The Crossed Straight Leg Raising Test: A Diagnostic Sign of Herniated Disc

    loading  Checking for direct PDF access through Ovid

Abstract

Increased sciatica on raising the opposite or “well” leg, the crossed straight leg raising (XSLR) sign, is associated with a herniated lumbar disc in 97% of patients. Although XSLR predicts poor response to conservative management, the results of laminectomy are unusually good, with 91% of patients returning to work. Myelography is unnecessary for the diagnosis of disc herniation in patients with XSLR. It is possible for patients with this sign to have a normal myelogram, but 90% of them will prove nevertheless to have a herniated disc.

Related Topics

    loading  Loading Related Articles