Kumar BM

Department of Neurosurgery, College of Medical Sciences, International Society for Medical Education, Chitwan, Nepal

Publications

• Original Article   
  Wasting of Extensor Digitorum Brevis as a Decisive Preoperative Clinical Indicator of Lumbar Canal Stenosis: A Single???center Prospective Cohort Study
  Author(s): Munakomi S* and Kumar BM
  
  Background: The dilemma in managing patients with low back ache lies in differentiating radiculopathy from lumbar canal stenosis. This has a huge bearing in patients being planned for surgical intervention as underperforming leads to failed back syndrome whereas over‑doing leads to instability. There still remains a loophole in clinically diagnosing lumbar canal stenosis. Aim: We opt to utilize a simple bedside clinical examination in routinely assessing patients presenting with low back ache in ruling out underlying canal stenosis. Subjects and Methods: We performed a prospective study on 120 consecutive patients presenting with low back ache in the spine clinic. Each of them was neurologically examined and thoroughly assessed for wasting of extensor digitorum brevis (EDB) muscles. These were then correlated with the radio‑imaging and the intraoperative findings. .. Read More»