Abstract
Lumber spine stenosis (LSS) is one of the major reasons of spinal surgery all over the globe. Despite using standard Diagnostic tools for LSS, the clinical and imaging findings often do not correlate. Over past years, the central spinal canal stenosis is assumed to be the diagnoses of lower back pain, while other anatomical stenosis (i.e lateral recess stenosis) not gaining as much attention. This fact assumed to be the reason for failed back surgery. In this context numerous studies in past have done. The aim of this study is to verify the clinical manifestation of LSS correlation to its Diagnostic find. To evaluate the lumbar spine stenosis on magnetic resonance imaging & correlating with its clinical manifestations. The duration of study was three months. Study was done at Lahore General Hospital, Pakistan. A cross-sectional analytical study included 120 patients. According our study the patients comes with lumber spine stenosis at different levels. At L4L5 presents 39 (32.5%) patients, 47(39.2%) patients reveal at the level of L5S1, 14 (11.7%) patients at L2L3, and only 3 (2.5%) patients appear at the level of L1L2, 19 (15.8%) patients show stenosis at L3L4 Then we correlate the pain intensity with all lumber spine levels and the results are 35 (29.2%) patients are absent and 85 (70.8%) presents at the level of L4L5. On the level of L5S1 pain intensity is absent in 81 (67.5%) patients, & present in 39 (32.5) patients. On the level of L2L3 106 (83.5%) absent and 14 (11.7%) patients are present pain intensity. On the level of L1L2 117 (97.5%) absent of pain intensity and only 3 (2.5%) patients are present with pain intensity. The study concluded that the clinical manifestation of lumber spine stenosis to devise the management plan for the patient for better diagnoses in magnetic resonance imaging in LSS. Keywords: Lumber spine stenosis, manifestation, MRI DOI: 10.7176/JHMN/90-10 Publication date: June 30 th 2021
Highlights
Lumbar spinal stenosis (LSS) is a situation that is medically demonstrated as constriction of spinal canal, lateral recess and neural foramina, with possible subsequent neural or vascular compression
(12) Age has constantly a problematic characteristic of lumber spine stenosis, according to our research statistics we have divided the case frequency of lumber spine stenosis from 19-25 to 75-83, in which the minimum age recorded of the lumber spine patient was found to be around 19 year and maximum age of the lumber spine patient was recorded to be around 83 years of age
According to the age group-based frequency distribution of lumber spine stenosis patients, the most frequent number of cases was reported from the age group 65-72
Summary
Lumbar spinal stenosis (LSS) is a situation that is medically demonstrated as constriction of spinal canal, lateral recess and neural foramina, with possible subsequent neural or vascular compression. The lumber spine stenosis can be classified as central, lateral or foraminal by observing anatomy. In combination Central canal stenosis may result from a reduced in the antero-posterior, transversal. Canal additions that cause degenerative changes often cause central and lateral stenosis, include ossification of posterior longitudinal ligament, vertebral body (bone spurs), intervertebral disc, and epidural fats.
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