Dural Sac Cross-sectional area change from preoperatively and up to 2 years after decompressive surgery for central lumbar spinal stenosis: investigation of operated levels, data from the NORDSTEN study.

Area change postoperatively Decompressive lumbar surgery Dural sac cross-sectional area Lumbar spinal stenosis

Journal

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980

Informations de publication

Date de publication:
08 Apr 2024
Historique:
received: 19 01 2024
accepted: 31 03 2024
revised: 18 03 2024
medline: 8 4 2024
pubmed: 8 4 2024
entrez: 8 4 2024
Statut: aheadofprint

Résumé

The aim of the present study was to investigate how canal area size changed from before surgery and up to 2 years after decompressive lumbar surgery lumbar spinal stenosis. Further, to investigate if an area change postoperatively (between 3 months to 2 years) was associated with any preoperative demographic, clinical or MRI variables or surgical method used. The present study is analysis of data from the NORDSTEN- SST trial where 437 patients were randomized to one of three mini-invasive surgical methods for lumbar spinal stenosis. The patients underwent MRI examination of the lumbar spine before surgery, and 3 and 24 months after surgery. For all operated segments the dural sac cross-sectional area (DSCA) was measured in mm 437 patients were enrolled in the NORDSTEN-SST trial, whereof 310 (71%) had MRI at 3 months and 2 years. Mean DSCA at index level was 52.0 mm The spinal canal area after lumbar decompressive surgery for lumbar spinal stenosis increased from baseline to 3 months after surgery and remained thereafter unchanged 2 years postoperatively.

Identifiants

DOI: 10.1007/s00586-024-08251-4 PMID: 38587545
pubmed: 38587545
doi: 10.1007/s00586-024-08251-4
pii: 10.1007/s00586-024-08251-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Helse Vest
ID : 912046
Organisme : Helse Midt-Norge
ID : 10174

