XXXX . Clinical and radiologic features.

@entity1 @entity1643 @entity2649 @entity13549 @entity613 @entity850 @entity543
STUDY DESIGN: A prospective, randomized study of @entity1 with symptomatic @entity2649 . OBJECTIVES: Evaluation of clinical and radiologic characteristics and relationship. SUMMARY OF BACKGROUND DATA: The diagnosis of @entity2649 is frequently used and represents a wide variety of @entity1 with more or less well-defined spinal disorders. METHODS: One hundred @entity1 who met inclusion criteria were consecutively selected from a neurology department and examined clinically and radiologically with plain radiography, myelography, and computed tomographic imaging. RESULTS: Duration of complaints was long, and multilevel, bilateral afflictions were common. The dominanting symptoms were @entity13549 , @entity613 , and @entity1643 . The clinical findings were modest. @entity543 in the spinal canal was demonstrated radiologically with signs of compression on nerve roots, centrally and/or laterally. The radiologic findings were more extensive than expected from the clinical symptoms and signs. In most @entity1 the sagittal diameter of the spinal canal increased on flexion and decreased on extension of the spine. An exception was demonstrated in 33 @entity1 where extension increased the diameter, usually at one level. Radiologic subgroups of @entity850 were found, but their clinical relationship could hardly be identified. No definite association between the degree of narrowing and clinical symptoms was found. CONCLUSIONS: A clinical picture is demonstrated in 100 @entity1 with symptomatic @entity2649 . Different types of @entity850 are found radiologically, but their clinical relationships are not identified. The radiologic changes were more extensive than expected from the clinical picture, and the degree of narrowing did not correspond to the degree of clinical affliction.
