Degenerative lumbar scoliosis: Added value of coronal images to routine lumbar MRI for nerve root compromise
European Radiology Jan 10, 2020
Lee SK, et al. - Because radiating pain in degenerative scoliosis is the primary indication for surgery but axial and sagittal MR images were limited for recognizing nerve root compromise, therefore, experts intend to evaluate the value of coronal images for evaluating nerve root compromise in degenerative scoliosis. A total of 46 individuals with degenerative scoliosis were selected. Coronal images were attached to routine MRI. 350 nerve roots in two MRI sets such as sagittal images alone and coronal and sagittal images combined were reviewed by two radiologists separately. The following features were assessed such as interpedicular height, lateral osteophyte, asymmetric bulging disc, lateral listhesis, anterolisthesis, axial rotation angle, facet arthrosis, ligamentum flavum thickening, and pseudoarticulation. There were 80 symptomatic and 270 asymptomatic nerve roots. The sensitivity and efficiency of set 2 were notably greater in contrast with set 1 for radiculopathy, while specificity was related among two sets. It was found that coronal images were helpful for diagnosing nerve root compromise in individuals with degenerative scoliosis.
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