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European Spine Journal
Published in: European Spine Journal 10/2017

01-10-2017 | Original Article

The prevalence of tandem spinal stenosis and its characteristics in a population-based MRI study: The Wakayama Spine Study

Authors: Keiji Nagata, Noriko Yoshimura, Hiroshi Hashizume, Yuyu Ishimoto, Shigeyuki Muraki, Hiroshi Yamada, Hiroyuki Oka, Hiroshi Kawaguchi, Toru Akune, Sakae Tanaka, Kozo Nakamura, Munehito Yoshida

Published in: European Spine Journal | Issue 10/2017

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Abstract

Purpose

Tandem spinal stenosis (TSS) is a condition of combined spinal stenosis in the cervical and lumbar regions. The purpose of this study was to determine the prevalence of radiographic TSS and its association with developmental canal stenosis (DCS). The second purpose was to investigate the extent to which radiographic TSS is associated with cervical myelopathy and symptomatic LSS.

Methods

We recruited 1011 (336 men and 675 women) participants in this population-based study. After excluding those with a pacemaker, a history of cervical or lumbar surgery, disqualification, the MRI data of whole spine was analysed in 931 (mean, 67.3 years) participants. Cervical cord compression (CCC) and radiographic lumbar spinal stenosis (LSS) were evaluated by MRI. The canal-to-body ratio was also measured by plain X-ray. DCS was diagnosed as canal-to-body ratio <0.75. The diagnosis of cervical myelopathy and symptomatic LSS was made by presentation of both symptoms and radiographic compression using MRI.

Results

The prevalence of CCC was 24.7%, that of radiographic LSS was 30.2%, and that of radiographic TSS was 11.0% (men, 14.1%; women, 9.4%). The prevalence of TSS was significantly higher in the DCS group than in the non-DCS group (p < 0.001). Among the participants with radiographic TSS, the prevalence of cervical myelopathy and symptomatic LSS was 9.8 and 18.6%, respectively. The coexisting cervical myelopathy and symptomatic LSS was 6.1% in the participants with LSS.

Conclusions

The present study is the first population-based study to clarify TSS characteristic using whole-spine MRI.
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Metadata
Title
The prevalence of tandem spinal stenosis and its characteristics in a population-based MRI study: The Wakayama Spine Study
Authors
Keiji Nagata
Noriko Yoshimura
Hiroshi Hashizume
Yuyu Ishimoto
Shigeyuki Muraki
Hiroshi Yamada
Hiroyuki Oka
Hiroshi Kawaguchi
Toru Akune
Sakae Tanaka
Kozo Nakamura
Munehito Yoshida
Publication date
01-10-2017
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 10/2017
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-017-5072-0

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Author's Reply

Answer to the Letter to the Editor of A. Piazzolla et al. concerning “Normative values for the spine shape parameters using 3D standing analysis from a database of 268 asymptomatic Caucasian and Japanese subjects” by J. C. Le Huec et al. Eur Spine J (2016) 25:3630-3637

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Announcements

Announcement (Issue 10), October 2017