Influence of Low Back Pain and Prognostic Value of MRI in Sciatica Patients in Relation to Back Pain

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

PLOS ONE, 2014, vol. 9, issue 3, 1-8

Abstract: Background: Patients with sciatica frequently complain about associated back pain. It is not known whether there are prognostic relevant differences in Magnetic Resonance Imaging (MRI) findings between sciatica patients with and without disabling back pain. Methods: The study population contained patients with sciatica who underwent a baseline MRI to assess eligibility for a randomized trial designed to compare the efficacy of early surgery with prolonged conservative care for sciatica. Two neuroradiologists and one neurosurgeon independently evaluated all MR images. The MRI readers were blinded to symptom status. The MRI findings were compared between sciatica patients with and without disabling back pain. The presence of disabling back pain at baseline was correlated with perceived recovery at one year. Results: Of 379 included sciatica patients, 158 (42%) had disabling back pain. Of the patients with both sciatica and disabling back pain 68% did reveal a herniated disc with nerve root compression on MRI, compared to 88% of patients with predominantly sciatica (P

Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0090800

DOI: 10.1371/journal.pone.0090800

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