Schizas Classification

The Schizas classification grades central lumbar spinal stenosis on axial T2-weighted MRI. It distinguishes grades A to D. Grade A is subdivided into A1 to A4.[^1]

Classification

Grade

Characteristics

Degree of stenosis

A1

The nerve roots are located dorsally and occupy less than half of the dural sac area.

There is no or mild stenosis.

A2

The nerve roots are located dorsally and contact the Dura in a horseshoe-shaped configuration.

There is no or mild stenosis.

A3

The nerve roots are located dorsally and occupy more than half of the dural sac area.

There is no or mild stenosis.

A4

The nerve roots are located centrally and occupy a large portion of the dural sac area.

There is no or mild stenosis.

B

The nerve roots occupy the entire area of the dural sac. Cerebrospinal fluid can still be delineated between the nerve roots.

There is moderate stenosis.

C

The individual nerve roots can no longer be delineated. The dural sac shows a homogeneous gray signal without discernible Cerebrospinal fluid.

There is severe stenosis.

D

In addition to the lack of delineation of the nerve roots and the absent cerebrospinal fluid signal, no discernible epidural fat is seen posteriorly.

There is extreme stenosis.

Figure

Schizas classification
Illustration of the Schizas classification from the original publication.

Clinical interpretation

The original study found no association between morphological grade and the Oswestry Disability Index. Grade alone therefore does not describe the extent of functional impairment.[^1]

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Edit · Alaric Steinmetz · (+96 −45)
  • Text added: “The Schizas classification grades central lumbar spinal stenosis on axial T2-weighted MRI. It distinguishes grades A to D. Grade A is subdivided into A1 to A4.[^1]”
  • Text added: “Clinical interpretation”
  • Text added: “The original study found no association between morphological grade and the Oswestry Disability Index. Grade alone therefore does not describe the extent of functional impairment.[^1]”
  • Text removed: “The Schizas classification is used to grade Spinal canal stenoses”
Edit · Alaric Steinmetz · (+2 −0)

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Edit · Alaric Steinmetz ·

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Edit · Alaric Steinmetz · (+10 −12)
  • Text changed: “The Schizas classification is used to grade Spinal canal stenosis [^1] into four different severity grades.”“The Schizas classification is used to grade Spinal canal stenoses”
Edit · Alaric Steinmetz · (+62 −92)
  • Text changed: “The Schizas classification is used to categorize spinal canal stenoses [^1] into four different degrees of severity.”“The Schizas classification is used to grade Spinal canal stenosis [^1] into four different severity grades.”

Article created on · Alaric Steinmetz

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