Case 2 | ScienceGate

Abstract: Low back pain (LBP) is still a common health problem. Magnetic resonance imaging (MRI) examination is the best radiological modality if pain originated from soft tissue is suspected. This study was aimed to determine the profile of MRI in patients with LBP. Tjis was a retrospective and descriptive study. Data were obtained from the PACS computer in the Radiology Department. The results obtained 112 patients with MRI examination. Most patients were female as many as 59 patients (51.75%), and the most frequent age group was > 50 years as many as 69 patients (60.53%). The most common MRI diagnosis was disc herniation of bulging type in 86 patients (76.78%) especially in L4-L5 and L5-S1, followed by spinal canal stenosis in 49 patients (43.75%), ligamentum flavum hypertrophy in 44 patients (39.28%), and nerve root compression in 40 patients (35.71%). In conclusion, the most common profile of MRI diagnosis among patients with LBP was disc herniation of bulging type located in L4-L5 and L5-S1, followed by spinal canal stenosis, ligamentum flavum hypertrophy, dan nerve root compression.Keywords: low back pain, magnetic resonance imaging Abstrak: Nyeri punggung bawah (NPB) masih merupakan masalah kesehatan yang sering terjadi. Pemeriksaan magnetic resonance imaging (MRI) merupakan modalitas radiologis terbaik bila dicurigai nyeri berasal dari jaringan lunak. Penelitian ini bertujuan untuk mengetahui profil MRI pada penderita dengan NPB. Jenis penelitian ialah deskriptif retrospektif. Data diperoleh melalui komputer PACS di Bagian Radiologi Fakultas Kedokteran Universitas Sam Ratulangi Manado. Hasil penelitian mendapatkan 112 pasien dengan diagnosis MRI, yang terbanyak ialah perempuan berjumlah 59 orang (51,75%). Kelompok usia yang paling sering ialah >50 tahun sebanyak 69 pasien (60,53%). Profil MRI yang paling banyak ditemukan berupa herniasi diskus pada 86 pasien (76,78%) dengan tipe terbanyak ialah bulging, dan lokasi tersering pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis 49 pasien (43,75%), hipertrofi ligamentum flavum 44 pasien (39,28%), dan kompresi akar saraf 40 pasien (35,71%). Simpulan penelitian ini ialah profil MRI pada pasien dengan NPB yang terbanyak ialah herniasi diskus dengan tipe bulging pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis, hipertrofi ligamentum flavum, dan kompresi akar saraf.Kata kunci: nyeri punggung bawah, magnetic resonance imaging

Download Full-text

Profil Magnetic Resonance Imaging Lumbosakral pada Penderita dengan Nyeri Punggung Bawah di Bagian/Instalasi Radiologi FK Unsrat/RSUP Prof. Dr. R. D Kandou Manado Periode April - Oktober 2019

e-CliniC ◽

10.35790/ecl.v8i1.27010 ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Ryan D. Wilyo ◽

Alfa G. E. Y. Rondo ◽

Vonny N. Tubagus

Keyword(s):

Magnetic Resonance Imaging ◽

Low Back Pain ◽

Magnetic Resonance ◽

Ligamentum Flavum ◽

Spinal Canal Stenosis ◽

Low Back ◽

Resonance Imaging ◽

Canal Stenosis ◽

Mri Diagnosis ◽

Magnetic Resonance Imaging Mri

Abstract: Low back pain (LBP) is still a common health problem. Magnetic resonance imaging (MRI) examination is the best radiological modality if pain originated from soft tissue is suspected. This study was aimed to determine the profile of MRI in patients with LBP. Tjis was a retrospective and descriptive study. Data were obtained from the PACS computer in the Radiology Department. The results obtained 112 patients with MRI examination. Most patients were female as many as 59 patients (51.75%), and the most frequent age group was > 50 years as many as 69 patients (60.53%). The most common MRI diagnosis was disc herniation of bulging type in 86 patients (76.78%) especially in L4-L5 and L5-S1, followed by spinal canal stenosis in 49 patients (43.75%), ligamentum flavum hypertrophy in 44 patients (39.28%), and nerve root compression in 40 patients (35.71%). In conclusion, the most common profile of MRI diagnosis among patients with LBP was disc herniation of bulging type located in L4-L5 and L5-S1, followed by spinal canal stenosis, ligamentum flavum hypertrophy, dan nerve root compression.Keywords: low back pain, magnetic resonance imaging Abstrak: Nyeri punggung bawah (NPB) masih merupakan masalah kesehatan yang sering terjadi. Pemeriksaan magnetic resonance imaging (MRI) merupakan modalitas radiologis terbaik bila dicurigai nyeri berasal dari jaringan lunak. Penelitian ini bertujuan untuk mengetahui profil MRI pada penderita dengan NPB. Jenis penelitian ialah deskriptif retrospektif. Data diperoleh melalui komputer PACS di Bagian Radiologi Fakultas Kedokteran Universitas Sam Ratulangi Manado. Hasil penelitian mendapatkan 112 pasien dengan diagnosis MRI, yang terbanyak ialah perempuan berjumlah 59 orang (51,75%). Kelompok usia yang paling sering ialah >50 tahun sebanyak 69 pasien (60,53%). Profil MRI yang paling banyak ditemukan berupa herniasi diskus pada 86 pasien (76,78%) dengan tipe terbanyak ialah bulging, dan lokasi tersering pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis 49 pasien (43,75%), hipertrofi ligamentum flavum 44 pasien (39,28%), dan kompresi akar saraf 40 pasien (35,71%). Simpulan penelitian ini ialah profil MRI pada pasien dengan NPB yang terbanyak ialah herniasi diskus dengan tipe bulging pada L4-L5 dan L5-S1, diikuti oleh stenosis kanalis spinalis, hipertrofi ligamentum flavum, dan kompresi akar saraf.Kata kunci: nyeri punggung bawah, magnetic resonance imaging

