MRI FINDINGS IN PATIENTS WITH LOW BACKACHE- OUR EXPERIENCE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 54
Abstract
BACKGROUND Low backache is an increasingly common pathological condition that is becoming more frequent with increasing mean life expectancy with high costs for society. It has many causes among which degenerative, neoplastic and traumatic causes stand out. Most of the patients respond well to conservative therapy. Surgical treatment is reserved for patients who present symptoms after implementation of conservative measures. Here is a series of 50 cases, which presented with complaint of low backache and underwent MR scanning for identification of underlying pathology. The objectives of this study is to elucidate different MRI findings in patients presenting with low backache. MATERIALS AND METHODS Patients having clinical symptom of low backache presented in Department of Radiology at Patna Medical College and Hospital, Patna, were included in the present study. On a random basis, 50 cases were included with chief complaint of low backache. All patients underwent routine MRI of lumbosacral spine. RESULTS Fifty patients were studied with low backache with a mean age of 48.86 yrs. ± 15.6 (range 18 yrs. to 75 yrs.). In our study 34 patients who presented with low backache also showed degenerative changes on plain radiograph; however, 16 patients did not show any degeneration on plain radiograph. Out of 50 patients 30 patients (60%) were diagnosed to have spinal canal stenosis, 45 patients (90%) were diagnosed to have foraminal stenosis, either unilateral or bilateral; 41 patients (82%) showed evidence of either disc bulge or disc herniation; 24 patients (48%) presented with other findings, i.e. ligamentum flavum hypertrophy, ossification of posterior longitudinal ligament and posterior osteophytes on MRI; 2 patients (4%) did not show any finding on MRI. CONCLUSION Low backache is an increasingly common pathological condition that is becoming more frequent with increasing mean life expectancy with high costs for society. It has many causes among which degenerative, neoplastic and traumatic causes stand out. Most of the patients respond well to conservative therapy. Surgical treatment is reserved for patients who present symptoms after implementation of conservative measures. Here is a series of 50 cases, which presented with complaint of low backache and underwent MR scanning for identification of underlying pathology
Authors and Affiliations
Ashok Kumar Mandal, Raunak Deo
Keywords
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- EP ID EP225807
- DOI 10.14260/Jemds/2017/885
- Views 87
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