ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018
Correlations between sedimentation sign, dural sac cross-sectional area, and clinical symptoms of degenerative lumbar spinal stenosis.
Article in 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, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Use and misuse of the sedimentation sign in lumbar spine stenosis.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 · 2025Pooled it
- Efficacy of JOINS Tablet for Lumbar Spinal Stenosis: Prospective, Randomized, Open-Label Clinical Trial.Medicina (Kaunas, Lithuania) · 2025Trial
- An optimal disc height changes for successful indirect decompression with OLIF.Scientific reports · 2025Article
- Automatic segmentation of dura for quantitative analysis of lumbar stenosis: A deep learning study with 518 CT myelograms.Journal of applied clinical medical physics · 2024Article
- Efficacy of OLIF combined with pedicle screw internal fixation for lumbar spinal stenosis on spinal canal changes before and after surgery.Journal of orthopaedic surgery and research · 2023Article
- The Correlation Between Negative Nerve Root Sedimentation Sign and Gravity: A Study of Upright Lumbar Multi-Positional Magnetic Resonance Images.Global spine journal · 2023Article
- The reliability, correlation with clinical symptoms and surgical outcomes of dural sac cross-sectional area, nerve root sedimentation sign and morphological grade for lumbar spinal stenosis.BMC musculoskeletal disorders · 2023Article
- Referred pain: characteristics, possible mechanisms, and clinical management.Frontiers in neurology · 2023Review
- [Lumbar spinal stenosis].Orthopadie (Heidelberg, Germany) · 2022Article
- Magnitude of Dural Tube Compression Still Does Not Show a Predictive Value for Symptomatic Lumbar Spinal Stenosis for Six-Year Follow-Up: A Longitudinal Observation Study in the Community.Journal of clinical medicine · 2022Article
- Nerve root sedimentation sign on MRI: A triage screen for leg dominant symptoms?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 · 2021Article
- [The application of classification of lateral region of lumbar spinal canal for treatment of lumbar spinal stenosis in geriatric patients using full endoscopic transforaminal decompression surgery].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- Analysis of radiological parameters associated with decreased fractional anisotropy values on diffusion tensor imaging in patients with lumbar spinal stenosis.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
- Therapeutic Feasibility of Full Endoscopic Decompression in One- to Three-Level Lumbar Canal Stenosis via a Single Skin Port Using a New Endoscopic System, Percutaneous Stenoscopic Lumbar Decompression.Asian spine journal · 2019Article
- [Lumbar spinal stenosis : From the diagnosis to the correct treatment].Der Orthopade · 2019Article
- Superior articular process cross-sectional area is a new sensitive parameter for the diagnosis of lumbar central canal spinal stenosis.Clinical interventions in aging · 2018Article
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1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn this study, we addressed the correlation between the cross-sectional area (CSA) of the dural sac and the nerve root sedimentation sign (SedSign) and the correlation between the distance of claudication and the CSA of the dural sac or SedSign in patients with lumbar spinal stenosis. We also evaluated the reliability of clinical symptom prediction.
methodsWe checked claudication distance using a questionnaire, and we gauged low back pain when standing, referred pain, and radiating pain using visual analog scale scores. Three observers measured the CSA of the dural sac and SedSign, and normal nerve root sedimentation was classified as negative (N) and the absence of nerve root sedimentation was positive (P). P was sub-classified as positive with room [P(+); empty space apparent in the dura] or positive without room [P(-); no empty space in the dura]. SedSign reflected ongoing sedimentation inside the spinal canal of the nerve roots. We demonstrated negative sedimentation for the nerve root except for exiting nerve roots that settled into more than half of the dorsal region of the spinal canal and positive sedimentation as compressed nerve roots or as distribution of nerve roots that conglomerated from the ventral to the dorsal part of the equator as nerve roots. We evaluated functional outcomes using the Oswestry Disability Index and Roland-Morris Disability Questionnaire. One-way ANOVAs, Chi square tests, and correlation analyses evaluated the correlation CSAs and SedSigns.
resultsThe total CSAs for the 716 sites were 98.63 ± 34.38 for N, 76.78 ± 28.78 for P(+), and 55.43 ± 27.77 for P(-), which were all statistically significant (p = 0.01). The correlations between pain and SedSign were not statistically significant (p > 0.05). There was no statistical significance in the correlations between the distance of the claudication and the CSA of the dura sac and the SedSign and between the functional score and the SedSign (both p > 0.05).
conclusionsIncreasing severity of SedSign indicates progressively smaller dural sac CSA, but there is an inconsistent association with clinical symptoms. Therefore, it is reasonable to suggest that spinal stenosis is severe in patients with severe symptoms.
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