Download Full-text

Asymmetrical, Transitional, Lumbosacral Vertebral Segments in Six Dogs: A Characteristic Spinal Syndrome

Journal of the American Animal Hospital Association ◽

10.5326/0400338 ◽

2004 ◽

Vol 40 (4) ◽

pp. 338-344 ◽

Cited By ~ 11

Author(s):

Frank Steffen ◽

Markus Berger ◽

Joe P. Morgan

Keyword(s):

Magnetic Resonance Imaging ◽

Low Back Pain ◽

Back Pain ◽

Cauda Equina ◽

Clinical Findings ◽

Low Back ◽

Resonance Imaging ◽

Dorsal Laminectomy ◽

Degenerative Alterations ◽

Magnetic Resonance Imaging Mri

Clinical findings in six dogs with asymmetrical, transitional, lumbosacral vertebral segments are reported. All dogs exhibited low back pain and varying degrees of asymmetrical cauda equina dysfunction. Results of myelography, epidurography, and magnetic resonance imaging (MRI) indicated a unilateral disk protrusion in all dogs. In the dogs with MRIs, focal degenerative alterations in the vertebral end plates and adjacent body of the vertebra were detected. All dogs were treated with a dorsal laminectomy or hemilaminectomy. Results following surgery were good or excellent in all six dogs.

Download Full-text

Correlation Between Clinical And Magnetic Resonance Imaging Findings In Patients With Lumbosacral Radiculopathy

TAJ Journal of Teachers Association ◽

10.3329/taj.v28i1.39067 ◽

2018 ◽

Vol 28 (1) ◽

pp. 32-39

Author(s):

Mukul Kumar Sarkar ◽

Pijush Kumar Kundu ◽

Md Munzur Alahi ◽

Md Pervez Amin ◽

Achinta Kumar Mallick ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Low Back Pain ◽

Back Pain ◽

Magnetic Resonance ◽

Intervertebral Disc ◽

Nerve Root ◽

P Value ◽

Low Back ◽

Resonance Imaging ◽

Lumbosacral Radiculopathy

Low back pain accounts for a large amount of loss of productivity in the workforce. When the low back pain extends into the lower limb along the distribution of a dermatome then radiculopathy is said to be present. Although most people experience back pain during their lifetime, only a fraction experience lumbosacral radiculopathy as a consequence of nerve root compression or irritation. Almost 5% males and 2.5% females experience lumbosacral radiculopathy at some time in their lifetime. Magnetic resonance imaging (MRI) is the preferred investigation for the diagnosis of lumbosacral radiculopathy. So, in the evaluation of a patient of lumbosacral radiculopathy is essential to correlate clinical symptoms and signs with the finding detected in the MRI to arrive at a correct diagnosis and arrange an appropriate management. So this study was done to see the correlation between clinical and MRI finding of radiculopathy at different nerve root level in patients with lumbosacral radiculopathy. It was a cross sectional descriptive study. All 40 patients of lumbosacral radiculopathy who were presented to Rajshahi Medical College Hospital during the study period from 01/11/2011 to 30/10/2012 were included in the study. There were 30 males and 10 females having an M: F ratio of 3:1. Mean age of total patients 43 + 14.74 years. 67.5% patients were between 20 to 50 years and 60% patients were performing heavy work. 67.5% patients had unilateral involvement while 32.6% patients had bilateral involvement. 72.5% patients had muscle weakness and 27.5% had no muscle weakness. 67.5% patients had sensory impairment and 32.5% had no sensory involvement. Knee jerk changes were present in 60% patients and ankle jerk changes in 66.66% patients. As expected 52.18% had L5 and 32.61% had S1 radiculopathy. The difference in clinical and MRI detection of root involvement was statistically significant (p value < 0.05) in both sides at L4, L5 and S1 root levels but there was no significant difference at the L3 root level (p value 1.00) Intervertebral disc herniation was the commonest cause of lumbosacral radiculopathy (72.32%) and second common cause was spinal canal stenosis (19.44%). Others are intervertebral disc budging (61.52%), disc protrusion (23.08%) and disc extrusion (15.38%). Correlation between clinical severity and MRI grading of lumbosacral radiculopathy which was statistically significant. So, it is concluded that clinical findings correlate well with MRI finding, but all MRI abnormalities need not have a clinical significanceTAJ 2015; 28(1): 32-39

