Evaluation of lumbar spine using MRI in patients with chronic low back pain

Kalpeshkumar Patel; Akshay Gupta; Durgaprasad Barai; Kundan Patel

doi:10.53730/ijhs.v6nS1.8479

Evaluation of lumbar spine using MRI in patients with chronic low back pain

https://doi.org/10.53730/ijhs.v6nS1.8479

Authors

Kalpeshkumar Patel Associate Professor, Department of Radiology, 2Resident, Department of Radiology, S.B.K.S. Medical Institute & Research Centre, India
Akshay Gupta 2nd Year resident, Department of Radiology, Dhiraj hospital, Piparia, Waghodia, Vadodara, Gujarat, India
Durgaprasad Barai 2nd Year resident, Department of Radiology, Dhiraj hospital, Piparia, Waghodia, Vadodara, Gujarat, India
Kundan Patel 2nd Year resident, Department of Radiology, Dhiraj hospital, Piparia, Waghodia, Vadodara, Gujarat, India

Keywords:

Lumbar spine, Degenerative disease, disc herniation, MRI, chronic low back pain

Abstract

Aim: We compared the prevalence of MR imaging features of lumbar spine degeneration in adults and with self-reported low back pain. Evaluating the patient based on the degree of disc bulge correlating findings on MRI study aimed in establishing the role of MRI in prompt diagnosis to assess the degree of disc herniation. Material and Methods : Patients were evaluated each for the following outcomes : degree of disc bulge, disc degeneration, disc extrusion, disc protrusion, annular ﬁssures, Modic changes, central canal stenosis, spondylolisthesis and spondylolysis, RESULTS : 52 self reported cases of low back pain. 40 of them (80%) met the inclusion criteria, 12 patients had a normal MRI, disc bulge (50%), spondylolysis (20%), disc extrusion (5%), MODIC 1 changes (10%), disc protrusion (5%) and disc degeneration (10%) the degree of disc bulge in the upper lumbar levels showed significant radicular symptoms in symptomatic low back pain patients associated with degenerative changes more in older population with a greater pain scale.

Downloads

Download data is not yet available.

References

Jarvik JG, Deyo RA. Diagnostic evaluation of low back pain with emphasis on imaging. Ann Intern Med 2002;137:586–97 CrossRef Medline

Deyo RA, Cherkin D, Conrad D, et al. Cost, controversy, crisis: low backpainandthehealthofthepublic.AnnuRevPublicHealth1991; 12:141–56 CrossRef Medline

Li AL, Yen D. Effect of increased MRI and CT scan utilization on clinicaldecision-making in patients referred to a surgical clinic for back pain. Can J Surg 2011;54:128–32 CrossRef Medline.

Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354(9178):581–585. doi: 10.1016/S0140-6736(99)01312-4. [PubMed] [CrossRef] [Google Scholar]

Martin BI, Deyo RA, Mirza SK, et al. Expenditures and health status among adults with back and neck problems. JAMA. 2008;299(6):656. doi: 10.1001/jama.299.6.656. [PubMed] [CrossRef] [Google Scholar]

Kadow T, Sowa G, Vo N, Kang JD. Molecular basis of intervertebral disc degeneration and herniations: what are the important translational questions? Clin Orthop Relat Res. 2015;473(6):1903–1912. doi: 10.1007/s11999-014-3774-8. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

Kepler CK, Ponnappan RK, Tannoury CA, Risbud MV, Anderson DG. The molecular basis of intervertebral disc degeneration. Spine J. 2013;13(3):318–330. doi: 10.1016/j.spinee.2012.12.003. [PubMed] [CrossRef] [Google Scholar]

Pfirrmann CW, Metzdorf A, Zanetti M, Hodler J, Boos N. (2001) Magnetic resonance grade of lumbar intervertebral disc degeneration. Spine 26: 1873–1878.

Thompson JP, Pearce RH, Schechter MT, Adams ME, Tsang IK, et al.(1990) Preliminary evaluation of a scheme for grading the gross morphology of the human intervertebral disc. Spine 15: 41l–415.

Griffith JF, Wang YX, Antonio GE, Choi KC, Yu A, et al. (2007) Modified Pfirrmann grading system for lumbar intervertebral disc degeneration. Spine 32: 708–712.

Rinartha, K., Suryasa, W., & Kartika, L. G. S. (2018). Comparative Analysis of String Similarity on Dynamic Query Suggestions. In 2018 Electrical Power, Electronics, Communications, Controls and Informatics Seminar (EECCIS) (pp. 399-404). IEEE.

Published

05-06-2022

How to Cite

Patel, K., Gupta, A., Barai, D., & Patel, K. (2022). Evaluation of lumbar spine using MRI in patients with chronic low back pain. International Journal of Health Sciences, 6(S1), 13994–14000. https://doi.org/10.53730/ijhs.v6nS1.8479

Download Citation

Issue

Vol. 6 No. S1 (2022)

Section

Peer Review Articles

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.

Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.

This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.