The Association Between Radiographic Lumbar Spinal Stenosis And The Quality Of Life In The Turkish Population
Year 2025,
Volume: 14 Issue: 2, 58 - 64, 29.08.2025
Anıl Taşkesen
,
Ömer Neşet Kişi
,
Fatih Günaydın
Abstract
Introduction: Lumbar spinal stenosis (LSS) is a degenerative disease characterized by neurogenic claudication and pain. The effects on patients' radiological findings and quality of life (QOL) are a matter of curiosity. This study examined the radiological findings and QOL in patients with LSS in a Turkish cohort.
Materials and Methods: One hundred thirty patients were evaluated, and 102 female:75 and male:27) who agreed to participate were included in the study. The patient’s QOL was assessed using the Oswestry Disability Index (ODI) and radiologically using the Schizas classification.
Results: The relationship between the patients' Schızas radiological classes and Age, Height, Weight, body mass index (BMI), and ODI was investigated. No statistical significance was found besides age and BMI, which are expected (table 3). In this regard, there was no correlation between Schizas and ODI, as expected.
Conclusion: The most important finding of this study is that there is no relationship between the radiological stage and QOL in patients with LSS. In this context, patients' clinical symptoms should be more prominent in the treatment decisions and follow-up processes during the treatment process.
References
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Nakamura K, Ogata T. Locomotive Syndrome: Definition and Management. Clin Rev Bone Miner Metab. 2016;14(2):56-67. Epub 2016/07/05. doi: 10.1007/s12018-016-9208-2. PubMed PMID: 27375370; PubMed Central PMCID: PMC4906066.
-
Conway J, Tomkins CC, Haig AJ. Walking assessment in people with lumbar spinal stenosis: capacity, performance, and self-report measures. Spine J. 2011;11(9):816-23. Epub 2010/12/15. doi: 10.1016/j.spinee.2010.10.019. PubMed PMID: 21145292; PubMed Central PMCID: PMC3136653.
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Deyo RA, Gray DT, Kreuter W, Mirza S, Martin BI. United States trends in lumbar fusion surgery for degenerative conditions. Spine (Phila Pa 1976). 2005;30(12):1441-5; discussion 6-7. Epub 2005/06/17. doi: 10.1097/01.brs.0000166503.37969.8a. PubMed PMID: 15959375.
-
Arita S, Ishimoto Y, Hashizume H, Nagata K, Muraki S, Oka H, et al. Is radiographic lumbar spinal stenosis associated with the quality of life?: The Wakayama Spine Study. PLoS One. 2022;17(2):e0263930. Epub 2022/02/18. doi: 10.1371/journal.pone.0263930. PubMed PMID: 35176078; PubMed Central PMCID: PMC8853503.
-
Schizas C, Theumann N, Burn A, Tansey R, Wardlaw D, Smith FW, et al. Qualitative grading of severity of lumbar spinal stenosis based on the morphology of the dural sac on magnetic resonance images. Spine (Phila Pa 1976). 2010;35(21):1919-24. Epub 2010/07/31. doi: 10.1097/BRS.0b013e3181d359bd. PubMed PMID: 20671589.
-
Yakut E, Düger T, Oksüz C, Yörükan S, Ureten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976). 2004;29(5):581-5; discussion 5. Epub 2004/05/07. doi: 10.1097/01.brs.0000113869.13209.03. PubMed PMID: 15129077.
-
Suri P, Rainville J, Kalichman L, Katz JN. Does this older adult with lower extremity pain have the clinical syndrome of lumbar spinal stenosis? Jama. 2010;304(23):2628-36. Epub 2010/12/16. doi: 10.1001/jama.2010.1833. PubMed PMID: 21156951; PubMed Central PMCID: PMC3260477.
