Schizas classification

see https://operativeneurosurgery.com/doku.php?id=lee_classification_for_lumbar_foraminal_stenosis


Grade A: no or minor lumbar spinal stenosis

A1: rootlets lying dorsally and occupying less than half of the dural sac area.

A2: rootlets lying dorsally with a horseshoe configuration

A3: rootlets lying dorsally and occupying more than half of the dural sac area

A4: rootlets lying centrally and occupying the majority of the dural sac area


Grade B: moderate stenosis: rootlets occupying the entire dural sac, but rootlets can still be individualized


Grade C: severe stenosis: no recognizable rootlets with complete effacement of cerebrospinal fluid space, but epidural fat is present posteriorly


Grade D: extreme stenosis: no recognizable rootlets and no epidural fat posteriorly 1)

1)
Lee, E., Lee, J. W., Park, C. Y., Cho, J., Kang, Y., & Ahn, J. M. (2020). Clinical validity of two different grading systems for lumbar central canal stenosis: Schizas and Lee classification systems. PLOS ONE, 15(5), e0233633. https://doi.org/10.1371/journal.pone.0233633