A STUDY OF LUMBAR SPINAL CANAL BY MRI TO EVALUATE THE RISK OF SPINAL CANAL STENOSIS IN CLINICALLY SYMPTOMATIC PATIENTS

Authors

  • Shakhawan Ali Abdulrahman Department of Anatomy, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Kurdistan Region, Iraq.
  • Naser Abdullah Mohammed Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Kurdistan Region, Iraq.

DOI:

https://doi.org/10.17656/jsmc.10076

Keywords:

Lumbar spinal canal diameter, Spinal canal stenosis, MRI

Abstract

Background

The study of lumbar spinal canal becomes important in persons with low backache and other related complaints particularly for the diagnosis of spinal canal stenosis.

Objectives

This study aims to measure the mid sagittal diameter of the lumbar spinal canal at the level of L3 and thus evaluating the risk of spinal canal stenosis.

Methods

The study was conducted on 106 kurdish patients complaining of lower backache using a 1.5 Tesla MRI scan in the imaging center of Sulaimani teaching hospital.

Results

The mean midsagittal diameter of bony spinal canal at the level of L3 was 12.32 ± 1.44 mm. About 52% of the patients had normal spinal canal diameter, while about 48% of the patients had a stenosed canal.

Conclusion

Midsagittal diameter of the spinal canal was smaller than what it was found in other populations and thus having a greater risk of spinal canal stenosis.

References

Janjua MZ, Muhammad F. Measurement of normal adult lumbar spinal canal. J Pak Med Assoc 1989; 39:264-268.

Gupta SK, Roy RC, Srivastava A. Sagittal diameter of cervical canal in normal Indian adults. Clin Radiol 1982; 33:681-685. DOI: https://doi.org/10.1016/S0009-9260(82)80403-0

Verbiest H. Further experience on the pathological influence of a developmental narrowness of the bony lumbar vertebral canal. J bone and Joint Surg, 1955; 37B: 576-83. DOI: https://doi.org/10.1302/0301-620X.37B4.576

Epstein BS. The spine. Philadelphia: Lea & Febiger, 1976.

Ulrich CCT, Binet ED. Quantitative assessment of the lumbar spinal canal by computed tomography. Radiology 1980; 134: 137. DOI: https://doi.org/10.1148/radiology.134.1.7350593

Hamanishi C, Matucara N, Fujita M et al. Cross sectional area of the stenotic lumbar dural tube measured from transverse views of MRI. J Spinal Dicord 1994; 7: 388-93. DOI: https://doi.org/10.1097/00002517-199410000-00004

Boden SD, Devis dO, Dina TS. Abnormal MR scan of the lumbar spine in aymptomatic subjects. J Bone Joint Surg 1990; 72A: 403-08. DOI: https://doi.org/10.2106/00004623-199072030-00013

Einstein S. The morphometric and pathologic anatomy of the lumbar spine in South African Negroes with specific reference to spinal stenosis. J bone Joint Surg 1977; 59A:173-180. DOI: https://doi.org/10.1302/0301-620X.59B2.873978

Huizinga H, Heiden J, Vinken P.The human lumbar vertebral canal, a biometric study. Prockon Med Akad 16. Wetc 1952; 55-122

Jensen MC, Obuchowsky N. MRI of lumbar spine in people without back pain. N Engl J Med 1994; 331: 69-73. DOI: https://doi.org/10.1056/NEJM199407143310201

Elsberg CA, Dyke CG. Diagnosis and localization of tumours of spinal cord by means of measurements made on X-ray films. Bul Neurol Ist NY 1934; 3: 359-393

Sarpyener MA. Congenital structure of the spinal canal. J Bone and Joint Surgery 1945; 27: 70-79.

Ahmad T, Goel P, Ramesh Babu SC. A study of lumbar canal by MRI in clinically symptomatic and asymptomatic subjects. J Anat Soc India 2011; 60(2): 184-187. DOI: https://doi.org/10.1016/S0003-2778(11)80022-5

Hinck VC, Hopkins CE, Clark WM. Sagittal diameter of the lumbar spinal canal in children and adults. Radiology. 1965; 85: 929-937. DOI: https://doi.org/10.1148/85.5.929

Amonoo-Kuofi HS. The sagittal diameter of the lumbar vertebral canal in normal adult Nigerians. J. Anat. 1985; 140(1): 69-78.

Malas MA, Salbacak A, Aler A, Yardimci C. Midsagittal diameters of the lumbar vertebral canal determined by magnetic resonance imaging. SDÜ Tip Fakültesi Dergisi. 1997; 4(3): 7-11.

Shukri EG. Anatomical study of the lumbar spinal canal by magnetic resonance imaging. F.I.C.M.S. study in clinical and applied anatomy, Iraqi Committee for Medical Specialization, Baghdad, Iraq. 2002; 32-40.

Jahangir M, Dar S, Jeelani G. Antero-posterior measurement of the lumbar spinal canal on midsagittal MRI in Kashmiri adults. JK-Practitioner.2003; 10(4): 284-285.

Tong HC, Carson JT, Haig AJ, Quint DJ, Phalke VR, Yamakawa KSJ et al. Magnetic resonance imaging of the lumbar spine in asymptomatic older adult. Journal of Back and Musculoskeletal Rehabilitation. 2006; 19 (2): 67-72. DOI: https://doi.org/10.3233/BMR-2006-192-305

Published

2015-12-01

Issue

Section

Articles

How to Cite

1.
Abdulrahman S, Mohammed N. A STUDY OF LUMBAR SPINAL CANAL BY MRI TO EVALUATE THE RISK OF SPINAL CANAL STENOSIS IN CLINICALLY SYMPTOMATIC PATIENTS. JSMC [Internet]. 2015 Dec. 1 [cited 2024 Apr. 23];5(2):123-7. Available from: https://jsmc.univsul.edu.iq/index.php/jsmc/article/view/jsmc-10076

Similar Articles

1-10 of 32

You may also start an advanced similarity search for this article.