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            [0] => Does the Schizas classification predict clinical symptoms of lumbar spinal stenosis?
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            [0] => Rabta hospital
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            [0] => mohamed ali
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            [0] => dalykhlif1@yahoo.fr
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Nom prénom / Name Surname: Mahjoubi Seifeddine
Email: seifeddinemahjoubi@gmail.com
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Khlif Mohamed Ali
Email: dalykhlif1@yahoo.fr
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Ouachani Atef
Email: atefoichani@gmail.com
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Ben Ayed Mehdi
Email: b.ayed.mehdi@gmail.com
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Zitouna Khaled
Email: kh.zitouna@laposte.net
Hôpital / Hospital: Rabta hospital

 
Nom prénom / Name Surname: Barsaoui Maher
Email: barsaoui.maher@yahoo.fr
Hôpital / Hospital: Rabta hospital

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            [0] => dalykhlif1@yahoo.fr
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    [specialite] => Array
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            [0] => Chirurgie orthopédique et traumatologique
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            [0] => Tunisie
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            [0] => Free paper

Introduction: The high incidence of degenerative lumbar spinal stenosis (LSS) in the elderly population makes it a common pathology. The Schizas classification, based on the observation of nerve roots within the dural sac on MRI, offers a radiological assessment of stenosis severity. Our objective was to analyze the relationship between this classification and clinical symptoms associated with degenerative lumbar stenosis.

Methods: We reviewed the records of 40 patients treated for degenerative lumbar spinal stenosis over a 5-year period. We correlated the Schizas classification with neurological examination findings, walking distance, and pain severity.

Results: We found a significant association between motor and sensory deficits and pain severity on one hand, and the Schizas classification on the other hand. However, there was no association between this classification and reduced walking distance.

Discussion: Several studies have attempted to correlate clinical symptoms with quantitative radiological parameters (size and perimeter of the lumbar canal). However, few studies have correlated clinical symptoms with qualitative morphological parameters of the spinal cord. Radiological findings alone are insufficient to define the severity of the pathology and justify treatment for canal stenosis. Therefore, we recommend that treatment choice (surgery or conservative treatment) in patients with LSS should be primarily based on the degree of clinical involvement.

Conclusion: Although our study did not show an absolute correlation between the Schizas classification and all clinical symptoms of degenerative lumbar spinal stenosis, some significant associations were observed. These results emphasize the importance of a thorough clinical evaluation in managing this pathology, thereby helping guide treatment choices.
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