ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
The Haleem-Botchu classification: a novel CT-based classification for lumbar foraminal 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- A Novel Scoring System for Predicting Procedural Difficulty in Supraneural L5 TFESI: The L5 TFESI Difficulty Score (LTDS).Pain practice : the official journal of World Institute of Pain · 2026Article
- An Evaluation of Lumbar Foraminal Stenosis Radiologic Grading Systems: A Systematic Review.Spine surgery and related research · 2026Review
- Lumbar foraminal stenosis was associated with back pain and leg pain: epidemiological evidence from a population-based cohort.Neuroradiology · 2024Article
- Quantifying Lumbar Foraminal Volumetric Dimensions: Normative Data and Implications for Stenosis-Part 2 of a Comprehensive Series.Medical sciences (Basel, Switzerland) · 2024Article
- A correlation study of preoperative lumbar paraspinal muscle quality and L5-S1 lumbar foraminal stenosis degeneration after L4-5 TLIF.Journal of orthopaedic surgery and research · 2023Article
- Presentation, Diagnosis, and Management of Lower Back Pain Associated with Spinal Stenosis: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2023Review
- Foraminal Stenosis at L5-S1 as an Overlooked Pathology of Bilateral Radiculopathy: A Case Series.Journal of orthopaedic case reports · 2022Article
- Neuroforamen stenosis remains a challenge in conventional computed tomography and new dual-energy techniques.Scientific reports · 2022Article
- MRI and Anatomical Determinants Affecting Neuroforaminal Stenosis Evaluation: A Descriptive Observational Study.Journal of pain research · 2022Article
- What does the orthopaedic surgeon want in the radiology report?Journal of clinical orthopaedics and trauma · 2021Article
- Introduction and reproducibility of an updated practical grading system for lumbar foraminal stenosis based on high-resolution MR imaging.Scientific reports · 2021Article
- Letter to the Editor concerning "The Haleem-Botchu classification: a novel CT-based classification for lumbar foraminal stenosis" by Haleem S et al. [Eur Spine J (2020): DOI 10.1007/s00586-020-06656-5].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
- Answer to the Letter to the Editor of Yin Mengchen et al. concerning "The Haleem-Botchu classification: a novel CT-based classification for lumbar foraminal stenosis" by Haleem S et al. [Eur Spine J (2020): DOI 10.1007/s00586-020-06656-5].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
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeNo clinical CT-based classification system is currently in use for lumbar foraminal stenosis. MRI scanners are not easily available, are expensive and may be contraindicated in an increasing number of patients. This study aimed to propose and evaluate the reproducibility of a novel CT-based classification for lumbar foraminal stenosis. MATERIALS AND
methodsThe grading was developed as four grades: normal foramen-Grade 0, anteroposterior (AP)/superoinferior (SI) (single plane) fat compression-Grade 1, both AP/SI compression (two planes) without distortion of nerve root-Grade 2 and Grade 2 with distortion of nerve root-Grade 3. A total of 800 lumbar foramen of a cohort of 100 random patients over the age of 60 who had undergone both CT and MRI scans were reviewed by two radiologists independently to assess agreement of the novel CT classification against the MRI-based grading system of Lee et al. Interobserver(n = 400) and intraobserver agreement(n = 160) was also evaluated. Agreement analysis was performed using the weighted kappa statistic.
resultsA total of 100 patients (M:F = 45:55) with a mean age of 68.5 years (range 60-83 years were included in the study. The duration between CT and MRI scans was 98 days (range 0-540, SD-108). There was good correlation between CT and MRI with kappa scores (k = 0.81) and intraobserver kappa of 0.89 and 0.98 for the two readers.
conclusionThe novel CT-based classification correlates well with the MRI grading system and can safely and accurately replace it where required.
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