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Lumbar Spondylosis Workup

  • Author: Bruce M Rothschild, MD; Chief Editor: Brian H Kopell, MD  more...
 
Updated: Oct 23, 2015
 

Imaging Studies

Radiographs, CT scans, and MRIs are used only in the event of complications. Bone density scan (eg, dual-energy x-ray absorptiometry scan [DEXA]) is used. Ensure that no osteophytes are in the area used for density assessment for spinal studies. Osteophytes produce the impression of increased bone mass, thus invalidating bone density tests if in the field of interest and masking osteoporosis.[8]

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Other Tests

Electromyography (EMG) and nerve conduction velocity (NCV) are used only in the event of complications.

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Contributor Information and Disclosures
Author

Bruce M Rothschild, MD Professor of Medicine, Northeast Ohio Medical University; Adjunct Professor, Department of Biomedical Engineering, University of Akron; Research Associate, University of Kansas Museum of Natural History; Research Associate, Carnegie Museum

Bruce M Rothschild, MD is a member of the following medical societies: American Association for the Advancement of Science, American College of Rheumatology, International Skeletal Society, New York Academy of Sciences, Sigma Xi, Society of Skeletal Radiology

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Brian H Kopell, MD Associate Professor, Department of Neurosurgery, Icahn School of Medicine at Mount Sinai

Brian H Kopell, MD is a member of the following medical societies: Alpha Omega Alpha, American Association of Neurological Surgeons, International Parkinson and Movement Disorder Society, Congress of Neurological Surgeons, American Society for Stereotactic and Functional Neurosurgery, North American Neuromodulation Society

Disclosure: Received consulting fee from Medtronic for consulting; Received consulting fee from St Jude Neuromodulation for consulting; Received consulting fee from MRI Interventions for consulting.

Additional Contributors

Michael G Nosko, MD, PhD Associate Professor of Surgery, Chief, Division of Neurosurgery, Medical Director, Neuroscience Unit, Medical Director, Neurosurgical Intensive Care Unit, Director, Neurovascular Surgery, Rutgers Robert Wood Johnson Medical School

Michael G Nosko, MD, PhD is a member of the following medical societies: Academy of Medicine of New Jersey, Congress of Neurological Surgeons, Canadian Neurological Sciences Federation, Alpha Omega Alpha, American Association of Neurological Surgeons, American College of Surgeons, American Heart Association, American Medical Association, New York Academy of Sciences, Society of Critical Care Medicine

Disclosure: Nothing to disclose.

References
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  2. O'Neill TW, McCloskey EV, Kanis JA, et al. The distribution, determinants, and clinical correlates of vertebral osteophytosis: a population based survey. J Rheumatol. 1999 Apr. 26(4):842-8. [Medline].

  3. Yamada Y, Okuizumi H, Miyauchi A, et al. Association of transforming growth factor beta1 genotype with spinal osteophytosis in Japanese women. Arthritis Rheum. 2000 Feb. 43(2):452-60. [Medline].

  4. Zukowski LA, Falsetti AB, Tillman MD. The influence of sex, age and BMI on the degeneration of the lumbar spine. J Anat. 2012 Jan. 220 (1):57-66. [Medline].

  5. Kramer PA, Newell-Morris LL, Simkin PA. Spinal degenerative disk disease (DDD) in female macaque monkeys: epidemiology and comparison with women. J Orthop Res. 2002 May. 20(3):399-408. [Medline].

  6. Yoshimura N, Dennison E, Wilman C, et al. Epidemiology of chronic disc degeneration and osteoarthritis of the lumbar spine in Britain and Japan: a comparative study. J Rheumatol. 2000 Feb. 27(2):429-33. [Medline].

  7. Miyakoshi N, Itoi E, Murai H. Inverse relation between osteoporosis and spondylosis in postmenopausal women as evaluated by bone mineral density and semiquantitative scoring of spinal degeneration. Spine. 2003 Mar 1. 28(5):492-5. [Medline].

  8. Brooks BK, Southam SL, Mlady GW, Logan J, Rosett M. Lumbar spine spondylolysis in the adult population: using computed tomography to evaluate the possibility of adult onset lumbar spondylosis as a cause of back pain. Skeletal Radiol. 2010 Jul. 39 (7):669-73. [Medline].

  9. Pahl MA, Brislin B, Boden S, et al. The impact of four common lumbar spine diagnoses upon overall health status. Spine J. 2006 Mar-Apr. 6(2):125-30. [Medline].

  10. Rothschild BM, Martin LD. Paleopathology. Disease in the Fossil Record. London: CRC Press; 1993.

  11. Weber J, Pusch CM. The lumbar spine in Neanderthals shows natural kyphosis. Eur Spine J. 2008 Sep. 17 Suppl 2:S327-30. [Medline].

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Anteroposterior view of lumbar spine. Vertical overgrowths from margins of vertebral bodies represent osteophytes.
 
 
 
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