Compatibility of clinical presentation and imaging for patient with multiple lumbar canal stenosis at Wahidin Hospital

Every year the number of surgical procedures performs for lumbar spinal stenosis has increased steadily over the years. Diagnosis of the patients with lumbar canal stenosis and decision for decompression was mainly with MRI. Majority of patients will end up with multilevel decompression. The objective of this study is to evaluate the outcome of the patient who level of decompression based on clinical presentation of the patient. This is a cross sectional analytical study. Patient who was diagnosed with multiple lumbar canal stenosis by 3 orthopedic broad certified spine surgeons based on clinical presentation and CT myelography and MRI will undergo decompression surgery. Functional outcome was evaluated by using JOABPEQ score. The proportion of patients who has match and unmatched clinical presentation and imaging was evaluated with Fisher exact test. Determining the level of decompression in patient with multiple lumbar canal stenosis should be based on clinical presentation of the patients rather than using Imaging study. However, further authentication is required by doing long term studies.