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The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 1/2021

Open Access 01-12-2021 | Spinal Stenosis | Research

The value of cervical MRI in surgical lumbar canal stenosis patients

Authors: Omar Youssef Abdalla, Hieder Al-Shami, Heba Medhat Maghraby, Abdelrhman Enayet

Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery | Issue 1/2021

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Abstract

Background

The prevalence of cervical canal stenosis alone is estimated to be present in 4.9% of the adult population. Co-existence of dual pathology may complicate clinical presentation and necessitates a wise and individually based decision process.

Objectives

To estimate the co-existence of cervical canal stenosis in surgical lumbar canal stenosis patients and its reflection on decision-making regarding surgery.

Methods

It is a prospective study that was conducted on 70 cases with symptomatic lumbar canal stenosis by investigating them for cervical canal stenosis clinically and radiologically.

Results

The co-existence of cervical and lumbar canal stenoses was seen in 62 cases (88.57%); cases with relative cervical stenosis were 25 (35.714%) and absolute cervical stenosis was 37 (52.857%). Cases with no cervical stenosis were 8 (11.428%) and cases with relative lumbar stenosis were 22 (31.428%), while cases with absolute lumbar stenosis were 48 (68.571%). Cases with symptomatic cervical canal stenosis were 30 (42.857%). Cases with asymptomtic cervical canal stenosis were 32 (45.71%).

Conclusion

Tandem spinal stenosis (TSS) is not uncommon and MRI cervical spine should be done for every lumbar canal stenosis patient especially if indicated by history or clinical examination.
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Metadata
Title
The value of cervical MRI in surgical lumbar canal stenosis patients
Authors
Omar Youssef Abdalla
Hieder Al-Shami
Heba Medhat Maghraby
Abdelrhman Enayet
Publication date
01-12-2021
Publisher
Springer Berlin Heidelberg
Keyword
Spinal Stenosis
DOI
https://doi.org/10.1186/s41983-020-00249-1

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