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논문 기본 정보

자료유형
학술저널
저자정보
Dong Chan Yang (Department of Health Service Gunsan-si Health Center Gunsan Korea) Ho Jun Lee (Department of Physical Medicine and Rehabilitation Dongguk University Ilsan Hospital Goyang Korea) Jin-Woo Park (Department of Physical Medicine and Rehabilitation Dongguk University Ilsan Hospital Goyang Korea) Kiyeun Nam (Department of Physical Medicine and Rehabilitation Dongguk University Ilsan Hospital Goyang Korea) Shengshu Kim (Department of Physical Medicine and Rehabilitation Dongguk University Ilsan Hospital Goyang Korea) Keun-Tae Cho (Department of Neurosurgery Dongguk University Ilsan Hospital Dongguk University College of Medicine) Bum Sun Kwon (Department of Physical Medicine and Rehabilitation Dongguk University Ilsan Hospital Goyang Korea)
저널정보
대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제44권 제5호
발행연도
2020.1
수록면
353 - 361 (9page)

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Objective To identify the difference of quantitative radiologic stenosis between a normal latency group and an abnormal latency group, and to investigate the association of dermatomal somatosensory-evoked potential (DSEP) with magnetic resonance imaging (MRI) findings of narrowing in patients with lumbar spinal stenosis (LSS). Methods We retrospectively reviewed the clinical records and P40 latencies of L5 DSEP of 40 patients with unilateral symptoms of LSS at the L4?5 disc level. Quantitative assessments of stenosis in lumbar spine MRI were performed with measurements of the anteroposterior diameter (APD), cross-sectional area (CSA) of the dural sac, ligamentous interfacet distance (LID), CSA of the neural foramen (CSA-NF), and subarticular zone width. Analyses were conducted through comparisons of radiologic severity between the normal and abnormal latency groups and correlation between radiologic severity of stenosis and latency of DSEP in absolute (APD <10 mm) and relative (APD <13 mm) stenosis. Results The radiologic severities of lumbar stenosis were not significantly different between the normal and abnormal latency groups. In absolute and relative stenosis, latency showed a significant negative correlation with APD (r=-0.539, r=-0.426) and LID (r=-0.459, r=-0.494). In patients with relative stenosis, a weak significant positive correlation was found between latency and CSA-NF (r=0.371, p=0.048). LID was the only significant factor for latency (β=-0.930, p=0.011). Conclusion The normal and abnormal DSEP groups showed no significant differences inradiologic severity. The latency of DSEP had a negative correlation with the severity of central stenosis, and LID was an influencing factor.

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