CORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE

Objective: To evaluate whether the clinical grading system of Neurogenic Claudication Outcome Score has the same causal relationship to severity of spinal stenosis on Magnetic Resonance Imaging in patients of neurogenic claudication. Study Design: Cross sectional study. Place and Duration of S...

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Autores principales:	Asim Ishfaq, Muhammad Shahzad, Qasim Bashir, Syeda Hiraa Jeelani
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	lumbar spinal canal stenosis (lscs) magnetic resonance imaging (mri) neurogenic claudication neurogenic claudication outcome score (ncos) spinal stenosis Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/dd14dd192437417eb73e9a86feb7f148
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spelling	oai:doaj.org-article:dd14dd192437417eb73e9a86feb7f1482021-12-02T17:20:45ZCORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE0030-96482411-8842https://doaj.org/article/dd14dd192437417eb73e9a86feb7f1482020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5595https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate whether the clinical grading system of Neurogenic Claudication Outcome Score has the same causal relationship to severity of spinal stenosis on Magnetic Resonance Imaging in patients of neurogenic claudication. Study Design: Cross sectional study. Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital Lahore. Jan 2020 to Apr 2020. Methodology: Sixty patients of both genders with complaints of neurogenic claudication were scored as per Neurogenic Claudication Outcome Score. Symptoms of back pain, leg pain and numbness were recorded. Effect on daily routine, frequency of medication, doctor visit and pain intensity score were asked. Magnetic Resonance Imaging of lumbosacral spine was graded as; grade 0 = no obliteration of anterior cerebrospinal fluid space; grade 1 = mild stenosis with all cauda equina nerve roots separated, grade 2 = moderate stenosis some of cauda equina fibers aggregated, grade 3 = severe stenosis with none of cauda equina separate on T2 weighted image. Results: Patient’s age range was 33–80 years, mean of 60.6 ± 14.31 with female to male ratio of 1.5:1. For pain intensity scale (1-10), 21 (35%) gauged it to be 8 whereas 9 (15%) patients rated as 9 on pain scale. Most common level of spinal stenosis was L4/5 in 31 (51.6%), followed by L5/S1 level in 14 (23.3%) patients. Neurogenic claudication outcome score score ranged from 35-63 with mean 49.5. When neurogenic claudication outcome score was plotted against radiological grade, there was no statistically significant association amongst the two parameters (p=0.285). Conclusion: There is no significant causative relationship between the clinical and radiological grading system for patients with spinal stenosis.Asim IshfaqMuhammad ShahzadQasim BashirSyeda Hiraa JeelaniArmy Medical College Rawalpindiarticlelumbar spinal canal stenosis (lscs)magnetic resonance imaging (mri)neurogenic claudicationneurogenic claudication outcome score (ncos)spinal stenosisMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1506-1510 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	lumbar spinal canal stenosis (lscs) magnetic resonance imaging (mri) neurogenic claudication neurogenic claudication outcome score (ncos) spinal stenosis Medicine R Medicine (General) R5-920
spellingShingle	lumbar spinal canal stenosis (lscs) magnetic resonance imaging (mri) neurogenic claudication neurogenic claudication outcome score (ncos) spinal stenosis Medicine R Medicine (General) R5-920 Asim Ishfaq Muhammad Shahzad Qasim Bashir Syeda Hiraa Jeelani CORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE
description	Objective: To evaluate whether the clinical grading system of Neurogenic Claudication Outcome Score has the same causal relationship to severity of spinal stenosis on Magnetic Resonance Imaging in patients of neurogenic claudication. Study Design: Cross sectional study. Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital Lahore. Jan 2020 to Apr 2020. Methodology: Sixty patients of both genders with complaints of neurogenic claudication were scored as per Neurogenic Claudication Outcome Score. Symptoms of back pain, leg pain and numbness were recorded. Effect on daily routine, frequency of medication, doctor visit and pain intensity score were asked. Magnetic Resonance Imaging of lumbosacral spine was graded as; grade 0 = no obliteration of anterior cerebrospinal fluid space; grade 1 = mild stenosis with all cauda equina nerve roots separated, grade 2 = moderate stenosis some of cauda equina fibers aggregated, grade 3 = severe stenosis with none of cauda equina separate on T2 weighted image. Results: Patient’s age range was 33–80 years, mean of 60.6 ± 14.31 with female to male ratio of 1.5:1. For pain intensity scale (1-10), 21 (35%) gauged it to be 8 whereas 9 (15%) patients rated as 9 on pain scale. Most common level of spinal stenosis was L4/5 in 31 (51.6%), followed by L5/S1 level in 14 (23.3%) patients. Neurogenic claudication outcome score score ranged from 35-63 with mean 49.5. When neurogenic claudication outcome score was plotted against radiological grade, there was no statistically significant association amongst the two parameters (p=0.285). Conclusion: There is no significant causative relationship between the clinical and radiological grading system for patients with spinal stenosis.
format	article
author	Asim Ishfaq Muhammad Shahzad Qasim Bashir Syeda Hiraa Jeelani
author_facet	Asim Ishfaq Muhammad Shahzad Qasim Bashir Syeda Hiraa Jeelani
author_sort	Asim Ishfaq
title	CORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE
title_short	CORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE
title_full	CORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE
title_fullStr	CORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE
title_full_unstemmed	CORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE
title_sort	correlation between clinical neurogenic claudication outcome score (ncos) and radiological grading of lumbar spinal stenosis on magnetic resonance imaging lumbosacral spine
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/dd14dd192437417eb73e9a86feb7f148
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CORRELATION BETWEEN CLINICAL NEUROGENIC CLAUDICATION OUTCOME SCORE (NCOS) AND RADIOLOGICAL GRADING OF LUMBAR SPINAL STENOSIS ON MAGNETIC RESONANCE IMAGING LUMBOSACRAL SPINE

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