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The purpose of this prospective study is to compare the diagnostic utility of standing (upright, weight-bearing) CT myelography with standard supine CT myelography for the evaluation of lumbar central canal and neural foraminal stenoses. This study aims to determine whether upright positioning provides additional diagnostic information in patients unable to undergo MRI, with the goal of improving assessment and management of degenerative lumbar spine disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Upright and Supine CT Myelography | Other | Upright and Supine CT Myelography |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Upright CT | Radiation | Upright CT Myelography |
|
| Measure | Description | Time Frame |
|---|---|---|
| Does upright CT imaging change management plans for patients with lumbar spinal stenosis | To determine whether upright CT imaging changes the management plan (yes or no) for patients with lumbar spinal stenosis. | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Spine measurements | Objective measurements at different angles (mm) will be taken of the spine. | 1 day |
| Severity grading of central canal stenosis | Severity grading (mild, moderate, severe) of central canal stenosis in the spine. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Kansas Medical Center | Kansas City | Kansas | 66160 | United States |
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| 1 day |
| Severity grading of neural foraminal stenosis | Severity grading (mild, moderate, severe) of neural foraminal stenosis in the spine. | 1 day |
| Presence or absence of nerve root compression | Presence or absence of nerve root compression in the spine. | 1 day |
| Presence or absence of disc bulges | Presence or absence of disc bulges in the spine. | 1 day |
| Presence or absence of herniations | Presence or absence of herniations in the spine. | 1 day |