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Does lumbar spinal stenosis increase the risk of spondylotic cervical spinal cord compression?
Purpose The aim of this prospective cross-sectional observational comparative study was to determine the prevalence of spondylotic cervical cord compression (SCCC) and symptomatic cervical spondylotic myelopathy (CSM) in patients with symptomatic lumbar spinal stenosis (LSS) in comparison with a gen...
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| Published in: | European spine journal 2015-12, Vol.24 (12), p.2946-2953 |
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| Main Authors: | , , , , , , , , |
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| container_end_page | 2953 |
| container_issue | 12 |
| container_start_page | 2946 |
| container_title | European spine journal |
| container_volume | 24 |
| creator | Adamova, Blanka Bednarik, Josef Andrasinova, Tereza Kovalova, Ivana Kopacik, Roman Jabornik, Michal Kerkovsky, Milos Jakubcova, Barbora Jarkovsky, Jiri |
| description | Purpose
The aim of this prospective cross-sectional observational comparative study was to determine the prevalence of spondylotic cervical cord compression (SCCC) and symptomatic cervical spondylotic myelopathy (CSM) in patients with symptomatic lumbar spinal stenosis (LSS) in comparison with a general population sample and to seek to identify predictors for the development of CSM.
Methods
A group of 78 patients with LSS (48 men, median age 66 years) was compared with a randomly selected age- and sex-matched group of 78 volunteers (38 men, median age 66 years). We evaluated magnetic resonance imaging findings from the cervical spine and neurological examination.
Results
The presence of SCCC was demonstrated in 84.6 % of patients with LSS, but also in 57.7 % of a sample of volunteers randomly recruited from the general population. Clinically symptomatic CSM was found in 16.7 % of LSS patients in comparison with 1.3 % of volunteers (
p
= 0.001). Multivariable logistic regression proposed the Oswestry Disability Index of 43 % or more as the only independent predictor of symptomatic CSM in LSS patients (OR 9.41,
p
= 0.008).
Conclusions
The presence of symptomatic LSS increases the risk of SCCC; the prevalence of SCCC is higher in patients with symptomatic LSS in comparison with the general population, with an evident predominance of more serious types of MRI-detected compression and a clinically symptomatic form (CSM). Symptomatic CSM is more likely in LSS patients with higher disability as assessed by the Oswestry Disability Index. |
| doi_str_mv | 10.1007/s00586-015-4049-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1751228289</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1736678484</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-274d8cc4d4e1c0a6ed93e1b8c8cde4f894d2a338263776e9ff7bd44edf3434a23</originalsourceid><addsrcrecordid>eNqNkUtrFUEQhRtRzDX6A9yEATduxvRr-rESiZoIgWzi1qZvd412MjN97ZoJ5N_b14khCIFsqhb1nVNUHULeMvqBUaqPkdLOqJayrpVU2pY-IxsmBW-pFfw52VAraas0swfkFeIVraCl6iU54IoKwzq9IT8-Z8BmWMatLw3u0uSHBmeYMiZs0hQKeIRm_gVNSXjd5L5CeYq3Q55TaAKUmxT2klUZcom1jLsCiClPH1-TF70fEN7c9UPy_euXy5Oz9vzi9NvJp_M2SN3NLdcymhBklMAC9QqiFcC2JpgQQfbGysi9EIYrobUC2_d6G6WE2AsppOfikLxffXcl_14AZzcmDDAMfoK8oGO6Y5wbbuwTUKGUNtLIir77D73KS6mH_qXq6xVTe4qtVCgZsUDvdiWNvtw6Rt0-J7fm5Or73T4nR6vm6M552Y4Q7xX_gqkAXwGso-knlAerH3X9A1Mcnds</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1735866164</pqid></control><display><type>article</type><title>Does lumbar spinal stenosis increase the risk of spondylotic cervical spinal cord compression?</title><source>Springer Link</source><creator>Adamova, Blanka ; Bednarik, Josef ; Andrasinova, Tereza ; Kovalova, Ivana ; Kopacik, Roman ; Jabornik, Michal ; Kerkovsky, Milos ; Jakubcova, Barbora ; Jarkovsky, Jiri</creator><creatorcontrib>Adamova, Blanka ; Bednarik, Josef ; Andrasinova, Tereza ; Kovalova, Ivana ; Kopacik, Roman ; Jabornik, Michal ; Kerkovsky, Milos ; Jakubcova, Barbora ; Jarkovsky, Jiri</creatorcontrib><description>Purpose
The aim of this prospective cross-sectional observational comparative study was to determine the prevalence of spondylotic cervical cord compression (SCCC) and symptomatic cervical spondylotic myelopathy (CSM) in patients with symptomatic lumbar spinal stenosis (LSS) in comparison with a general population sample and to seek to identify predictors for the development of CSM.
