caa a22 4500 477106544 CHVBK 20180405111555.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF01411722 doi (NATIONALLICENCE)springer-10.1007/BF01411722 Albeck M. University Clinic of Neurosurgery, Rigshospitalet, Copenhagen aut A critical assessment of clinical diagnosis of disc herniation in patients with monoradicular sciatica [Elektronische Daten] [M. Albeck] Summary: The diagnostic power or clinical parameters in the diagnosis of lumbar disc herniation in patients with monoradicular pain was evaluated in a prospective study with a 100% verification of the diagnosis. Eighty patients with monoradicular pain corresponding to the fifth lumbar or the first sacral nerve root were included. Pre-operatively a number of clinical parameters were recorded and compared to the intra-operative finding of a disc herniation. The parameters were analysed by receiver operating characteristic (ROC) curves. Results from the available literature were analysed by ROC curves for comparison. In 76% of the cases a disc herniation was discovered. The level of the disc herniation was correctly predicted in 93% of these cases by the location of the pain alone or supplemented by neurological signs. Apart from radicularly distributed pain, all parameters in the present study and in the literature had no or low diagnostic accuracy. Thus, in patients with monoradicular sciatica further clinical parameters do not add to the diagnosis of lumbar disc herniation. Springer-Verlag, 1996 Intervertebral disc displacement nationallicence neurological examination nationallicence quality of test nationallicence receiver operating characteristics curve nationallicence Acta Neurochirurgica Springer-Verlag 138/1(1996-01-01), 40-44 0001-6268 138:1<40 1996 138 701 https://doi.org/10.1007/BF01411722 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411722 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Albeck M. University Clinic of Neurosurgery, Rigshospitalet, Copenhagen aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/1(1996-01-01), 40-44 0001-6268 138:1<40 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer