DOI: 10.36347/sjams.2019.v07i04.017

Pages: 1455-1458

Lumbar spinal stenosis (LSS) is a pathological clinico-radiological syndrome characterized by unilateral or bilateral lower limb pain, numbness, paraesthesia or weakness which may or may not be associated with correlating radiological findings and is usually associated with low back pain. Radiological indices measuring thecal sac dimensions do not correlate well with symptoms or surgical treatment in cases of LSS. A total of 50 patients with symptoms suggestive of LSS were enrolled in this study in 2014. Patients were subjected to history taking, clinical examination and radiological investigations. Outcomes of assessment were analysed using Oswestry Disability Index (ODI) and Japanese Orthopaedic Association Score (JOAS). Both variables were assessed to determine their correlation with multiple factors like age, sex, LSS at level of dural sac, lateral recess nerve root compromise, foraminal stenosis and JOA score. There was no statistically significant correlation between degree of stenosis in MRI and functional outcome of patient assessed by ODI & JOAS. Lack of clinico-radiological correlation in patients of LSS requires careful evaluation of clinical symptoms & MRI imaging to determine appropriate treatment strategy.