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Research ArticleArticle
Open Access

Measuring spinal canal size in lumbar spinal stenosis: description of method and preliminary results

Andrew Hughes, Serik K. Makirov and Valentin Osadchiy
International Journal of Spine Surgery January 2015, 9 8; DOI: https://doi.org/10.14444/2008
Andrew Hughes
1Orthopedic Surgery, RMAPE, Moscow, Russia
MD
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Serik K. Makirov
1Orthopedic Surgery, RMAPE, Moscow, Russia
Ph.D
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Valentin Osadchiy
2National University of Science and Technology (MISIS), Moscow, Russia
Ph.D
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  • Figure 1
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    Figure 1

    Scheme of the spinal canal areas measurement: 1. Cross-sectional area of lateral channel; 2. Cross-sectional area of dural sac.

  • Figure 2
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    Figure 2

    Measurements of linear sizes of the spinal canal. 1. Depth of the lateral recess; 2. Ligamentous interfacet distance; 3. Anterio-posterior diameter of dural sac; 4. Transverse diameter of dural sac; 5. Angle of the lateral recess.

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    Table 1

    Linear pair correlation coefficients of spinal stenosis’ radiological criteria

    CriteriaTotal cross-sectional areaCross-sectional area of dural sacCross-sectional area of left lateral canalCross-sectional area of right lateral canalTotal cross-sectional area of lateral canalsAnterio-posterior diameter of dural sacTransverse diameter of dural sacLigamentous interfacet distanceDepth of the right lateral recessDepth of the left lateral recessAngle of the right lateral recessAngle of the left lateral recessLevel of measuring
    Total cross-sectional area10.970.750.710.840.690.570.640.540.650.070.02-0.51
    Cross-sectional area of dural sac0.9710.640.620.730.730.530.640.530.620.10.01-0.52
    Cross-sectional area of left lateral channel0.750.6410.510.890.40.480.360.330.61-0.10.18-0.27
    Cross-sectional area of right lateral channel0.710.620.5110.840.340.480.480.530.40.01-0.1-0.28
    Total cross-sectional area of lateral canals0.840.730.890.8410.430.550.480.480.5900.03-0.32
    Anterio-posterior diameter of dural sac0.690.730.40.340.4310.210.420.140.230.07-0.1-0.28
    Transverse diameter of dural sac0.570.530.480.480.550.2110.590.480.530.260.15-0.31
    Ligamentous interfacet distance0.640.640.360.480.480.420.5910.30.30-0.1-0.47
    Depth of the right lateral recess0.540.530.330.530.480.140.480.310.720.40.13-0.15
    Depth of the left lateral recess0.650.620.610.40.590.230.530.350.7210.20.14-0.37
    Angle of the right lateral recess0.070.1-0.10.0100.070.2600.40.210.25-0.12
    Angle of the left lateral recess0.020.010.18-0.20.03-0.10.15-0.10.130.140.251-0.14
    Level of measuring-0.51-0.52-0.27-0.28-0.32-0.28-0.31-0.48-0.15-0.37-0.12-0.141
    • View popup
    Table 2

    Characteristics of Subgroups’ 1-3 mean values

    Group 1Group 2Group 3
    Patients19161
    Mean CS0.150.210.26
    Mean ODI0.620.590.4
    Mean SSQ0.760.740.42
    • View popup
    Table 3

    Mann-Whitney U test for Subgroups 1 and 2 (generated in IBM SPSS Statistics 19)

    Ranks
    Subgroup No.NMean RankSum of Ranks
    ODI1.002021.93438.50
    2.001614.22227.50
    Total36
    SSS1.002021.80436.00
    2.001614.38230.00
    Total36
    mCS1.002010.50210.00
    2.001628.50456.00
    Total36
    Test Statisticsq
    ODISSSmCS
    Mann-Whitney U91.5094.00000
    Wilcoxon W227.500230.000210.000
    Z-2.191-2.108-5.116
    Asymp. Sig (2-tailed).028.035.000
    • ↵a Grouping Variable: Subgroup Number

    • ODI – Oswestry Disability Index. SSQ – Swiss Spinal Stenosis Questionnaire. mCS – Mean Coefficient of Stenosis.

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1 Jan 2015
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Measuring spinal canal size in lumbar spinal stenosis: description of method and preliminary results
Andrew Hughes, Serik K. Makirov, Valentin Osadchiy
International Journal of Spine Surgery Jan 2015, 9 8; DOI: 10.14444/2008

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Measuring spinal canal size in lumbar spinal stenosis: description of method and preliminary results
Andrew Hughes, Serik K. Makirov, Valentin Osadchiy
International Journal of Spine Surgery Jan 2015, 9 8; DOI: 10.14444/2008
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Keywords

  • lumbar spinal stenosis
  • coefficient of stenosis
  • radiological criteria

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