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KMID : 0361419950190040839
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Journal of Korean Academy of Rehabilitation Medicine
1995 Volume.19 No. 4 p.839 ~ p.845
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Comparative Study of Clinical, Radiological and Electrodiagnostic Findings in Spinal Stenosis
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정선근
김명호/유문집/유석주/이성철/박진영/현정근
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Abstract
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Low back pain is one of the most common reasons that patients seek medical attention. Spinal stenosis is one of the main causes of low back pain, but the symptoms and signs are often bizarre and vague, and delay the diagnosis. Therefore it is
necessary
to standardize the diagnosis of spinal stenosis objectively.
We studied 38 patients assessed spinal stenosis clinically, which diagnosis were established by CT or/and MRI. The results were compared with each other.
@ES The major results were as follows:
@EN 1) Clinically, the most common symptom was radicular pain, and then lumbago, pseudoclaudication, and neurologic symptoms and signs.
2) Radiologically, the most common type of lumbar stenosis was central type, and totally, the moist common involved level is L4-5 level, and central stenosis was more common in L3-4 level, lateral stenosis common in L5-S1 level.
3) Eiectrodiagnostically somatosensory evoked potential abnormalities were found more than abnormalities of needle EMG and combined type.
We conclude that the abnormal findings of electrodiagnostic diagnosis were more common in lateral type than in central type, and the abnormal spontaneous activities found more in later al than in central. So, the involved nerve roots and
neuromuscular
structures seen more severely injured in lateral stenosis than central stenosis.
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KEYWORD
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