2009
DOI: 10.1590/s1413-78522009000100009
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Classificação por ressonância magnética da degeneração do disco intervertebral

Abstract: The authors suggest an analysis of the degeneration of intervertebral disks on human cadavers using magnetic resonance imaging. Nine lumbar spines were collected from fresh human cadavers and resonance images were captured. The images were analyzed and classified according to the degeneration grades, with the authors proposing a subdivision of type IV into IV-a and IV-b. Forty-four intervertebral disks were analyzed and authors found the following distribution: 4,5% type I; 40,9% type II; 32% Citation: Puertas… Show more

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Cited by 7 publications
(3 citation statements)
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“…7 On the basis of these features, degenerative IVD tissues are classified into five grades (Grade I-V) by MRI T2 spin-echo weighted images. 8,9 In general, in the final stage of IVD degeneration (Grade V), MRI images show the extrusion of the NP passing through the fissured AF structure, resulting in the generation of LBP due to nerve root compression. However, even in the absence of nerve compression in MRI images, LBP occurs in patients with IVD degeneration.…”
Section: Introductionmentioning
confidence: 99%
“…7 On the basis of these features, degenerative IVD tissues are classified into five grades (Grade I-V) by MRI T2 spin-echo weighted images. 8,9 In general, in the final stage of IVD degeneration (Grade V), MRI images show the extrusion of the NP passing through the fissured AF structure, resulting in the generation of LBP due to nerve root compression. However, even in the absence of nerve compression in MRI images, LBP occurs in patients with IVD degeneration.…”
Section: Introductionmentioning
confidence: 99%
“…This entire pathophysiologic process is also characteristic of normal human aging; there are reports of a gradual reduction of the formation of cartilage in the growth plate starting at 16 years of age (6) , characterizing the beginning of discopathy without, however, causing any clinical manifestations. With its natural evolution, the column presents progressive instability in the affected area due to degeneration of the intervertebral disc, leading to a series of other events in other elements of the functional unit (7) . Note also that the presence of symptoms related to degenerative disc disease (DDD) depends on the cumulative interaction of a large set of factors, linked to the environment and lifestyle habits, such as micro and macrotrauma, occupation, smoking and atherosclerosis that are capable of modifying, to some degree, the natural progression of degeneration-which is genetically determined 8 , 9 , 10 , 11 .…”
Section: Introductionmentioning
confidence: 99%
“…Todo esse processo fisiopatológico também é característico do envelhecimento humano normal, havendo relatos de redução gradual da formação de cartilagem na placa de crescimento já a partir dos 16 anos de idade (6) , caracterizando o início da discopatia, entretanto, sem gerar quaisquer manifestações clínicas. Com sua evolução natural, devido à degeneração do disco intervertebral, verifica-se que a coluna passa a apresentar instabilidade progressiva da região afetada, conduzindo a uma série de outros eventos nos demais elementos da unidade funcional segmentar (7) . Destaca-se ainda que a presença de sintomas relacionados com a DDD (Doença Degenerativa Discal) depende da interação acumulativa de grande grupo de fatores, ambientais e ligados aos hábitos de vida, tais como: micro ou macrotraumatismos, ocupação profissional, tabagismo e aterosclerose, capazes de modificar, em certo grau, a progressão natural da degeneração -geneticamente determinada (8)(9)(10)(11) .…”
Section: Introductionunclassified