Methods
A group of 78 patients with LSS (48 men, median age 66 years) was compared with a randomly selected age- and sex-matched group of 78 volunteers (38 men, median age 66 years). We evaluated magnetic resonance imaging findings from the cervical spine and neurological examination.
Results
The presence of SCCC was demonstrated in 84.6 % of patients with LSS, but also in 57.7 % of a sample of volunteers randomly recruited from the general population. Clinically symptomatic CSM was found in 16.7 % of LSS patients in comparison with 1.3 % of volunteers (
p
= 0.001). Multivariable logistic regression proposed the Oswestry Disability Index of 43 % or more as the only independent predictor of symptomatic CSM in LSS patients (OR 9.41,
p
= 0.008).
Conclusions
The presence of symptomatic LSS increases the risk of SCCC; the prevalence of SCCC is higher in patients with symptomatic LSS in comparison with the general population, with an evident predominance of more serious types of MRI-detected compression and a clinically symptomatic form (CSM). Symptomatic CSM is more likely in LSS patients with higher disability as assessed by the Oswestry Disability Index.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-015-4049-0</identifier><identifier>PMID: 26038157</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Case-Control Studies ; Cross-Sectional Studies ; Disability Evaluation ; Female ; Humans ; Lumbar Vertebrae - pathology ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurologic Examination ; Neurosurgery ; Original Article ; Prospective Studies ; Spinal Cord Compression - pathology ; Spinal Stenosis - pathology ; Spondylosis - pathology ; Surgical Orthopedics</subject><ispartof>European spine journal, 2015-12, Vol.24 (12), p.2946-2953</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-274d8cc4d4e1c0a6ed93e1b8c8cde4f894d2a338263776e9ff7bd44edf3434a23</citedby><cites>FETCH-LOGICAL-c475t-274d8cc4d4e1c0a6ed93e1b8c8cde4f894d2a338263776e9ff7bd44edf3434a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26038157$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adamova, Blanka</creatorcontrib><creatorcontrib>Bednarik, Josef</creatorcontrib><creatorcontrib>Andrasinova, Tereza</creatorcontrib><creatorcontrib>Kovalova, Ivana</creatorcontrib><creatorcontrib>Kopacik, Roman</creatorcontrib><creatorcontrib>Jabornik, Michal</creatorcontrib><creatorcontrib>Kerkovsky, Milos</creatorcontrib><creatorcontrib>Jakubcova, Barbora</creatorcontrib><creatorcontrib>Jarkovsky, Jiri</creatorcontrib><title>Does lumbar spinal stenosis increase the risk of spondylotic cervical spinal cord compression?</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
The aim of this prospective cross-sectional observational comparative study was to determine the prevalence of spondylotic cervical cord compression (SCCC) and symptomatic cervical spondylotic myelopathy (CSM) in patients with symptomatic lumbar spinal stenosis (LSS) in comparison with a general population sample and to seek to identify predictors for the development of CSM.
Methods
A group of 78 patients with LSS (48 men, median age 66 years) was compared with a randomly selected age- and sex-matched group of 78 volunteers (38 men, median age 66 years). We evaluated magnetic resonance imaging findings from the cervical spine and neurological examination.
Results
The presence of SCCC was demonstrated in 84.6 % of patients with LSS, but also in 57.7 % of a sample of volunteers randomly recruited from the general population. Clinically symptomatic CSM was found in 16.7 % of LSS patients in comparison with 1.3 % of volunteers (
p
= 0.001). Multivariable logistic regression proposed the Oswestry Disability Index of 43 % or more as the only independent predictor of symptomatic CSM in LSS patients (OR 9.41,
p
= 0.008).
