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Magnetic Resonance Imaging Interpretation in Patients with Sciatica Who Are Potential Candidates for Lumbar Disc Surgery

Author

Listed:
  • Abdelilah el Barzouhi
  • Carmen L A M Vleggeert-Lankamp
  • Geert J Lycklama à Nijeholt
  • Bas F Van der Kallen
  • Wilbert B van den Hout
  • Annemieke J H Verwoerd
  • Bart W Koes
  • Wilco C Peul
  • for the Leiden–The Hague Spine Intervention Prognostic Study Group

Abstract

Background: Magnetic Resonance Imaging (MRI) is considered the mainstay imaging investigation in patients suspected of lumbar disc herniations. Both imaging and clinical findings determine the final decision of surgery. The objective of this study was to assess MRI observer variation in patients with sciatica who are potential candidates for lumbar disc surgery. Methods: Patients for this study were potential candidates (n = 395) for lumbar disc surgery who underwent MRI to assess eligibility for a randomized trial. Two neuroradiologists and one neurosurgeon independently evaluated all MRIs. A four point scale was used for both probability of disc herniation and root compression, ranging from definitely present to definitely absent. Multiple characteristics of the degenerated disc herniation were scored. For inter-agreement analysis absolute agreements and kappa coefficients were used. Kappa coefficients were categorized as poor (

Suggested Citation

  • Abdelilah el Barzouhi & Carmen L A M Vleggeert-Lankamp & Geert J Lycklama à Nijeholt & Bas F Van der Kallen & Wilbert B van den Hout & Annemieke J H Verwoerd & Bart W Koes & Wilco C Peul & for the Lei, 2013. "Magnetic Resonance Imaging Interpretation in Patients with Sciatica Who Are Potential Candidates for Lumbar Disc Surgery," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-11, July.
    • Handle: RePEc:plo:pone00:0068411
    DOI: 10.1371/journal.pone.0068411
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