The Evaluation of Liquid Crystal Thermography in the Investigation of Nerve Root Compression Due to Lumbosacral Lateral Spinal Stenosis

Abstract

The role of liquid crystal thermography (LCT) in the investigation of nerve root compression due to lumbosacral lateral spinal stenosis was evaluated using a quantitative analysis technique. In 28 healthy volunteers, normal lower limb dermatomal asymmetry was found to follow a Gaussian distribution, with a normal range of less than 1.0 degree for the lower limbs and less than 1.9 degrees for the feet. The results of LCT from a patient group were compared with those from other investigations, with the following results: clinical assessment (107 patients), 53% agreement; myelography (60 patients), 45% agreement; computerized tomography (35 patients), 46% agreement; electromyography (27 patients), 41% agreement; and surgical findings (19 patients), 53% agreement. Each method of investigation was compared against the surgeon's final overall assessment. Clinical assessment agreed in 76%, myelography in 71%, computerized tomography in 71%, and electromyography in 70%. However, agreement could be demonstrated in only 48% of cases using LCT; therefore, it would appear that LCT is by far the least reliable of these techniques in the diagnosis of nerve root compression.