Conclusions
The presence of symptomatic LSS increases the risk of SCCC; the prevalence of SCCC is higher in patients with symptomatic LSS in comparison with the general population, with an evident predominance of more serious types of MRI-detected compression and a clinically symptomatic form (CSM). Symptomatic CSM is more likely in LSS patients with higher disability as assessed by the Oswestry Disability Index.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Cross-Sectional Studies</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Humans</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurologic Examination</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Prospective Studies</subject><subject>Spinal Cord Compression - pathology</subject><subject>Spinal Stenosis - pathology</subject><subject>Spondylosis - pathology</subject><subject>Surgical Orthopedics</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqNkUtrFUEQhRtRzDX6A9yEATduxvRr-rESiZoIgWzi1qZvd412MjN97ZoJ5N_b14khCIFsqhb1nVNUHULeMvqBUaqPkdLOqJayrpVU2pY-IxsmBW-pFfw52VAraas0swfkFeIVraCl6iU54IoKwzq9IT8-Z8BmWMatLw3u0uSHBmeYMiZs0hQKeIRm_gVNSXjd5L5CeYq3Q55TaAKUmxT2klUZcom1jLsCiClPH1-TF70fEN7c9UPy_euXy5Oz9vzi9NvJp_M2SN3NLdcymhBklMAC9QqiFcC2JpgQQfbGysi9EIYrobUC2_d6G6WE2AsppOfikLxffXcl_14AZzcmDDAMfoK8oGO6Y5wbbuwTUKGUNtLIir77D73KS6mH_qXq6xVTe4qtVCgZsUDvdiWNvtw6Rt0-J7fm5Or73T4nR6vm6M552Y4Q7xX_gqkAXwGso-knlAerH3X9A1Mcnds</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Adamova, Blanka</creator><creator>Bednarik, Josef</creator><creator>Andrasinova, Tereza</creator><creator>Kovalova, Ivana</creator><creator>Kopacik, Roman</creator><creator>Jabornik, Michal</creator><creator>Kerkovsky, Milos</creator><creator>Jakubcova, Barbora</creator><creator>Jarkovsky, Jiri</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20151201</creationdate><title>Does lumbar spinal stenosis increase the risk of spondylotic cervical spinal cord compression?</title><author>Adamova, Blanka ; Bednarik, Josef ; Andrasinova, Tereza ; Kovalova, Ivana ; Kopacik, Roman ; Jabornik, Michal ; Kerkovsky, Milos ; Jakubcova, Barbora ; Jarkovsky, Jiri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-274d8cc4d4e1c0a6ed93e1b8c8cde4f894d2a338263776e9ff7bd44edf3434a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Cross-Sectional Studies</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Humans</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurologic Examination</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Prospective Studies</topic><topic>Spinal Cord Compression - pathology</topic><topic>Spinal Stenosis - pathology</topic><topic>Spondylosis - pathology</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adamova, Blanka</creatorcontrib><creatorcontrib>Bednarik, Josef</creatorcontrib><creatorcontrib>Andrasinova, Tereza</creatorcontrib><creatorcontrib>Kovalova, Ivana</creatorcontrib><creatorcontrib>Kopacik, Roman</creatorcontrib><creatorcontrib>Jabornik, Michal</creatorcontrib><creatorcontrib>Kerkovsky, Milos</creatorcontrib><creatorcontrib>Jakubcova, Barbora</creatorcontrib><creatorcontrib>Jarkovsky, Jiri</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adamova, Blanka</au><au>Bednarik, Josef</au><au>Andrasinova, Tereza</au><au>Kovalova, Ivana</au><au>Kopacik, Roman</au><au>Jabornik, Michal</au><au>Kerkovsky, Milos</au><au>Jakubcova, Barbora</au><au>Jarkovsky, Jiri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does lumbar spinal stenosis increase the risk of spondylotic cervical spinal cord compression?</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>24</volume><issue>12</issue><spage>2946</spage><epage>2953</epage><pages>2946-2953</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Undefined-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Article-1</notes><notes>ObjectType-Feature-2</notes><abstract>Purpose
The aim of this prospective cross-sectional observational comparative study was to determine the prevalence of spondylotic cervical cord compression (SCCC) and symptomatic cervical spondylotic myelopathy (CSM) in patients with symptomatic lumbar spinal stenosis (LSS) in comparison with a general population sample and to seek to identify predictors for the development of CSM.
Methods
A group of 78 patients with LSS (48 men, median age 66 years) was compared with a randomly selected age- and sex-matched group of 78 volunteers (38 men, median age 66 years). We evaluated magnetic resonance imaging findings from the cervical spine and neurological examination.
Results
The presence of SCCC was demonstrated in 84.6 % of patients with LSS, but also in 57.7 % of a sample of volunteers randomly recruited from the general population. Clinically symptomatic CSM was found in 16.7 % of LSS patients in comparison with 1.3 % of volunteers (
p
= 0.001). Multivariable logistic regression proposed the Oswestry Disability Index of 43 % or more as the only independent predictor of symptomatic CSM in LSS patients (OR 9.41,
p
= 0.008).
Conclusions
The presence of symptomatic LSS increases the risk of SCCC; the prevalence of SCCC is higher in patients with symptomatic LSS in comparison with the general population, with an evident predominance of more serious types of MRI-detected compression and a clinically symptomatic form (CSM). Symptomatic CSM is more likely in LSS patients with higher disability as assessed by the Oswestry Disability Index.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26038157</pmid><doi>10.1007/s00586-015-4049-0</doi><tpages>8</tpages></addata></record> |
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| source | Springer Link |
| subjects | Adult Aged Aged, 80 and over Case-Control Studies Cross-Sectional Studies Disability Evaluation Female Humans Lumbar Vertebrae - pathology Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Neurologic Examination Neurosurgery Original Article Prospective Studies Spinal Cord Compression - pathology Spinal Stenosis - pathology Spondylosis - pathology Surgical Orthopedics |
| title | Does lumbar spinal stenosis increase the risk of spondylotic cervical spinal cord compression? |
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