-
Kuittinen P, Sipola P, Saari T, Aalto TJ, Sinikallio S, Savolainen S, et al. Visually assessed severity of lumbar spinal canal stenosis is paradoxically associated with leg pain and objective walking ability. BMC Musculoskelet Disord. 2014;15:348. Epub 2014/10/17. doi: 10.1186/1471-2474-15-348. PubMed PMID: 25319184; PubMed Central PMCID: PMC4203914.
-
Iwahashi H, Yoshimura N, Hashizume H, Yamada H, Oka H, Matsudaira K, et al. The Association between the Cross-Sectional Area of the Dural Sac and Low Back Pain in a Large Population: The Wakayama Spine Study. PLoS One. 2016;11(8):e0160002. Epub 2016/08/04. doi: 10.1371/journal.pone.0160002. PubMed PMID: 27486899; PubMed Central PMCID: PMC4972364.
-
Pneumaticos SG, Hipp JA, Esses SI. Sensitivity and specificity of dural sac and herniated disc dimensions in patients with low back-related leg pain. J Magn Reson Imaging. 2000;12(3):439-43. Epub 2000/09/19. doi: 10.1002/1522-2586(200009)12:3<439::aid-jmri9>3.0.co;2-j. PubMed PMID: 10992311.
-
Kinder A, Filho FP, Ribeiro E, Domingues RC, Domingues RC, Marchiori E, et al. Magnetic resonance imaging of the lumbar spine with axial loading: a review of 120 cases. Eur J Radiol. 2012;81(4):e561-4. Epub 2011/07/12. doi: 10.1016/j.ejrad.2011.06.027. PubMed PMID: 21741192.
-
Charoensuk J, Laothamatas J, Sungkarat W, Worapruekjaru L, Hooncharoen B, Chousangsuntorn K. Axial loading during supine MRI for improved assessment of lumbar spine: comparison with standing MRI. Acta Radiol. 2023;64(1):217-27. Epub 2021/12/24. doi: 10.1177/02841851211068148. PubMed PMID: 34939453.
-
Kanno H, Ozawa H, Koizumi Y, Morozumi N, Aizawa T, Kusakabe T, et al. Dynamic change of dural sac cross-sectional area in axial loaded magnetic resonance imaging correlates with the severity of clinical symptoms in patients with lumbar spinal canal stenosis. Spine (Phila Pa 1976). 2012;37(3):207-13. Epub 2011/02/09. doi: 10.1097/BRS.0b013e3182134e73. PubMed PMID: 21301392.
-
Sakai Y, Ito S, Hida T, Ito K, Koshimizu H, Harada A. Low Back Pain in Patients with Lumbar Spinal Stenosis-Hemodynamic and electrophysiological study of the lumbar multifidus muscles. Spine Surg Relat Res. 2017;1(2):82-9. Epub 2017/12/20. doi: 10.22603/ssrr.1.2016-0016. PubMed PMID: 31440617; PubMed Central PMCID: PMC6698562.
-
Kim HJ, Suh BG, Lee DB, Park JY, Kang KT, Chang BS, et al. Gender difference of symptom severity in lumbar spinal stenosis: role of pain sensitivity. Pain Physician. 2013;16(6):E715-23. Epub 2013/11/29. PubMed PMID: 24284852.
-
Ishimoto Y, Kawakami M, Curtis E, Cooper C, Harvey NC, Westbury L, et al. The Impact of Lumbar Spinal Stenosis, Knee Osteoarthritis, and Loss of Lumbar Lordosis on the Quality of Life: Findings from the Katsuragi Low Back Pain Study. Spine Surg Relat Res. 2019;3(2):157-62. Epub 2019/08/23. doi: 10.22603/ssrr.2018-0051. PubMed PMID: 31435569; PubMed Central PMCID: PMC6690089.
