Diagnostic precision in lumbar radiculopathy: Impact of transitional vertebrae on treatment level selection and outcomes
In patients with lumbosacral transitional vertebrae and lumboradicular pain, discrepancies between referral, MRI, and treatment levels are common, leading to uncertain diagnoses and treatment due to incorrect leveldetermination. Interdisciplinary consultation to reach consensus on the most appropriate spinal level for treatment and clear spine images may prevent such discrepancies. Amulticentre study with a larger patient sample is strongly recommended.
Authors
- Selina E. I. van der Wal (ORCID: https://orcid.org/0000-0001-6899-9314)
- Dylan Jozef Hendrik Augustinus Henssen (ORCID: https://orcid.org/0000-0002-3915-3034)
- Jan Van Zundert (ORCID: https://orcid.org/0000-0002-5389-2036)
- Kris C. P. Vissers (ORCID: https://orcid.org/0000-0002-2919-6356)
- Marjan J. Slob
- Walter van der Weegen (ORCID: https://orcid.org/0000-0001-9389-0644)
- Bart Liebrand
- Arthur Boon
Institutions
- Radboud University Nijmegen (NL)
- Maastricht University Medical Centre (NL)
- University Medical Center (US)
- Radboud University Medical Center (NL)
- Maastricht University (NL)
- Ziekenhuis Oost-Limburg (BE)
- St. Anna Hospital (DE)
- St. Anna Ziekenhuis (NL)
Publication Details
- Journal
- Pain Medicine
- Published
- 2025-05-23
- DOI
- https://doi.org/10.1093/pm/pnaf061
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00