Spectrum and Prevalence of degenerative changes seen on Mri of Lumbosacral Spine in Patients with Low Back Pain
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Low back pain (LBP) is the most prevalent musculoskeletal condition and one of the most common causes of disability. In a report of World Health Organization in 2002, LBP constituted 37% of all occupational risk factors and occupies first rank among the disease complications caused by work. Magnetic resonance imaging (MRI) with its multiplanar capabilities and lack of ionizing radiation provides excellent anatomical details of the lumbar spine and detects the cause of LBP in a majority of patients. This cross sectional study was carried out in Radiology Department of MGMH, from 2015-2016. The study included 192 patients who presented with low back pain. All patients underwent lumbar MRI using 1.5 T scanner. The current study evaluates different degenerative changes on MRI in patients with LBP. A review of 192 MRIs of patients presenting with LBP established disc bulge as the most common finding (in 85%), disc dessication (in 66%), disc protrusion (in 23%), disc extrusion (in 2%), HIZ/annular tear (in 22%) and Schmorl’s nodes (in 10%). Other vertebral degenerative changes include osteophytes (in 52%), facetal arthropathy (in 27%) and Modic end plate changes (in 21%). Flaval hypertrophy is seen in 9%. Spinal stenosis, which is multifactorial, was seen in 50.5%. Other less frequently encountered but still significant findings include: vertebral compression (in 5.7%), transitional vertebra (in 4%) and spinal listhesis (in 3%).
Authors and Affiliations
Dr. Sai Sudha Angam, Dr. Nadeem Ahmed, Dr. Sreedevi Thakkallapelli, Dr. Swapna Chouhan, Dr. Madhavilatha Routhu, Dr. Jagdeesh Babu
Keywords
Related Articles
- EP ID EP589370
- DOI 10.9790/0853-1601064147
- Views 86
- Downloads 0
The Importance Of The Surface Layer Of Dental Implants For Successful Tissue Integration : A Clinical Case Report
An evaluation of twenty patients was made during a period of thirty six months. The treatment, the observation and the evaluation of the patients have taken place in the private office of dentistry “Dent Estet” located i...
A Novel Prosthodontic Treatment Approach Towards Resorbed Mandibular Ridges
The most common problems among long term denture wearers is the unstable complete mandibular denture .Complete dentures are primarily mechanical devices, but since they function in the oral cavity, they must be in harmon...
Odri: Oncology Database of Rims, Ranchi
Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. On one hand India had started national programs since 1975, and till date majority of the me...
Arcuate nucleus revisited; the role of dopamine and leptin in physiological homeostasis
:Arcuate nucleus (ARN) consisting of neurons is located in the hypothalamus and plays an important role in integrating the hormonal and neuronal signals. In females it seems to regulate the secretion of sex steroids and...
Hepatic Osteodystrophy- An overlooked complication
Hepatic osteodystrophyis a metabolic bone disease commonly seen in patients with chronic liver disease(CLD). Osteoporosis&osteomalaciadevelops in most of the patients with advanced liver disease. Regardless of the etiolo...