Basic Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. May 28, 2017; 9(5): 223-229
Published online May 28, 2017. doi: 10.4329/wjr.v9.i5.223
Correlation of lumbar lateral recess stenosis in magnetic resonance imaging and clinical symptoms
Annina Splettstößer, M Fawad Khan, Bernd Zimmermann, Thomas J Vogl, Hanns Ackermann, Marcus Middendorp, Adel Maataoui
Annina Splettstößer, Radprax MVZ, 40721 Hilden, Germany
M Fawad Khan, Bernd Zimmermann, Thomas J Vogl, Adel Maataoui, Institute for Diagnostic and Interventional Radiology, Goethe University, 60590 Frankfurt/Main, Germany
Hanns Ackermann, Institute of Biostatistics and Mathematical Modeling, Goethe University, 60590 Frankfurt/Main, Germany
Marcus Middendorp, Department of Nuclear Medicine, Goethe University, 60590 Frankfurt/Main, Germany
Author contributions: Middendorp M and Maataoui A contributed equally to this work; Maataoui A and Vogl TJ supervised the project; Splettstößer A, Middendorp M, and Maataoui A wrote the main paper; all authors were involved in the study design, data analysis, and discussion of the results at all stages.
Institutional review board statement: The study inclusive of patient information and consent form was reviewed and approved by the ethics committee of the State Authorisation Association for Medical Issues of Hessen, Germany (FF 48/2014). Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to examination by written consent.
Conflict-of-interest statement: All authors ensure that there are no conflicts of interest.
Data sharing statement: Consent was not obtained but the presented data are anonymized and risk of identification is very low. No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Adel Maataoui, MD, Institute for Diagnostic and Interventional Radiology, Goethe University, Theodor-Stern-Kai 7, 60590 Frankfurt/Main, Germany.
Telephone: +49-69-63015534 Fax: +49-69-63014222
Received: October 7, 2016
Peer-review started: October 14, 2016
First decision: November 11, 2016
Revised: February 22, 2017
Accepted: March 16, 2017
Article in press: March 17, 2017
Published online: May 28, 2017
Core Tip

Core tip: In the presented study lateral recesses of nearly 1000 patients with low back pain were evaluated on magnetic resonance imaging (MRI) and correlated with patient symptoms. Though MRI is the method of choice for diagnosing lumbar spinal stenosis, we revealed only a very weak correlation of lateral recess stenosis (LRS) and patient symptoms. This can be attributed to numerous reasons outlined in this study, underlining that imaging findings alone are not sufficient for an adequate diagnostic approach of patients with LRS.