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

Forsth P, Michaelsson K, Sanden B (2013) Does fusion improve the outcome after decompressive surgery for lumbar spinal stenosis?: A two-year follow-up study involving 5390 patients. Bone Joint J 95-B:960–965. doi: 95-B/7/960 [pii]. https://doi.org/10.1302/0301-620X.95B7.30776 [doi]
Forsth P, Olafsson G, Carlsson T, Frost A, Borgstrom F, Fritzell P, Ohagen P, Michaelsson K, Sanden B (2016) A randomized, controlled trial of fusion surgery for lumbar spinal stenosis. N Engl J Med 374:1413–1423. https://doi.org/10.1056/NEJMoa1513721
doi: 10.1056/NEJMoa1513721 pubmed: 27074066
Hong SW, Choi KY, Ahn Y, Baek OK, Wang JC, Lee SH, Lee HY (2011) A comparison of unilateral and bilateral laminotomies for decompression of L4–L5 spinal stenosis. Spine (Phila Pa 1976) 36:E172–E178
doi: 10.1097/BRS.0b013e3181db998c pubmed: 21192307
Ravindra VM, Senglaub SS, Rattani A, Dewan MC, Hartl R, Bisson E, Park KB, Shrime MG (2018) Degenerative lumbar spine disease: estimating global incidence and worldwide volume. Global Spine J 8:784–794. https://doi.org/10.1177/2192568218770769
doi: 10.1177/2192568218770769 pubmed: 30560029 pmcid: 6293435
Sharif S, Shaikh Y, Bajamal AH, Costa F, Zileli M (2020) Fusion surgery for lumbar spinal stenosis: WFNS spine committee recommendations. World Neurosurg X 7:100077. https://doi.org/10.1016/j.wnsx.2020.100077
doi: 10.1016/j.wnsx.2020.100077 pubmed: 32613190 pmcid: 7322802
Hermansen E, Austevoll IM, Hellum C, Storheim K, Myklebust TA, Aaen J, Banitalebi H, Anvar M, Rekeland F, Brox JI, Franssen E, Weber C, Solberg TK, Furunes H, Grundnes O, Brisby H, Indrekvam K (2022) Comparison of 3 different minimally invasive surgical techniques for lumbar spinal stenosis: a randomized clinical trial. JAMA Netw Open 5:e224291. https://doi.org/10.1001/jamanetworkopen.2022.4291
doi: 10.1001/jamanetworkopen.2022.4291 pubmed: 35344046 pmcid: 8961320
Elmqvist E, Lindhagen L, Forsth P (2022) No benefit with preservation of midline structures in decompression for lumbar spinal stenosis: results from the National Swedish Spine Registry 2-Year Post-Op. Spine (Phila Pa 1976) 47:531–538. https://doi.org/10.1097/BRS.0000000000004313
doi: 10.1097/BRS.0000000000004313 pubmed: 34923549
Hermansen E, Romild UK, Austevoll IM, Solberg T, Storheim K, Brox JI, Hellum C, Indrekvam K (2017) Does surgical technique influence clinical outcome after lumbar spinal stenosis decompression? A comparative effectiveness study from the Norwegian Registry for Spine Surgery. Eur Spine J 26:420–427. https://doi.org/10.1007/s00586-016-4643-9
doi: 10.1007/s00586-016-4643-9 pubmed: 27262561
Steurer J, Roner S, Gnannt R, Hodler J (2011) Quantitative radiologic criteria for the diagnosis of lumbar spinal stenosis: a systematic literature review. BMC Musculoskelet Disord 12:175
doi: 10.1186/1471-2474-12-175 pubmed: 21798008 pmcid: 3161920
Hermansen E, Myklebust T, Weber C, Brisby H, Austevoll IM, Hellum C, Storheim K, Aaen J, Banitalebi H, Brox JI, Grundnes O, Rekeland F, Solberg T, Franssen E, Indrekvam K (2023) Postoperative dural sac cross-sectional area as an association for outcome after surgery for lumbar spinal stenosis: clinical and radiological results from the NORDSTEN-spinal stenosis trial. Spine(Phila Pa 1976) 48:688–694. https://doi.org/10.1097/brs.0000000000004565
doi: 10.1097/brs.0000000000004565 pubmed: 36809364 pmcid: 10118242
Hermansen E, Austevoll IM, Romild UK, Rekeland F, Solberg T, Storheim K, Grundnes O, Aaen J, Brox JI, Hellum C, Indrekvam K (2017) Study-protocol for a randomized controlled trial comparing clinical and radiological results after three different posterior decompression techniques for lumbar spinal stenosis: the Spinal Stenosis Trial (SST) (part of the NORDSTEN Study). BMC Musculoskelet Disord 18:121. https://doi.org/10.1186/s12891-017-1491-7
doi: 10.1186/s12891-017-1491-7 pubmed: 28327114 pmcid: 5361830
Indrekvam K, Bånerud IF, Hermansen E, Austevoll IM, Rekeland F, Guddal MH, Solberg TK, Brox JI, Hellum C, Storheim K (2023) The Norwegian degenerative spondylolisthesis and spinal stenosis (NORDSTEN) study: study overview, organization structure and study population. Eur Spine J. https://doi.org/10.1007/s00586-023-07827-w
doi: 10.1007/s00586-023-07827-w pubmed: 37395780
Hermansen E, Austevoll IM, Hellum C, Storheim K, Myklebust TA, Aaen J, Banitalebi H, Anvar M, Rekeland F, Brox JI, Franssen E, Weber C, Solberg T, Haug KJ, Grundnes O, Brisby H, Indrekvam K (2020) Comparable increases in dural sac area after three different posterior decompression techniques for lumbar spinal stenosis: radiological results from a randomized controlled trial in the NORDSTEN study. Eur Spine J 29:2254–2261. https://doi.org/10.1007/s00586-020-06499-0
doi: 10.1007/s00586-020-06499-0 pubmed: 32556585
Banitalebi H, Espeland A, Anvar M, Hermansen E, Hellum C, Brox JI, Myklebust TA, Indrekvam K, Brisby H, Weber C, Aaen J, Austevoll IM, Grundnes O, Negard A (2022) Reliability of preoperative MRI findings in patients with lumbar spinal stenosis. BMC Musculoskelet Disord 23:51. https://doi.org/10.1186/s12891-021-04949-4
doi: 10.1186/s12891-021-04949-4 pubmed: 35033042 pmcid: 8760672
Aaen J, Austevoll IM, Hellum C, Storheim K, Myklebust T, Banitalebi H, Anvar M, Brox JI, Weber C, Solberg T, Grundnes O, Brisby H, Indrekvam K, Hermansen E (2021) Clinical and MRI findings in lumbar spinal stenosis: baseline data from the NORDSTEN study. Eur Spine J. https://doi.org/10.1007/s00586-021-07051-4
doi: 10.1007/s00586-021-07051-4 pubmed: 34797405
Aaen J, Banitalebi H, Austevoll IM, Hellum C, Storheim K, Myklebust T, Anvar M, Weber C, Solberg T, Grundnes O, Brisby H, Indrekvam K, Hermansen E (2022) The association between preoperative MRI findings and clinical improvement in patients included in the NORDSTEN spinal stenosis trial. Eur Spine J. https://doi.org/10.1007/s00586-022-07317-5
doi: 10.1007/s00586-022-07317-5 pubmed: 35930062
Banitalebi H, Espeland A, Anvar M, Hermansen E, Hellum C, Brox JI, Myklebust T, Indrekvam K, Brisby H, Weber C, Aaen J, Austevoll IM, Grundnes O, Negård A (2022) Reliability of preoperative MRI findings in patients with lumbar spinal stenosis. BMC Musculoskelet Disord 23:51. https://doi.org/10.1186/s12891-021-04949-4
doi: 10.1186/s12891-021-04949-4 pubmed: 35033042 pmcid: 8760672
Karlsson T, Försth P, Skorpil M, Pazarlis K, Öhagen P, Michaëlsson K, Sandén B (2022) Decompression alone or decompression with fusion for lumbar spinal stenosis: a randomized clinical trial with two-year MRI follow-up. Bone Jt J 104-B:1343–1351. https://doi.org/10.1302/0301-620x.104b12.Bjj-2022-0340.R1
doi: 10.1302/0301-620x.104b12.Bjj-2022-0340.R1
Danielson B, Willén J (2001) Axially loaded magnetic resonance image of the lumbar spine in asymptomatic individuals. Spine (Phila Pa 1976) 26:2601–2606. https://doi.org/10.1097/00007632-200112010-00015
doi: 10.1097/00007632-200112010-00015 pubmed: 11725242
Danielson BI, Willén J, Gaulitz A, Niklason T, Hansson TH (1998) Axial loading of the spine during CT and MR in patients with suspected lumbar spinal stenosis. Acta Radiol (Stockholm, Sweden: 1987) 39:604–611. https://doi.org/10.3109/02841859809175484
doi: 10.3109/02841859809175484
Fang X, Li J, Liu L, Zhang Y, Tang Z, Zhang J (2023) Axial loading lumbar magnetic resonance imaging with a new device in asymptomatic individuals. Quant Imaging Med Surg 13:58–65. https://doi.org/10.21037/qims-22-283
doi: 10.21037/qims-22-283 pubmed: 36620162
Fang X, Li J, Wang L, Liu L, Lv W, Tang Z, Gao D (2023) Diagnostic value of a new axial loading MRI device in patients with suspected lumbar spinal stenosis. Eur Radiol 33:3200–3210. https://doi.org/10.1007/s00330-023-09447-w
doi: 10.1007/s00330-023-09447-w pubmed: 36814030

