The role of ultrasonography in the diagnosis of spinal stenosis

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Prof. S.V. Fedkiv 1, prof. А.G. Oparin 3, prof. I.B. Zelenetskyi 2, assoc. prof. N.S. Lysenko 3, N.O. Oborina 2 

1 Shupyk National Healthcare University of Ukraine,

2 Kharkiv Regional Clinical Traumatology Hospital,

3 Kharkiv National Medical University

The article presents data on lumbar spinal canal stenosis, clinical manifestations of spinal nerve compression at various stages of stenosis, and methods for diagnosing stenosis.

Key words: lumbar disc herniation, ultrasonography, lumbar spinal stenosis, magnetic resonance imaging.

https://doi.org/10.15407/internalmed2026.01.018

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Для цитування:

Федьків, С.В. Роль ультрасонографії у діагностиці стенозу хребетного каналу / С.В. Федьків, А.Г. Опарін, І.Б. Зеленецький, Н.С. Лисенко, Н.О. Оборина // Східноєвропейський журнал внутрішньої та сімейної медицини. — 2026. — № 1. — С. 18-23. doi: 10.15407/internalmed2026.01.018

Fedkiv SV, Oparin AG, Zelenetskyi IB, Lysenko NS, Oborina NO. Rol ultrasonohrafii u diahnostytsi stenosu khrebetnoho kanalu [The role of ultrasonography in the diagnosis of spinal stenosis]. Shidnoevr. z. vnutr. simejnoi med. 2026;1:18-23. Ukrainian. doi: 10.15407/internalmed2026.01.018

References:

