European Journal of Molecular & Clinical Medicine

Abstract

Background:Lumber Spinal Stenosis can give rise to several clinical syndromes depending
upon the severity of compression resulting from spinal stenosis. LSS diagnosis is made
through a complete assessment that combines history, physical examination, neurophysiology
and imaging. EMG and NCS play important role in the evaluation of LSR. Present study was
planned to see the extent of functional loss (EPE) by conduction studies associated with the
structural abnormality (MRI) of lumber spinal stenosis.
Methodology: Longitudinal study was conducted in GMCH for four months. MRI was done
of the probable patients of LLS followed by neurophysiological examination. Then
correlation of nerve conduction of lower limb nerve was made with the finding of MRI.
Results:Almost equal male & female were there in study & 70% participants belongs to less
than 60 years of age group. maximum (57%) participants had severe stenosis & 21% had
minimal stenosis.Maximum participants (90%) had lateral left & right compression and only
20% had central compression. Almost 43% participants had compression at L2-L3 level, 70%
had at L3-L4 level, 94% had at L4-L5 level & 63% had compression at L5-S1 level.
Conclusion: The early detection of functional loss by the neurophysiological examination
may provide useful information to the clinician in planning the effective management for the
patient’s favourable outcome