Non degenerative disease in MRI cervical spine of symptomatic patients

Abstract

Background & Objectives: The most common etiology of neck pain is degenerative disc disease, however non-degenerative disease can be important cause of neck pain. This study aims to study the non-degenerative findings in cervical MRI in symptomatic patients with neck and radicular pain.Materials & Methods: The study was a institutional record based retrospective study performed for the duration of 3 years. MRI performed for patients with neck pain and/ or radiculopathy were reviewed. Patients with post operative findings were excluded from the study. Statistical analysis was done using SPSS 21.0.Results: A total of 721 MRI were performed for neck pain and radiculopathy, among which 91 (12.13%) cases had non-degenerative changes. Most common non degenerative change was traumatic lesions followed by neoplastic lesions and syrinx. Traumatic lesions were more common in males as compared to females. Infection was more common in females as compared to males. C5 and C6 vertebrae were most common vertebra involved in trauma and infection. Some cases like signal change in spinal cord, and syrinx were also noted in our study.Conclusion: Non degenerative cause of neck pain were less common but important cause of neck pain. Traumatic lesions were the most common cause of non degenerative neck pain.Journal of College of Medical Sciences-Nepal, Vol.11(4) 2015: 20-23

Diagnosis and Incidence of Spondylosis and Cervical Disc Disorders in the University Clinical Hospital in Olsztyn, in Years 2011–2015

“…Cases of spinal injuries occurring during the road accidents are frequently reported in the literature, and from 30% to 75% of these cases are related to the cervical injures [ 27 – 35 ]. Some researches have shown that during traumatic and nontraumatic accidents the fractures or dislocation of vertebrae or damage of soft tissue including the spinal cord was usually found at C4–C8 level [ 28 , 29 , 31 , 33 , 36 , 37 ] and low intervertebral disc levels were more exposed to damage because of their size [ 38 ]. Earliest studies have shown that there was a wide age range of patients with various kinds of cervical injures, but the largest numbers of cases were between 31 and 59 years [ 27 , 28 , 31 , 33 , 34 ].…”

“…Some researches have shown that during traumatic and nontraumatic accidents the fractures or dislocation of vertebrae or damage of soft tissue including the spinal cord was usually found at C4–C8 level [ 28 , 29 , 31 , 33 , 36 , 37 ] and low intervertebral disc levels were more exposed to damage because of their size [ 38 ]. Earliest studies have shown that there was a wide age range of patients with various kinds of cervical injures, but the largest numbers of cases were between 31 and 59 years [ 27 , 28 , 31 , 33 , 34 ]. Moreover, reported cervical injury cases related mainly to man rather than woman [ 27 , 31 , 32 , 39 ].…”

“…Earliest studies have shown that there was a wide age range of patients with various kinds of cervical injures, but the largest numbers of cases were between 31 and 59 years [ 27 , 28 , 31 , 33 , 34 ]. Moreover, reported cervical injury cases related mainly to man rather than woman [ 27 , 31 , 32 , 39 ].…”

Imaging in Spine Surgery: Current Concepts and Future Directions

“…9,[41][42][43][44][45][46][47][48] These phenotypes have since been heavily associated with concomitant symptomatology and are thought to contribute to axial neck and/or back pain, worse surgical outcomes, and decreased health-related quality of life scores. 44,[49][50][51][52][53] Notably, MRI has allowed for particularly detailed characterization of intervertebral discs and endplates, leading to the development of validated classification schemes as proposed by Pfirrmann and Modic. Pfirrmann grade is obtained by evaluating the intensity of intervertebral discs on T2-weighted images and is a reliable five-tiered classification scheme for characterization of disk degeneration.…”

“…[60][61][62][63][64] This, combined with associations with pain and disability, has demonstrated that MRI is not only a convenience but a necessity in the delivery of standard of care. 44,[49][50][51][52][53] Despite these strengths, traditional T1-and T2-weighted MRI has notable limitations.…”