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July 10, 2026Clinical and Translational NeuroscienceOpen Access

Volume-Based Stratification of Lumbar Foraminal Stenosis: A Single-Center Cohort Integrating MRI/CT Morphometrics with Stepwise Interventional, Minimally Invasive and Decompression–Stabilization Surgery

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Authors

RNRenat Madekhatovich NurmukhametovМАМ Д АбакировSKStepan Anatolyevich Kudryakov

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Overview

Observational study integrates MRI morphometrics to improve surgical outcomes in lumbar foraminal stenosis, suggesting tailored treatments.

Key Points

  • To create a diagnostic and treatment framework for lumbar foraminal stenosis (LFS) based on MRI morphometrics and patient responses.
  • Single-center, multi-cohort observational study with 351 surgically treated patients from 2017 to 2023.
  • Developed a structured system combining MRI morphometrics and interventional therapy outcomes.
  • Evaluated clinical drivers of pain post-treatment using measures like VAS and ODI scores.
  • Radiculopathy regressed in 44.7% of treated patients after selective blockades and radiofrequency denervation.
  • Endoscopic decompression led to significant early leg pain relief (p < 0.001) at 6 and 12 months.
  • ALIF showed superior long-term back pain control (p < 0.001) at 12 and 24 months, with comparable pain levels across treatment groups at 24 months.

Cite This Study

Nurmukhametov et al. (2026) studied this question.

synapsesocial.com/papers/6a508cc46eeac72a437a0a7chttps://doi.org/10.3390/ctn10030020
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