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. 2024 Aug 14;25:640. doi: 10.1186/s12891-024-07718-1

Table 2.

Characteristics of studies evaluating miss diagnosis of tandem cervical and thoracic stenosis

Study Study period Study
design
Level of evidence Study
population
Total study N Miss diagnosis N Stenosis pattern of miss diagnosis Outcome of study

Sun

el at.

1994-2001 Case control III CSM+T OLF 35 6 T OLF 75% of those who meet the upper limb function score composition ratio > 36% and bladder function score ≤ 2 points are thoracic OLF combined with CSM

Zhou

el at.

1987-1993 Retrospective Case Series IV C OPLL 318 14a T OLF There is a high possibility of cervical OPLL combined with thoracic OLF when it shows continuous cervical OPLL, mixed cervical OPLL and DISH disease involving multiple segments.

Sun

el at.

1991-2003 Retrospective Case Series IV T OLF +CSM 40 7 T OLF When cervical MRI finds OLF in the upper thoracic spine, MRI examination of the entire thoracic spine should be performed to determine whether OLF occurs in the thoracolumbar and middle and lower thoracic spine.
Jannelli el at. 2015-2018 Retrospective Case Series IV TSS 8 2 Dorsal myelopathy Electrophysiological techniques can be considered an objective and cost-effective tool in the assessment of TSS and can improve surgical decision-making.
Total 401 29

CSM cervical spondylotic myelopathy, OLF ossification of ligamentum flavum, OPLL ossification of posterior longitudinal ligament, DISH diffuse idiopathic skeletal hyperostosis TSS tandem spinal stenosis