Türk Toplumunda Radyografı̇k Lomber Spı̇nal Stenoz İle Yaşam Kalı̇tesı̇ Arasındakı̇ İlı̇şkı̇
Year 2025,
Volume: 14 Issue: 2, 58 - 64, 29.08.2025
Anıl Taşkesen
,
Ömer Neşet Kişi
,
Fatih Günaydın
Abstract
Amaç: Lomber spinal stenoz (LSS), nörojenik kladikasyon ve ağrı ile karakterize bir dejeneratif hastalıktır. Hastaların radyolojik bulguları ve yaşam kalitesi (QOL) üzerindeki etkiler merak konusudur. Bu çalışma, bir Türk kohortundaki LSS'li hastalardaki radyolojik bulguları ve QOL'u incelemektedir.
Gereç ve Yöntemler: Yüz otuz hasta değerlendirildi ve katılmayı kabul eden 102 (kadın:75 ve erkek:27) çalışmaya dahil edildi. Hastaların yaşam kalitesi Oswestry Engellilik İndeksi (ODI) ve radyolojik olarak Schizas sınıflaması kullanılarak değerlendirildi.
Sonuçlar: Hastaların Schizas radyolojik sınıfları ile yaş, boy, kilo, vücut kitle indeksi (BMI) ve ODI arasındaki ilişki araştırıldı. Yaş ve BMI dışında istatistiksel anlamlılık bulunmadı. Bu bağlamda, Schizas ve ODI arasında beklenen bir korelasyon bulunmadı.
Sonuç: Bu çalışmanın en önemli bulgusu, LSS'li hastalarda radyolojik evre ile yaşam kalitesi arasında bir ilişki bulunmamasıdır. Bu bağlamda tedavi sürecinde hastaların klinik semptomları tedavi kararlarında ve takip süreçlerinde daha ön planda olmalıdır.
References
-
Nakamura K, Ogata T. Locomotive Syndrome: Definition and Management. Clin Rev Bone Miner Metab. 2016;14(2):56-67. Epub 2016/07/05. doi: 10.1007/s12018-016-9208-2. PubMed PMID: 27375370; PubMed Central PMCID: PMC4906066.
-
Conway J, Tomkins CC, Haig AJ. Walking assessment in people with lumbar spinal stenosis: capacity, performance, and self-report measures. Spine J. 2011;11(9):816-23. Epub 2010/12/15. doi: 10.1016/j.spinee.2010.10.019. PubMed PMID: 21145292; PubMed Central PMCID: PMC3136653.
-
Deyo RA, Gray DT, Kreuter W, Mirza S, Martin BI. United States trends in lumbar fusion surgery for degenerative conditions. Spine (Phila Pa 1976). 2005;30(12):1441-5; discussion 6-7. Epub 2005/06/17. doi: 10.1097/01.brs.0000166503.37969.8a. PubMed PMID: 15959375.
-
Arita S, Ishimoto Y, Hashizume H, Nagata K, Muraki S, Oka H, et al. Is radiographic lumbar spinal stenosis associated with the quality of life?: The Wakayama Spine Study. PLoS One. 2022;17(2):e0263930. Epub 2022/02/18. doi: 10.1371/journal.pone.0263930. PubMed PMID: 35176078; PubMed Central PMCID: PMC8853503.
-
Schizas C, Theumann N, Burn A, Tansey R, Wardlaw D, Smith FW, et al. Qualitative grading of severity of lumbar spinal stenosis based on the morphology of the dural sac on magnetic resonance images. Spine (Phila Pa 1976). 2010;35(21):1919-24. Epub 2010/07/31. doi: 10.1097/BRS.0b013e3181d359bd. PubMed PMID: 20671589.
-
Yakut E, Düger T, Oksüz C, Yörükan S, Ureten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976). 2004;29(5):581-5; discussion 5. Epub 2004/05/07. doi: 10.1097/01.brs.0000113869.13209.03. PubMed PMID: 15129077.
-
Suri P, Rainville J, Kalichman L, Katz JN. Does this older adult with lower extremity pain have the clinical syndrome of lumbar spinal stenosis? Jama. 2010;304(23):2628-36. Epub 2010/12/16. doi: 10.1001/jama.2010.1833. PubMed PMID: 21156951; PubMed Central PMCID: PMC3260477.
