Evaluation of degenerative changes in lumbar spine by MRI in rural population
Journal Title: Medpulse International Journal of Anatomy - Year 2017, Vol 3, Issue 1
Abstract
Background and Aims: Degeneration of inter vertebral disc is characterized by a loss of hydration of the nucleus pulposus and disruption of the annulus fibrosus resulting from a variety of mechanical and biochemical factors. Individuals with degenerative disease of the lumbar spine can be symptomatic or asymptomatic, although commonly the disease is asymptomatic. The symptomatic individuals can present with back pain or radicular pain syndrome. Lumbar spine is the common area affected by degenerative changes, as it is a part of spine which is subjected to heavy mechanical stress. Material and Methods: This is a hospital based cross-sectional descriptive study. Study population included all patients above 20 years of age with LBP with/without radiculopathy who were referred for lumbar spine MRI at Radiology department.. Observations and Results: The study included 165 patients; the age range was from 20 to 80 years whereby 49.69% of them were females. On lumbar MRI, overall prevalence of lumbar degenerative findings was disc bulge 76%, nerve root compression 40%, and central canal stenosis 26%. The least common finding was disc herniation which was seen in 18%. 9% participants had normal lumbar MRI findings. Prevalence of various degenerative imaging findings was more common among males, only disc bulges were common among females, though the differences were not statistically significant. Conclusion: Degenerative changes in lumbar spine increase with age, being more common among males than females and there is strong association between low back pain patients and degenerative changes observed on MRI.
Authors and Affiliations
Walwante R D, Dhapate S S, Porwal S S
Keywords
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