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Current Issue - July 2018, Volume 12, Issue No. 2

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Lumbar Spinal Stenosis: The Reliability, Sensitivity and Specificity of the Nerve Root Sedimentation Sign


  1. Onel D, Sari H, Donmez C. Lumbar spinal stenosis - clinical radiologic therapeutic evaluation in 145 patients – Conservative treatment or surgical intervention. Spine. 1993; 18(2): 291-8.
  2. Hicks GE, Gaines JM, Shardell M, Simonsick EM. Associations of back and leg pain with health status and functional capacity of older adults: findings from the retirement community back pain study. Arthritis Rheum. 2008; 59(9): 1306-13.
  3. Katz JN, Harris MB. Clinical practice. Lumbar spinal stenosis. N Engl J Med. 2008; 358(8): 818-25.
  4. Djurasovic M, Glassman SD, Carreon LY, Dimar JR. Contemporary management of symptomatic lumbar spinal stenosis. Orthop Clin North Am. 2010; 41(2): 183-91.
  5. Barz T, Melloh M, Staub LP, Lord SJ, Lange J, Röder CP, et al. Nerve root sedimentation sign evaluation of a new radiological sign in lumbar spinal stenosis. Spine. 2010; 35(8): 892-7.
  6. Tomkins-Lane CC, Quint DJ, Gabriel S, Melloh M, Haig AJ. Nerve root sedimentation sign for the diagnosis of lumbar spinal stenosis reliability, sensitivity, and specificity. Spine. 2013; 38(24): E1554-E60.
  7. Macedo LG, Wang Y, Battie MC. The sedimentation sign for differential diagnosis of lumbar spinal stenosis. Spine. 2013; 38(10): 827-31.
  8. Zhang L, Chen R, Xie P, Zhang W, Yang Y, Rong L. Diagnostic value of the nerve root sedimentation sign, a radiological sign using magnetic resonance imaging, for detecting lumbar spinal stenosis: a meta-analysis. Skeletal Radiol. 2015; 44(4): 519-27.
  9. Staub LP, Barz T, Melloh M, Lord SJ, Chatfield M, Bossuyt PM. Clinical validation study to measure the performance of the Nerve Root Sedimentation Sign for the diagnosis of lumbar spinal stenosis. Contemp Clin Trials. 2011; 32(3): 470-4.
  10. Fazal A, Yoo A, Bendo JA. Does the presence of the nerve root sedimentation sign on MRI correlate with the operative level in patients undergoing posterior lumbar decompression for lumbar stenosis? Spine J. 2013; 13(8): 837-42.
  11. Kim HJ, Lee KY, Kim WC, Oh YS. Clinical value of nerve root sedimentation sign in lumbar spinal stenosis. J Korean Soc Spine Surg. 2011; 18(3): 117-22.
  12. Barz T, Staub LP, Melloh M, Hamann G, Lord SJ, Chatfield MD, et al. Clinical validity of the nerve root sedimentation sign in patients with suspected lumbar spinal stenosis. Spine J. 2014; 14(4): 667-74.
  13. Sirvanci M, Bhatia M, Ganiyusufoglu KA, Duran C, Tezer M, Ozturk C, et al. Degenerative lumbar spinal stenosis: correlation with Oswestry Disability Index and MR imaging. Eur Spine J. 2008; 17(5): 679-85.
  14. Turner JA, Ersek M, Herron L, Deyo R. Surgery for lumbar spinal stenosis -attempted metaanalysis of the literature. Spine. 1992; 17: 1-8.

Abstract   |   Reference

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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