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Research ArticleLumbar Spine

Is Repeated Preoperative Magnetic Resonance Imaging Necessary Before Planned Decompressive Surgery for Lumbar Spinal Stenosis?

Veronika Dybvik, Erland Hermansen, Hasan Banitalebi, Tor Åge Myklebust and Kari Indrekvam
International Journal of Spine Surgery June 2023, 17 (3) 449-453; DOI: https://doi.org/10.14444/8469
Veronika Dybvik
1 Department of Orthopedic Surgery, Ålesund Hospital, Møre and Romsdal Hospital Trust, Ålesund, Norway
MD
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  • For correspondence: Veronika.Dybvik@helse-mr.no
Erland Hermansen
2 Kysthospitalet in Hagevik, Orthopedic Clinic, Haukeland University Hospital, Bergen, Norway
3 Clinical Development in Hofsteh BioCare, Ålesund, Norway
4 Department of Clinical Medicine, University of Bergen, Bergen, Norway
MD, PHD
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Hasan Banitalebi
5 Department of Diagnostic Imaging, Akershus University Hospital, Lørenskog, Norway
6 Department of Clinical Medicine, University of Oslo, Oslo, Norway
MD
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Tor Åge Myklebust
7 Department of Research and Innovation, Møre and Romsdal Hospital trust, Ålesund, Norway
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Kari Indrekvam
2 Kysthospitalet in Hagevik, Orthopedic Clinic, Haukeland University Hospital, Bergen, Norway
4 Department of Clinical Medicine, University of Bergen, Bergen, Norway
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    Figure

    Patient selection. MRI, magnetic resonance images; NORDSTEN study, the Norwegian degenerative spinal stenosis study.

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    Table

    Changes between the first and second MRI measurements of 65 patients who were scheduled for decompressive surgery in a total of 78 levels due to lumbar spinal stenosis.

    Outcome MeasureLevels (N = 78)
    Schizas
     No change, n (95% CI)42 (42%–65%)
     Increased, n (95% CI)28 (25%–48%)
      +124
      +22
      +32
     Decreased, n (95% CI)8 (4.5%–19%)
      −17
      −21
    Dural sac cross-sectional area
     No change3
     Increased47
      +1–10 mm2 7
      +11–20 mm2 7
      +21–30 mm2 4
     Decreased28
      −1 to 10 mm2 9
      −11 to 20 mm2 14
      −21 to 30 mm2 5
    Spondylolisthesis
     No change46
     Increased21
      +1 mm8
      +2 mm9
      +3 mm2
      +4 mm1
      +5 mm0
      +6 mm1a
     Decreased11
      –1 mm9
      –2 mm1
      –3 mm1
    Forminal stenosis, left
     No change, n (95% CI)63 (70%–89%)
     Increased, n (95% CI)9 (5%–21%)
      +17
      +22
     Decreased, n (95% CI)6 (3%–16%)
      −15
      −21
    Foraminal stenosis, right
     No change, n (95% CI)64 (72%–90%)
     Increased (+1), n (95% CI)7 (4%–18%)
     Decreased (−1), n (95% CI)7 (4%–18%)
    Disc degeneration
     No change53
     Increased (+1)12
     Decreased (−1)13
    • Abbreviation: MRI, magnetic resonance imaging.

    • Note: Data presented as n for number of levels unless otherwise specified. All patients presented with 2 preoperative MRIs of the lumbar spine within the year before planned surgery. The MRIs were investigated for disc degeneration (Pfirrmann’s classification), foraminal stenosis (Lee’s classification), spondylolisthesis, and central canal stenosis (Schizas score and dural sac cross-sectional area).

    • ↵a Due to lumbosacral transitional vertebra.

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Is Repeated Preoperative Magnetic Resonance Imaging Necessary Before Planned Decompressive Surgery for Lumbar Spinal Stenosis?
Veronika Dybvik, Erland Hermansen, Hasan Banitalebi, Tor Åge Myklebust, Kari Indrekvam
International Journal of Spine Surgery Jun 2023, 17 (3) 449-453; DOI: 10.14444/8469

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Is Repeated Preoperative Magnetic Resonance Imaging Necessary Before Planned Decompressive Surgery for Lumbar Spinal Stenosis?
Veronika Dybvik, Erland Hermansen, Hasan Banitalebi, Tor Åge Myklebust, Kari Indrekvam
International Journal of Spine Surgery Jun 2023, 17 (3) 449-453; DOI: 10.14444/8469
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