EVALUATION OF DEGENERATIVE DISEASE OF LUMBOSACRAL SPINE BY 3 TESLA MRI
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 3
Abstract
BACKGROUND Low back pain (LBP) secondary to degenerative disease of spine is a condition related to musculoskeletal system and affecting mostly middle aged and older persons, but now-a-days younger people are also suffering. Plain radiograph can be helpful in visualising gross anatomic changes in the intervertebral disc. But MRI is the standard imaging modality for detecting disc pathology. Aims and Objective- To evaluate imaging characteristics and extent of degenerative changes of the lumbosacral spine by 3 Tesla MRI and also to identify the associated changes and to find the pattern of pathological changes identified by MRI in low backache. MATERIALS AND METHODS Total 118 patients were studied to evaluate the MRI appearance of Degenerative disease of lumbosacral spine. The vertebrae, intervertebral discs, spinal canals and neural foramens were looked for the changes of degeneration. The spinal cord and the nerve roots were observed for signs of compression and degeneration. RESULTS Males were more frequently involved than females and they were mostly of 5th and 6th decades of their lives. Per patient disc involvement were 3.55%. Annular disc tear, disc herniation, narrowing of spinal canal, narrowing of lateral recess, compression of neural foramen, ligamentum flavum thickening and facetal arthropathy were common at the L4 - L5 disc level. CONCLUSION Degeneration of lumbosacral spine is the most common cause of low back pain. Multiple levels of the disc involvement are seen per person. Males are more frequently affected to the disc degeneration than females. MRI is the standard imaging modality for detecting disc pathology due to its advantages like multiplanar imaging capability, excellent soft tissue contrast, precise localisation of intervertebral disc changes and lack of radiation.
Authors and Affiliations
Pintu Biswas, Asim De
Keywords
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- EP ID EP284695
- DOI 10.14260/jemds/2018/85
- Views 98
- Downloads 0
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