The diagnostic value of a treadmill test in predicting lumbar spinal stenosis

Barz, T; Melloh, M; Staub, L; Roeder, C; Lange, J; Smiszek, FG; Theis, JC; Merk, H (2008). The diagnostic value of a treadmill test in predicting lumbar spinal stenosis. European spine journal, 17(5), pp. 686-90. Berlin: Springer-Verlag 10.1007/s00586-008-0593-1

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Lumbar spinal stenosis is a frequent indication for spinal surgery. The predictive quality of treadmill testing and MRI for diagnostic verification is not yet clearly defined. Aim of the current study was to assess correlations between treadmill testing and MRI findings in the lumbar spine. Twenty-five patients with lumbar spinal stenosis were prospectively examined. Treadmill tests were performed and the area of the dural sac and neuroforamina was examined with MRI for the narrowest spinal segment. VAS and ODI were used for clinical assessment. The median age of the patients was 67 years. In the narrowest spinal segment the median area of the dural sac was 91 mm(2). The median ODI was 66 per cent. The median walking distance in the treadmill test was 70 m. The distance reached in the treadmill test correlated with the area of the dural sac (Spearman's rho = 0.53) and ODI (rho = -0.51), but not with the area of the neuroforamina and VAS. The distance reached in the treadmill test predicts the grade of stenosis in MRI but has a limited diagnostic importance for the level of clinical symptoms in lumbar spinal stenosis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Melloh, Markus; Staub, Lukas and Röder, Christoph

ISSN:

0940-6719

ISBN:

18259784

Publisher:

Springer-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:03

Last Modified:

23 Oct 2019 01:35

Publisher DOI:

10.1007/s00586-008-0593-1

PubMed ID:

18259784

Web of Science ID:

000255627500009

BORIS DOI:

10.7892/boris.27480

URI:

https://boris.unibe.ch/id/eprint/27480 (FactScience: 107854)

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