Clinical Correlation between Back Pain and Schmorl’s Node – Modic’s Changes
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 11
Abstract
Abstract: In this study, we aimed to evaluate correlation of back pain and osteomalacia with Schmorl nodules and end-plate degeneration in vertebrates observed on MR imaging. This study was prospective case control study. First group composed of 135 patients with back and/or low back pain. In this group, visual analog scale scores, body mass index and tender point counts were recorded. In the second group, 119 patients were enrolled into the study. In all patients, complete blood count, vitamin D, vitamin C, calcium, phosphate, magnesium, aspartate aminotransferase, alanine transaminase, blood urea nitrogen, creatinine, estradiol, testosterone, parathyroid hormone, thyroid stimulating hormone levels were measured and MR imaging was performed.This prospective study included 254 patients. Modic degeneration was observed in 123 (91.1%) of 135 patients with back pain. Vitamin D, total testosterone, calcium, phosphate, magnesium, TSH, parathyroid hormone and vitamin C values were found to be significantly lower in the first group. VAS scores, tender point count, Schmorl’s node and Modic’s degeneration values were higher in the first group. There is a significant relationship between abnormal values that may cause osteomalacia and Modic’s changes and Schmorl’s node formation in the patients with back pain. Keywords:Schmorl’s node, Modic’s change, lumbar spine, back pain, magnetic resonance imaging
Authors and Affiliations
Halil İbrahim SERİN, IskenderSamet DALTABAN, Sinan KARACABEY, Aylin OKUR, Ayşe Yeşim GÖÇMEN, Hakan AK
Keywords
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