entrapment, Nerve,Entrapments, Nerve,Nerve Compression Syndrome,Nerve Entrapment,Neuropathies, Entrapment,Neuropathy, Entrapment,Syndrome, Nerve Compression,Syndromes, Nerve Compression
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D013115 Spinal Canal The cavity within the SPINAL COLUMN through which the SPINAL CORD passes. Vertebral Canal,Vertebral Foramen,Vertebral Foramina,Canal, Spinal,Canal, Vertebral,Foramen, Vertebral,Foramina, Vertebral,Spinal Canals,Vertebral Canals,Vertebral Foramens
D013126 Spinal Nerve Roots Paired bundles of NERVE FIBERS entering and leaving the SPINAL CORD at each segment. The dorsal and ventral nerve roots join to form the mixed segmental spinal nerves. The dorsal roots are generally afferent, formed by the central projections of the spinal (dorsal root) ganglia sensory cells, and the ventral roots are efferent, comprising the axons of spinal motor and PREGANGLIONIC AUTONOMIC FIBERS. Dorsal Roots,Spinal Roots,Ventral Roots,Dorsal Root,Nerve Root, Spinal,Nerve Roots, Spinal,Root, Dorsal,Root, Spinal,Root, Spinal Nerve,Root, Ventral,Roots, Dorsal,Roots, Spinal,Roots, Spinal Nerve,Roots, Ventral,Spinal Nerve Root,Spinal Root,Ventral Root

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