A prospective study of magnetic resonance imaging findings in patients of chronic low back pain: a clinico-radiological correlation

Singh, Garjesh; Mehra, Alankrita; Gaur, Tribhuwan Narayan Singh

doi:10.18203/2320-6012.ijrms20151538

Cited by 6 publications

(10 citation statements)

References 14 publications

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“…[2] Protrusion was more common than extrusion, which is similar to other studies. [10] Most commonly involved level in disc herniation was L4-L5 level, which is consistent to previous study. [3] Frequency of facetal arthropathy and ligamentum flavum thickening were significantly less.…”

Section: Discussionsupporting

confidence: 91%

“…Rai et al also observed that in general posterior osteophytes were the least common, which is consistent to this study. [10] Decrease disc heights were seen most commonly involving L4-L5 disc level (31.81% of decreased disc height), which is close to the study by Suthar et al who also noted that decreased disc heights most commonly involved L4-L5 level (in 32.26%). [2] Disc desiccation is a common degenerative change of intervertebral discs observed in various previous studies similar to our study.…”

Section: Discussionsupporting

confidence: 87%

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Evaluation of Degenerative Disease of Lumbosacral Spine by 3 Tesla Mri

Biswas¹,

De²

2018

jemds

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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 5 th and 6 th 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.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Evaluation of Degenerative Disease of Lumbosacral Spine by 3 Tesla Mri

Biswas¹,

De²

2018

jemds

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“…In our study there is a significant correlation between MRI and Clinical findings of lumbar PIVD with pearson correlation coefficient value more than 0. Which was similar to study conducted by beattie et al [26] , Keshavarz et al [27] , Farhana yonis et al [16] , Janardana Ap et al [25] , Bajpai et al [22] , Rai et al [20] ,…”

Section: Discussionsupporting

confidence: 89%

“…In this study on total 60 patients 57% of patients were male population that means of male preponderance because of more outdoor activities by males also in relation to study by rahman MH in which there were 74.1% patients were male and 25.9% patients were female [18] .In this study conducted on 60 patients routine activity was hampered only in 30% patients which was according to the study did by Rainvillie et al [19] . In the present study this was found that the with increase in disc herniation level there is increase in neural canal compromise but this is against study conducted by rai et which found that there is no significant correlation between these two terms [20] . In the present study 90% of the patients had complaint of radiculopathy which was correlated to study conducted by stankovic which found that 70% of the patients had lower limb radiculopathy.…”

Section: Discussioncontrasting

confidence: 66%

Comparison between clinical finding and magnetic resonance imaging finding of lumbar prolapsed intervertebral disc

Singla¹,

Sharma²,

Sharma³

et al. 2020

Int. J. Orthop. Sci.

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Background: Lower back ache is most common problems seen in working population. Prolapsed intervertebral disc is one of the most common cause. Magnetic resonance imaging is the diagnostic test of choice. Disc herniation of the same size may be asymptomatic in one patient and can lead to severe nerve root compromise in another patient. So, aim and objective of the study is to compare MRI with clinical findings. Material and Method: This study was conducted on total 60 with chief complaint of LBA was screened for inclusion in study. They underwent MRI of Lumbosacral region. All data collected and Analysed Statistically by Pearson correlation coefficient. Results: Total 60 patients with age group between 20-50 years mean age 37.60±6.36, 45% manual Laboure, male predominance, duration 7-12 months, radiculopathy in 90% patients, SLR was positive in 82% cases. MRI was abnormal in all patients with most common finding being disc bulge 53.3%, most common level being L4-L5 and L5-S1 followed by disc degeneration, neural canal compromise. Total MRI diagnosed level L3-L4( 14), L4-L5(39), L5-S1(45) and while total clinically diagnosed levels are L3-L4(4), L4-L5(23), L5-S1(33).Pearson correlation coefficient between disc degeneration-neural compromise(.577), disc degeneration-VAS (.319), disc degeneration-sensory(.360), disc degenerationpower(.417). Conclusion:In this study Significant association has been observed between MRI finding and clinical findings in most of the patients but not all MRI findings are clinically symptomatic in patients. So, this is concluded that treating physician should put more emphasis on history, clinical examination, and make the inference by these and then should correlate the clinical findings with that of MRI to reach a final diagnosis.