  1. Lurie J., Tomkins-Lane C. (January 2016). “Management of lumbar spinal stenosis”. BMJ. 352 h6234. https://doi.org/10.1136/bmj.h6234
  2. Bagley C., MacAllister M., Dosselman L., Moreno J., Aoun S.G., El Ahmadieh TY. Current concepts and recent advances in understanding and managing lumbar spine stenosis. F1000Res. 2019;8 https://doi.org/10.12688/f1000research.16082.1
  3. Abbas J, Yousef M, Peled N, Hershkovitz I, Hamoud K. Predictive factors for degenerative lumbar spinal stenosis: a model obtained from a machine learning algorithm technique. BMC Musculoskelet Disord. 2023 Mar 23;24(1):218 https://doi.org/10.1186/s12891-023-06330-z
  4. Zaina F, Tomkins-Lane C, Carragee E, Negrini S. Surgical Versus Nonsurgical Treatment for Lumbar Spinal Stenosis. Spine (Phila Pa 1976). 2016 Jul 15;41(14):E857-E868 https://doi.org/10.1097/BRS.0000000000001635
  5. Lee SH, Choi HH, Chang MC. The Effectiveness of Facet Joint Injection with Steroid and Botulinum Toxin in Severe Lumbar Central Spinal Stenosis: A Randomized Controlled Trial. Toxins (Basel). 2022 Dec 23;15(1) 6 https://doi.org/10.3390/toxins15010011
  6. Laiwalla AN, Ratnaparkhi A, Zarrin D, Cook K, Li I, Wilson B, Florence TJ, Yoo B, Salehi B, Gaonkar B, Beckett J, Macyszyn L. Lumbar Spinal Canal Segmentation in Cases with Lumbar Stenosis Using Deep-U-Net Ensembles. World Neurosurg. 2023 Oct;178:e135-e140 https://doi.org/10.1016/j.wneu.2023.07.009
  7. Deer TR, Grider JS, Pope JE, Lamer TJ, Wahezi SE, Hagedorn JM, Falowski S, Tolba R, Shah JM, Strand N, Escobar A, Malinowski M, Bux A, Jassal N, Hah J, Weisbein J, Tomycz ND, Jameson J, Petersen EA, Sayed D. Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST): Consensus Guidance from the American Society of Pain and Neuroscience (ASPN). J Pain Res. 2022;15:1325-1354 https://doi.org/10.2147/JPR.S355285
  8. Diwan S, Sayed D, Deer TR, Salomons A, Liang K. An Algorithmic Approach to Treating Lumbar Spinal Stenosis: An Evidenced-Based Approach. Pain Med. 2019 Dec 01;20 (Suppl 2):S23-S31 https://doi.org/10.1093/pm/pnz133
  9. Xu J, Si H, Zeng Y, Wu Y, Zhang S, Shen B. Transcriptome-wide association study reveals candidate causal genes for lumbar spinal stenosis. Bone Joint Res. 2023 Jun 26;12(6):387-396 https://doi.org/10.1302/2046-3758.126.BJR-2022-0160.R1
  10. Walter KL, O’Toole JE. Lumbar Spinal Stenosis. JAMA. 2022 Jul 19;328(3):310 https://doi.org/10.1001/jama.2022.6137
  11. Buser Z, Ortega B, D’Oro A, Pannell W, Cohen JR, Wang J, Golish R, Reed M, Wang JC. Spine Degenerative Conditions and Their Treatments: National Trends in the United States of America. Global Spine J. 2018 Feb;8(1):57-67 https://doi.org/10.1177/2192568217696688
  12. Wang S, Qu Y, Fang X, Ding Q, Zhao H, Yu X, Xu T, Lu R, Jing S, Liu C, Wu H, Liu Y. Decorin: a potential therapeutic candidate for ligamentum flavum hypertrophy by antagonizing TGF-β1. Exp Mol Med. 2023 Jul;55(7):1413-1423 https://doi.org/10.1038/s12276-023-01023-y
  13. Yabe Y, Hagiwara Y, Tsuchiya M, Minowa T, Takemura T, Hattori S, Yoshida S, Onoki T, Ishikawa K. Comparative proteome analysis of the ligamentum flavum of patients with lumbar spinal canal stenosis. JOR Spine. 2022 Dec;5(4):e1210 https://doi.org/10.1002/jsp2.1210
  14. Jain M, Sable M, Tirpude AP, Sahu RN, Samanta SK, Das G. Histological difference in ligament flavum between degenerative lumbar canal stenosis and non-stenotic group: A prospective, comparative study. World J Orthop. 2022 Sep 18;13(9):791-801 https://doi.org/10.5312/wjo.v13.i9.791
  15. Altun S, Alkan A, Altun І. LSS-VGG16: Diagnosis of Lumbar Spinal Stenosis With Deep Learning. Clin Spine Surg. 2023 Jun 01;36(5):E180-E190 https://doi.org/10.1097/BSD.0000000000001418
  16. Ujigo S, Kamei N, Yamada K, Nakamae T, Imada H, Adachi N, Fujimoto Y. Balancing ability of patients with lumbar spinal canal stenosis. Eur Spine J. 2023 Dec;32(12):4174-4183 https://doi.org/10.1007/s00586-023-07782-6
  17. Munakomi S, Kumar BM. Wasting of Extensor Digitorum Brevis as a Decisive Preoperative Clinical Indicator of Lumbar Canal Stenosis: A Single-center Prospective Cohort Study. Ann Med Health Sci Res. 2016 Sep-Oct;6(5):296-300 https://doi.org/10.4103/amhsr.amhsr_392_15
  18. Staartjes VE, Schröder ML. The five-repetition sit-to-stand test: evaluation of a simple and objective tool for the assessment of degenerative pathologies of the lumbar spine. J Neurosurg Spine. 2018 Oct;29(4):380-387 https://doi.org/10.3171/2018.2.SPINE171416
  19. Oskouie IM, Rostami M, Moosavi M, Zarei M, Jouibari MF, Ataie H, Jafarieh A, Moghadam N, Kordi R, Khadivi M, Mazloumi A. Translation, cross-cultural adaptation and validation of the Persian version of selected PROMIS measures for use in lumbar canal stenosis patients. J Educ Health Promot. 2023;12:99 https://doi.org/10.4103/jehp.jehp_668_22
  20. Wang Y, Zhang P, Yan X, Wang J, Zhu M, Teng H. The correlation between lumbar interlaminar space size on plain radiograph and spinal stenosis. Eur Spine J. 2023 May;32(5):1721-1728 https://doi.org/10.1007/s00586-023-07646-z
  21. Pant YR, Paudel S, Lakhey RB, Pokharel RK. Nerve Root Sedimentation Sign among Lumbar Canal Stenosis Patients Visiting the Department of Orthopaedics in a Tertiary Care Centre: A Descriptive Cross-sectional Study. JNMA J Nepal Med Assoc. 2022 Dec 01;60(256):1030-1032 https://doi.org/10.31729/jnma.7540
  22. Ahn DY, Park HJ, Yi JW, Kim JN. To Assess Whether Lee’s Grading System for Central Lumbar Spinal Stenosis Can Be Used as a Decision-Making Tool for Surgical Treatment. Taehan Yongsang Uihakhoe Chi. 2022 Jan;83(1):102-111 https://doi.org/10.3348/jksr.2021.0017
  23. Abdullaiev R.Ya, Kulikova F.I., Alla G. Kyrychenko, Baibakov V., Dihtiar V. A. Ultrasonic Imaging of Lumbar Degenerative Disc Disease. Journal of Spinal Diseases and Research. 2019. http://doi.org/10.31579/26415143/Jsdr/2019/012