Low back pain and Modic changes

Соков, Е. Л.; Корнилова, Л. Е.; Nesterov, A. I.

doi:10.17116/jnevro20171176199-105

Cited by 5 publications

(2 citation statements)

References 56 publications

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“…A Russian study published in 2017 summarized the pathogenesis and other aspects of the relationship of Modic changes with chronic low back pain. 17 Our results also concluded that Modic changes were commonly seen in patients with low back pain. Type II Modic changes were most frequently seen in these patients.…”

Section: Discussionsupporting

confidence: 71%

Association of Modic Changes with Low Chronic Low Back Pain

Shah,

Ishfaq,

Malik

et al. 2023

PAFMJ

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Objective: To determine the association of Modic changes with chronic low back pain in the adult population Study Design: Comparative cross-sectional study. Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital, Lahore Pakistan, from Jan to Mar 2022. Methodology: All the patients who were diagnosed with chronic low back pain by Neurosurgeon were included in the study.Detailed history and physical examination were conducted on all the patients diagnosed with chronic low back pain. MRI spine was performed on all the study participants for Modic changes. Relevant socio-demographic factors were associated with different types of Modic changes in patients included in our analysis. Results: Out of 300 patients managed for chronic low back pain during the study period, 201(67%) were male, while 99(33%) were female. 172(57.3%) had no Modic changes, 33(11%) had Type-I changes, 80(26.7%) had Type-II changes, and 15(5%) had Type-III Modic changes. Advancing age, female gender and presence of comorbid illness had a statistically significant relationship with Modic changes in study participants (p-value<0.05). Conclusion: Modic changes were commonly seen in patients with low back pain. Type II Modic changes were most frequently seen in these patients. Elderly and female patients were more at risk of Modic changes than young and male patients. Comorbid medical illnesses also increase the chances of having Modic changes.

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Section: Discussionsupporting

confidence: 71%

Association of Modic Changes with Low Chronic Low Back Pain

Shah,

Ishfaq,

Malik

et al. 2023

PAFMJ

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“…Moreover, in 2015, Hayashi et al [ 9 ] believed that age, disc degeneration, angular motion, and translational motion were significantly linked to MCs in the lumbar spine, and the translational motion of lumbar segments increased with type II MCs, whereas angular motion decreased as the type of MCs increased. Therefore, a number of scholars [ 10 – 12 ] believe that MCs are closely related to LBP, vertebral body motion, and spine degeneration.…”

Section: Introductionmentioning

confidence: 99%

Correlations between Modic change and degeneration in 3-joint complex of the lower lumbar spine

et al. 2018

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Background:Modic changes (MCs) associated with low back pain (LBP) have been assessed in a few studies. It has been documented that patients with LBP have MCs in a specific segment, but the relationship between facet joint or disc degeneration and MCs is still disputed. Thus, we aimed to evaluate the correlation between MC and facet joint or disc degeneration using imaging.Methods:Imaging data of patients were retrospectively analyzed at the Orthopedic Department of the First Affiliated Hospital of Nanchang from January 2014 to August 2017. MCs, facet joint degeneration, and disc degeneration in L3-S1 were evaluated by lumbar MRI. χ2 test and contingency correlation coefficient were used for the statistical analyses, and a P value < .05 was considered statistically significant.Results:In the descriptive statistical analysis, MCs were found to have the highest incidence in the L4–5 segment. Type II MCs had a higher incidence than type I and type III MCs regardless of whether they were in the L3–4, L4–5, or L5-S1 segment. On one hand, MCs were more frequently distributed in grades 3, 4, and 5 of the degenerative lumbar discs regardless of whether they were in the L3–4, L4–5, or L5-S1 segment (P < .000, V: contingency coefficient >0); particularly, type II MCs were closely related to lumbar disc degeneration (P < .05, V > 0). On the other hand, MCs were more frequently distributed in grades 1, 2, and 3 of the degenerative lumbar facet regardless of whether they were in the L3–4, L4–5, or L5-S1 segment (P < .05, V > 0). Particularly, type II MCs were frequently distributed in grades 1, 2, and 3 of the facet joint in the L4–5 and L5-S1 segments (P < .05, V > 0).Conclusion:MCs are correlated with the grade of lumbar spine degeneration, including lumbar disc and facet joint degeneration. MCs, especially type II, frequently occurred in severe degeneration of the lumbar disc and facet joint. Thus, MC may be one of the manifestations of lumbar disc and facet joint degeneration.

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