ArticleLa Radiologia medica2014
Occult neural foraminal stenosis caused by association between disc degeneration and facet joint osteoarthritis: demonstration with dedicated upright MRI system.
Article in La Radiologia medica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 64 citations in OpenAlex.
- Assessment of lumbar disc herniaton using fractional anisotropy in diffusion tensor imaging along with conventional T2-weighted imaging.The neuroradiology journal · 2020Trial
- T2 shine-through phenomena in diffusion-weighted MR imaging of lumbar discs after oxygen-ozone discolysis: a randomized, double-blind trial with steroid and O2-O3 discolysis versus steroid only.La Radiologia medica · 2015Trial
- MRI DWI/ADC signal predicts shrinkage of lumbar disc herniation after O2-O3 discolysis.The neuroradiology journal · 2015Trial
- Quantitative Facet Joint Effusion on Magnetic Resonance Imaging Is Associated With Dynamic Segmental Instability and Pain Severity in Degenerative Lumbar Spondylolisthesis.Journal of clinical medicine research · 2026Article
- CEST MRI: Translational prospects for intervertebral disc degeneration - from basic research to clinical applications.Journal of orthopaedic translation · 2026Review
- Reconsidering high intensity zones: its role in intervertebral disk degeneration and low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Associations between Patient Report of Pain and Intervertebral Foramina Changes Visible on Axial-Loaded Lumbar Magnetic Resonance Imaging.Diagnostics (Basel, Switzerland) · 2022Article
- High-resolution, three-dimensional magnetic resonance imaging axial load dynamic study improves diagnostics of the lumbar spine in clinical practice.World journal of orthopedics · 2022Article
- Cervical spine trauma: impact of different imaging classification systems in the clinical decision-making.Acta bio-medica : Atenei Parmensis · 2021Article
- Observational
- Dynamic foraminal dimensions during neck motion 6.5 years after fusion and artificial disc replacement.PloS one · 2020Article
- High-resolution magnetic resonance imaging at 3T of pituitary gland: advantages and pitfalls.Gland surgery · 2019Review
- Correlation between ADC values and Gleason score in evaluation of prostate cancer: multicentre experience and review of the literature.Gland surgery · 2019Review
- Ligamental compartments and their relation to the passing spinal nerves are detectable with MRI inside the lumbar neural foramina.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019Article
- Modic I changes size increase from supine to standing MRI correlates with increase in pain intensity in standing position: uncovering the "biomechanical stress" and "active discopathy" theories in low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019Article
- [Modern radiological diagnostics in spine surgery].Der Orthopade · 2019Review
- Facet joint syndrome: from diagnosis to interventional management.Insights into imaging · 2018Review
- Article
- Magnetic Resonance Imaging correlates of benign and malignant alterations of the spinal bone marrow.Acta bio-medica : Atenei Parmensis · 2018Review
- Dynamic MRI in the evaluation of the spine: state of the art.Acta bio-medica : Atenei Parmensis · 2018Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of our study was to evaluate the presence of dynamic foraminal stenosis using a new low-field dedicated magnetic resonance (MR) unit with a balancing system that allows images to be acquired both in the recumbent and upright position. Imaging of lumbar spine with the patient in a supine, nonweight-bearing position is likely to misrepresent the degree and potential risk of spinal stenosis. MATERIALS AND
methodsIn the period between September 2008 and May 2011, we selected 630 symptomatic patients aged 40-65 years (mean age 56) who underwent conventional MR in clinostatic position. The study only included selected patients (total 160) who underwent clinostatic and orthostatic evaluation using a dedicated MR system (G-scan). The biomechanical parameters were also considered. Changes in the dimension of the neural foramina were compared using the presence of disc and facet degeneration by statistical analysis.
resultsStenosis of the intervertebral foramen was never found in the presence of normal intervertebral discs either in the presence or in the absence of facet disease, in either clinostatic or orthostatic position. Sixty-one stenotic levels were detected which were visualised exclusively in scans obtained under weight-bearing conditions. We named this dynamic condition "occult stenosis". In all of these cases, disc disease was associated with facet pathology.
conclusionOur data show that the association between disc pathology and facet osteoarthrosis can cause occult foraminal stenosis. Strategies to image the spine under physiological load conditions may improve the clinical diagnosis of radicular pain.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.