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“…Îäíàê äîñòîâ³ðíà âåðèô³êàö³ÿ äaeåðåëà áîëþ ó ïàö³ºíò³â ³ç çàõâîðþâàííÿìè ê³ñòêîâî-ì'ÿ-çîâî¿ ñèñòåìè âñå ùå º óòðóäíåíîþ. Íå ³ñíóº êîðåëÿö³é ì³ae êë³í³÷íîþ ñèìïòîìàòèêîþ îñòåîõîíäðîçó õðåáòà (ïðè â³äñóòíîñò³ íåâðî-ëî´³÷íèõ ðîçëàä³â) ³ äàíèìè ïðè ðåíò´åíî´ðà-ô³¿, ÌÐÒ àáî êîìï'þòåðí³é òîìî´ðàô³¿ ñòðóêòóðíèìè çì³íàìè ì³aeõðåáöåâèõ äèñê³â, äó-ãîâ³äðîñòêîâèõ ñóãëîá³â, çâ'ÿçîê õðåáòà [1, 14,18]. Ó çâ'ÿçêó ç öèì ó òàêèõ ïàö³ºíò³â ³ñòîòíå çíà÷åííÿ íàáóâàº êë³í³÷íå îáñòåaeåííÿ, â òîìó ÷èñë³ îö³íêà ôóíêö³îíàëüíîãî ñòàíó ì'ÿçîâî¿ ñèñòåìè [11].…”

Section: чàñòîòà ïîÿâè ðåíòґåíîëîґ³÷íèх îçíàê L Iii -L Iv L Iv -L V Lunclassified

Evaluation of structural changes in the spinal segment in patients with lumbar osteochondrosis with impaired movement patterns using the methods of radiation diagnosis

Hresko

2019

AML

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Ìåòà. Äîñë³äèòè ðåíò´åíàíàòîì³÷í³ çì³íè ïîïåðåêîâèõ ñå´ìåíò³â ó õâîðèõ íà îñòåîõîíäðîç õðåáòà ç ïîðóøåííÿì ðóõîâîãî ñòåðåîòèïó. Ìàòåð³àë ³ ìåòîäè. Ìàòåð³àë-ïðîòîêîëè êë³í³÷íî-ðåíò´åíîëî´³÷íîãî äîñë³äaeåííÿ 80 õâîðèõ íà ïîïåðåêîâèé îñòåîõîíäðîç ç ïîðóøåííÿì ðóõîâîãî ñòåðåîòèïó ÷îëîâ³÷î¿ ñòàò³ â³êîì 22-44 ðîêè. Îö³íþâàëè ðåíò´åíàíàòîì³÷í³ õàðàêòåðèñòèêè òà îçíàêè äå´å-íåðàö³¿ åëåìåíò³â ïîïåðåêîâèõ ñå´ìåíò³â. Ñòàòèñ-òè÷í³ äîñë³äaeåííÿ: ìåòîäè îïèñîâî¿ ñòàòèñòèêè, t-êðèòåð³é çà ìåòîäîì Ñòüþäåíòà ç ð³âíåì çíà÷ó-ùîñò³ ð<0,05. Ðåçóëüòàòè é îáãîâîðåííÿ. Ï³ä ÷àñ àíàë³çó ïîïåðåêîâèõ ñïîíäèëî´ðàì âñòàíîâëåíî çíà÷óùå ïðåâàëþâàííÿ ñòðóêòóðíî¿ àñèìåòð³¿ åëåìåíò³â ïîïåðåêîâèõ ñå´ìåíò³â: àñèìåòð³ÿ ñóãëîáîâèõ â³äðîñòê³â (â L III

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A prospective study of magnetic resonance imaging findings in patients of chronic low back pain: a clinico-radiological correlation

Cited by 6 publications

References 14 publications

Evaluation of Degenerative Disease of Lumbosacral Spine by 3 Tesla Mri

Evaluation of Degenerative Disease of Lumbosacral Spine by 3 Tesla Mri

Comparison between clinical finding and magnetic resonance imaging finding of lumbar prolapsed intervertebral disc

Evaluation of structural changes in the spinal segment in patients with lumbar osteochondrosis with impaired movement patterns using the methods of radiation diagnosis

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