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Quantitative Analysis Of Lumbar Disc Bulging In Patients With Lumbar Spinal Stenosis: Implication For Surgical Outcomes Of Decompression Surgery London Spine Lumbar Stenosis

This study used computed tomography (CT) to assess disc bulging in patients with lumbar spinal stenosis (LSS) and examined how it affected surgical outcomes after posterior decompression surgery. Sixty-three patients were included, and the extent of disc bulging was evaluated as the percentage of the extended area of the disc against the endplate area. The participants completed preoperative and postoperative clinical outcome assessments (COAs) including the JOA Back Pain Evaluation Questionnaire, Oswestry Disability Index, and Roland-Morris Disability Questionnaire. The study found that disc bulging had a significant correlation with postoperative outcomes, particularly in regards to walking ability and low back pain-related quality of life

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spinal hospital in UK

Published article

This study aimed to quantitatively assess disc bulging using computed tomography (CT) in patients with lumbar spinal stenosis (LSS) and to examine whether disc bulging affects the surgical outcomes of patients with LSS after posterior decompression surgery. Sixty-three patients who underwent posterior decompression surgery for LSS were included. The extent of disc bulging was evaluated as the percentage of the extended area of the disc against the endplate area (%EAD) on axial CT images. The…

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract This study aimed to quantitatively assess disc bulging using computed tomography (CT) in patients with lumbar spinal stenosis (LSS) and to examine whether disc bulging affects the surgical outcomes of patients with LSS after posterior decompression surgery. Sixty-three patients who underwent posterior decompression surgery for LSS were included. The extent of disc bulging was,

Abstract

This study aimed to quantitatively assess disc bulging using computed tomography (CT) in patients with lumbar spinal stenosis (LSS) and to examine whether disc bulging affects the surgical outcomes of patients with LSS after posterior decompression surgery. Sixty-three patients who underwent posterior decompression surgery for LSS were included. The extent of disc bulging was evaluated as the percentage of the extended area of the disc against the endplate area (%EAD) on axial CT images. The participants completed the following clinical outcome assessments (COAs) preoperatively and 12 months postoperatively: the JOA Back Pain Evaluation Questionnaire (JOABPEQ), Oswestry Disability Index (ODI), and Roland-Morris Disability Questionnaire (RDQ). The mean %EAD of 315 intervertebral discs was 18.9 ± 8.0. The %EAD was highest at L4/L5, followed by L3/L4, L2/L3, L1/L2, and L5/S1. The %EAD of the surgical level showed no significant correlation with all the preoperative COAs, but it had significant correlation with lumbar function, walking ability, social function domains of the JOABPEQ, ODI score, and RDQ score 12 months postoperatively. %EAD was significantly associated with the postoperative score in the walking ability domain of the JOABPEQ. %EAD affects postoperative clinical outcomes, including low back pain-related quality of life after decompression surgery.

Keywords: CT; MRI; disc bulging; lumbar spinal stenosis; patient-reported outcome measures.

The London Spine Unit : the highest rated spinal hospital in UK

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Quantitative Analysis of Lumbar Disc Bulging in Patients with Lumbar Spinal Stenosis: Implication for Surgical Outcomes of Decompression Surgery

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Abstract This study aimed to quantitatively assess disc bulging using computed tomography (CT) in patients with lumbar spinal stenosis (LSS) and to examine whether disc bulging affects the surgical outcomes of patients with LSS after posterior decompression surgery. Sixty-three patients who underwent posterior decompression surgery for LSS were included. The extent of disc bulging was

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