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

IF 1.1 4区医学 Q4 Medicine

Archives of rheumatology Pub Date : 2023-02-15 eCollection Date: 2023-12-01 DOI:10.46497/ArchRheumatol.2023.9806

Lale Altan, Burcu Metin Ökmen, Tiraje Tuncer, Dilşad Sindel, Hasan Fatih Çay, Simin Hepgüler, Selda Sarıkaya, Figen Ayhan, Ajda Bal, Meral Bilgilisoy, Erhan Çapkın, Lale Cerrahoğlu, Remzi Çevik, Deniz Dülgeroğlu, Berrin Durmaz, Tuncay Duruöz, Gülcan Gürer, Savaş Gürsoy, Sami Hizmetli, Cahit Kaçar, Ece Kaptanoğlu, Hilal Ecesoy, Meltem Melikoğlu, Kemal Nas, Hakan Nur, Şüheda Özçakır, Nilay Şahin, Özlem Şahin, Merih Sarıdoğan, Ömer Faruk Şendur, İlhan Sezer, Gülnur Taşçı Bozbaş, Canan Tıkız, Hatice Uğurlu

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引用次数: 0

Abstract

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.

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腰椎病患者临床症状与磁共振成像结果的相关性

目的：本研究的目的是通过研究腰椎病患者的磁共振成像（MRI）结果与临床影像的相关性，为这一有争议的话题做出进一步贡献。患者和方法：这项多中心回顾性研究（作为TLAR-OASG[土耳其抗类风湿性骨关节炎联盟研究组]流行病学项目的一部分）包括514名患者（101名男性，413名女性；平均年龄：63.6±10.8岁；范围：40至85岁），他们在2016年12月至2018年6月期间通过临床检查和直接X光检查被诊断为腰椎病。记录患者的人口学特征、疼痛视觉模拟量表、是否存在辐射性疼痛、Roland Morris残疾问卷、直腿抬高测试、深肌腱反射、神经源性间歇性跛行症状、肌肉力量下降和感觉异常。患者的腰椎MRI表现为椎间盘突出、椎间盘退变、根压迫、骨赘、椎管狭窄等阳性或阴性。进行统计分析以评估临床症状、体格检查和MRI检查结果之间的相关性。结果：MRI结果与临床结果的相关性分析显示，直腿抬高试验与根压迫之间存在显著相关性（p＜0.001，r＝0.328），神经源性间歇性跛行与椎管狭窄之间存在显著相关（p＜001，r＝0.376）（p＜0.05，r＜0.200）。结论：本研究的结果证实了勤奋的病史和身体检查比MRI检查更有价值的观点，尽管残疾和皮肤辐射性疼痛患者的异常MRI检查发生率更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of rheumatology Medicine-Rheumatology

CiteScore

2.00

自引率

9.10%

发文量

期刊介绍： The Archives of Rheumatology is an official journal of the Turkish League Against Rheumatism (TLAR) and is published quarterly in March, June, September, and December. It publishes original work on all aspects of rheumatology and disorders of the musculoskeletal system. The priority of the Archives of Rheumatology is to publish high-quality original research articles, especially in inflammatory rheumatic disorders. In addition to research articles, brief reports, reviews, editorials, letters to the editor can also be published. It is an independent peer-reviewed international journal printed in English. Manuscripts are refereed by a "double-blind peer-reviewed" process for both referees and authors. Editorial Board of the Archives of Rheumatology works under the principles of The World Association of Medical Editors (WAME), the International Council of Medical Journal Editors (ICMJE), and Committee on Publication Ethics (COPE).