-
Kuittinen P, Sipola P, Saari T, Aalto TJ, Sinikallio S, Savolainen S, et al. Visually assessed severity of lumbar spinal canal stenosis is paradoxically associated with leg pain and objective walking ability. BMC Musculoskelet Disord. 2014;15:348. Epub 2014/10/17. doi: 10.1186/1471-2474-15-348. PubMed PMID: 25319184; PubMed Central PMCID: PMC4203914.
-
Iwahashi H, Yoshimura N, Hashizume H, Yamada H, Oka H, Matsudaira K, et al. The Association between the Cross-Sectional Area of the Dural Sac and Low Back Pain in a Large Population: The Wakayama Spine Study. PLoS One. 2016;11(8):e0160002. Epub 2016/08/04. doi: 10.1371/journal.pone.0160002. PubMed PMID: 27486899; PubMed Central PMCID: PMC4972364.
-
Pneumaticos SG, Hipp JA, Esses SI. Sensitivity and specificity of dural sac and herniated disc dimensions in patients with low back-related leg pain. J Magn Reson Imaging. 2000;12(3):439-43. Epub 2000/09/19. doi: 10.1002/1522-2586(200009)12:3<439::aid-jmri9>3.0.co;2-j. PubMed PMID: 10992311.
-
Kinder A, Filho FP, Ribeiro E, Domingues RC, Domingues RC, Marchiori E, et al. Magnetic resonance imaging of the lumbar spine with axial loading: a review of 120 cases. Eur J Radiol. 2012;81(4):e561-4. Epub 2011/07/12. doi: 10.1016/j.ejrad.2011.06.027. PubMed PMID: 21741192.
-
Charoensuk J, Laothamatas J, Sungkarat W, Worapruekjaru L, Hooncharoen B, Chousangsuntorn K. Axial loading during supine MRI for improved assessment of lumbar spine: comparison with standing MRI. Acta Radiol. 2023;64(1):217-27. Epub 2021/12/24. doi: 10.1177/02841851211068148. PubMed PMID: 34939453.
-
Kanno H, Ozawa H, Koizumi Y, Morozumi N, Aizawa T, Kusakabe T, et al. Dynamic change of dural sac cross-sectional area in axial loaded magnetic resonance imaging correlates with the severity of clinical symptoms in patients with lumbar spinal canal stenosis. Spine (Phila Pa 1976). 2012;37(3):207-13. Epub 2011/02/09. doi: 10.1097/BRS.0b013e3182134e73. PubMed PMID: 21301392.
-
Sakai Y, Ito S, Hida T, Ito K, Koshimizu H, Harada A. Low Back Pain in Patients with Lumbar Spinal Stenosis-Hemodynamic and electrophysiological study of the lumbar multifidus muscles. Spine Surg Relat Res. 2017;1(2):82-9. Epub 2017/12/20. doi: 10.22603/ssrr.1.2016-0016. PubMed PMID: 31440617; PubMed Central PMCID: PMC6698562.
-
Kim HJ, Suh BG, Lee DB, Park JY, Kang KT, Chang BS, et al. Gender difference of symptom severity in lumbar spinal stenosis: role of pain sensitivity. Pain Physician. 2013;16(6):E715-23. Epub 2013/11/29. PubMed PMID: 24284852.
-
Ishimoto Y, Kawakami M, Curtis E, Cooper C, Harvey NC, Westbury L, et al. The Impact of Lumbar Spinal Stenosis, Knee Osteoarthritis, and Loss of Lumbar Lordosis on the Quality of Life: Findings from the Katsuragi Low Back Pain Study. Spine Surg Relat Res. 2019;3(2):157-62. Epub 2019/08/23. doi: 10.22603/ssrr.2018-0051. PubMed PMID: 31435569; PubMed Central PMCID: PMC6690089.