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

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dc.contributor.authorAltan L.
dc.contributor.authorMetin Ökmen B.
dc.contributor.authorTuncer T.
dc.contributor.authorSindel D.
dc.contributor.authorÇay H.F.
dc.contributor.authorHepgüler S.
dc.contributor.authorSarıkaya S.
dc.contributor.authorAyhan F.
dc.contributor.authorBal A.
dc.contributor.authorBilgilisoy M.
dc.contributor.authorÇapkın E.
dc.contributor.authorCerrahoğlu L.
dc.contributor.authorÇevik R.
dc.contributor.authorDülgeroğlu D.
dc.contributor.authorDurmaz B.
dc.contributor.authorDuruöz T.
dc.contributor.authorGürer G.
dc.contributor.authorGürsoy S.
dc.contributor.authorHizmetli S.
dc.contributor.authorKaçar C.
dc.contributor.authorKaptanoğlu E.
dc.contributor.authorEcesoy H.
dc.contributor.authorMelikoğlu M.
dc.contributor.authorNas K.
dc.contributor.authorNur H.
dc.contributor.authorÖzçakır Ş.
dc.contributor.authorŞahin N.
dc.contributor.authorŞahin Ö.
dc.contributor.authorSarıdoğan M.
dc.contributor.authorŞendur Ö.F.
dc.contributor.authorSezer İ.
dc.contributor.authorBozbaş G.T.
dc.contributor.authorTıkız C.
dc.contributor.authorUğurlu H.
dc.date.accessioned2024-07-22T08:02:05Z
dc.date.available2024-07-22T08:02:05Z
dc.date.issued2023
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. © 2023, Turkish League Against Rheumatism (TLAR). All rights reserved.
dc.identifier.DOI-ID10.46497/ArchRheumatol.2023.9806
dc.identifier.issn26186500
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/11714
dc.language.isoEnglish
dc.publisherTurkish League Against Rheumatism (TLAR)
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectanticonvulsive agent
dc.subjectglucocorticoid
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectbody mass
dc.subjectcorrelation analysis
dc.subjectfemale
dc.subjecthuman
dc.subjectincidence
dc.subjectintervertebral disk degeneration
dc.subjectintervertebral disk hernia
dc.subjectlow back pain
dc.subjectlumbar spinal stenosis
dc.subjectlumbar spondylosis
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmiddle aged
dc.subjectMini Mental State Examination
dc.subjectmuscle strength
dc.subjectnerve root compression
dc.subjectnuclear magnetic resonance imaging
dc.subjectosteoarthritis
dc.subjectosteophyte
dc.subjectprevalence
dc.subjectprospective study
dc.subjectquadriceps femoris muscle
dc.subjectquestionnaire
dc.subjectretrospective study
dc.subjectRoland Morris disability questionnaire
dc.subjectspondylosis
dc.subjectstraight leg raise test
dc.subjecttendon reflex
dc.subjectvertebral canal stenosis
dc.subjectvisual analog scale
dc.subjectX ray analysis
dc.titleCorrelation of clinical signs and magnetic resonance imaging findings in patients with lumbar spondylosis
dc.typeArticle

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