Auteurs

Erland Hermansen (E)

Department of Research and Innovation, Møre and Romsdal Hospital Trust, Ålesund, Norway. Erland.hermansen45@gmail.com.
Institute of Health Sciences, Norwegian University of Technology and Science, Ålesund, Norway. Erland.hermansen45@gmail.com.
Kysthospitalet in Hagevik, Orthopedic Clinic, Haukeland University Hospital, Bergen, Norway. Erland.hermansen45@gmail.com.
ORCID: 0000-0003-0956-5035

Tor Åge Myklebust (TÅ)

Department of Research and Innovation, Møre and Romsdal Hospital Trust, Ålesund, Norway.
Department of Registration, Cancer Registry Norway, Oslo, Norway.

Ivar Magne Austevoll (IM)

Kysthospitalet in Hagevik, Orthopedic Clinic, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Medicine, University of Bergen, Bergen, Norway.

Christian Hellum (C)

Division of Orthopedic Surgery, Oslo University Hospital Ullevål, Oslo, Norway.

Kjersti Storheim (K)

Communication and Research Unit for Musculoskeletal Health (FORMI), Oslo University Hospital Oslo, Oslo, Norway.

Hasan Banitalebi (H)

Department of Diagnostic Imaging, Akershus University Hospital, Nordbyhagen, Norway.
Department of Clinical Medicine, University of Oslo, Oslo, Norway.

Kari Indrekvam (K)

Kysthospitalet in Hagevik, Orthopedic Clinic, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Medicine, University of Bergen, Bergen, Norway.

Helena Brisby (H)

Department of Orthopedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Orthopedics, Institute for Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Classifications MeSH