Sato, MD, Kikochi, MD. Spine 1993; 18(15):2246-2251: Morphologic abnormalities that are shown by imaging studies do not necessarily produce clinical symptoms. The relationship between morphologic abnormalities and the occurrence of symptoms must be further clarified. It has so far been impossible to differentiate symptomatic from asymptomatic abnormalities by routine diagnostic studies. Some new diagnostic procedures must first be developed for determination of the responsible level and site of nerve root impairment.

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