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The changing pattern of spinal arachnoiditis.

M D Shaw, J A Russell, K W Grossart

    Journal of Neurology, Neurosurgery, and Psychiatry
    |February 1, 1978
    PubMed
    Summary
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    Spinal arachnoiditis, a rare condition, most often affects the lumbar region. Previous spinal conditions, like lumbar disc disease, are common precursors. Surgery is not an effective treatment for this condition.

    Area of Science:

    • Neurology
    • Neurosurgery
    • Radiology

    Background:

    • Spinal arachnoiditis is an uncommon inflammatory condition affecting the spinal cord's arachnoid mater.
    • Previous studies indicate varying patterns of spinal arachnoiditis distribution and outcomes.

    Purpose of the Study:

    • To review cases of spinal arachnoiditis to understand its current prevalence, distribution, and associated factors.
    • To evaluate the role of surgery in managing spinal arachnoiditis.

    Main Methods:

    • Retrospective review of 80 cases of spinal arachnoiditis.
    • Analysis of spinal contrast investigations conducted over a specific period (7600 cases).

    Main Results:

    • The lumbar region is now the most frequently involved area, a shift from previous observations.

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  • Lumbar disc disease was the most common preceding spinal condition.
  • Radicular symptoms persist, while paraplegia incidence is relatively low compared to earlier series.

    • Conclusions:

    • Spinal arachnoiditis predominantly affects the lumbar spine.
    • Surgical intervention does not appear to be a beneficial treatment for spinal arachnoiditis.