No abstract

BACKGROUND: Low back pain (LBP) is a common presenting complaint affecting mostly middle aged and older person and traditionally considered as ageing process, but now-a-days large number of younger people are also affected by this debilitating chronic disorder. The cause of early onset of degenerative spine disease is multifactorial, but genetical predisposition plays very important role. AIMS AND OBJECTIVE: To find out association between genetic predisposition and degenerative spine disease in adult patients and to assess the pattern of MRI findings of various degenerative diseases in lumbo-sacral spine. MATERIAL AND METHOD: The present cross-sectional study had been performed among 100 selected patients in 1yr period, who presented with chief complaint of chronic low back pain. After taking detailed clinical and professional history, MRI of lumbosacral spine had been performed. Total 100 patients were divided in two groups on the basis of genetical predisposition. Prevalence and spectrum of degenerative changes were compared between both groups. RESULTS: Hundred patients of 20 to 35-year age had been selected with mean age of 27yr. Out of 100 patients; 47 were male and 53 were female. The most common degenerative findings were desiccation of disc (95%) followed by disc bulge, herniation, spinal canal stenosis, ligamentum flavum hypertrophy, facet joint hypertrophy and modic changes. L4-L5 and L5-S1 were the most commonly involved spinal levels for any degenerative pathology. CONCLUSION: Good association is seen between early onset of degenerative spine disease and genetical predisposition in patients who have history of similar type degenerative spine disease in one or more first degree relatives in comparison to those patients who do not have any genetical predisposition. So it can be concluded that heredity play important role in early onset of degenerative spine disease in adults.

Recanalized paraumbilical vein is rare but important cause of paraumbilical non pulsatile mass. We report a case of giant recanalized paraumbilical vein in known case of cirrhotic liver disease and portal hypertension mimicking as paraumbilical hernia on clinical examination. B-mode and Doppler study pointed towards the subcutaneous tortuous dilated tubular structure at paraumbilical region showing color flow and extension upto liver surface in parietal wall of abdomen. Venous blood flow demonstrated on color Doppler study. CT study used to make final diagnosis which demonstrated subcutaneous dilated tortuous opacified tubular veins at paraumbilical region extending along the parietal wall of abdomen into hepatic fissure to join portal vein branch.