Download Full-text

Does magnetic resonance imaging predict future low back pain? A systematic review

European Journal of Pain ◽

10.1002/j.1532-2149.2013.00427.x ◽

2013 ◽

Vol 18 (6) ◽

pp. 755-765 ◽

Cited By ~ 55

Author(s):

D. Steffens ◽

M.J. Hancock ◽

C.G. Maher ◽

C. Williams ◽

T.S. Jensen ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Magnetic Resonance ◽

Low Back ◽

Resonance Imaging

Download Full-text

Rapidly Progressive Spontaneous Spinal Epidural Abscess

Case Reports in Infectious Diseases ◽

10.1155/2016/7958291 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4

Author(s):

Abdurrahman Aycan ◽

Ozgür Yusuf Aktas ◽

Feyza Karagoz Guzey ◽

Azmi Tufan ◽

Cihan Isler ◽

...

Keyword(s):

Epidural Abscess ◽

Delayed Diagnosis ◽

Clinical Findings ◽

Neurological Deficits ◽

Spinal Epidural Abscess ◽

Low Back ◽

Resonance Imaging ◽

Magnetic Resonance Imaging Mri ◽

Paraspinal Abscess ◽

Spinal Epidural

Spinal epidural abscess (SEA) is a rare disease which is often rapidly progressive. Delayed diagnosis of SEA may lead to serious complications and the clinical findings of SEA are generally nonspecific. Paraspinal abscess should be considered in the presence of local low back tenderness, redness, and pain with fever, particularly in children. In case of delayed diagnosis and treatment, SEA may spread to the epidural space and may cause neurological deficits. Magnetic resonance imaging (MRI) remains the method of choice in the diagnosis of SEA. Treatment of SEA often consists of both medical and surgical therapy including drainage with percutaneous entry, corpectomy, and instrumentation.

Download Full-text

Predictors of Spondylolysis on Magnetic Resonance Imaging in Adolescent Athletes With Low Back Pain

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967121995466 ◽

2021 ◽

Vol 9 (4) ◽

pp. 232596712199546

Author(s):

Takuji Yokoe ◽

Takuya Tajima ◽

Hiroshi Sugimura ◽

Shinichirou Kubo ◽

Shotarou Nozaki ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Low Back Pain ◽

Back Pain ◽

Magnetic Resonance ◽

Neurological Symptoms ◽

Low Back ◽

Resonance Imaging ◽

Advanced Imaging ◽

Adolescent Athletes ◽

Mri Scans

Background: Spondylolysis and undiagnosed mechanical low back pain (UMLBP) are the main causes of low back pain (LBP) in adolescent athletes. No studies have evaluated the difference in clinical and radiographic factors between these 2 conditions. Furthermore, it remains unclear which adolescent athletes with LBP should undergo advanced imaging examination for spondylolysis. Purpose: To compare the clinical and radiographic factors of adolescent athletes with spondylolysis and UMLBP who did not have neurological symptoms or findings before magnetic resonance imaging (MRI) evaluation and to determine the predictors of spondylolysis findings on MRI. Study Design: Cohort study, Level of evidence, 3. Methods: The study population included 122 adolescent athletes aged 11 to 18 years who had LBP without neurological symptoms or findings and who underwent MRI. Of these participants, 75 were ultimately diagnosed with spondylolysis, and 47 were diagnosed with UMLBP. Clinical factors and the following radiographic parameters were compared between the 2 groups: spina bifida occulta, lumbar lordosis (LL) angle, and the ratio of the interfacet distance of L1 to that of L5 (L1:L5 ratio, %). A logistic regression analysis was performed to evaluate independent predictors of spondylolysis on MRI scans. Results: Significantly more athletes with spondylolysis were male (82.7% vs 48.9%; P < .001), had a greater LL angle (22.8° ± 8.1° vs 19.3° ± 8.5°; P = .02), and had a higher L1:L5 ratio (67.4% ± 6.3% vs 63.4% ± 6.6%; P = .001) versus athletes with UMLBP. A multivariate analysis revealed that male sex (odds ratio [OR], 4.66; P < .001) and an L1:L5 ratio of >65% (OR, 3.48; P = .003) were independent predictors of positive findings of spondylolysis on MRI scans. Conclusion: The study findings indicated that sex and the L1:L5 ratio are important indicators for whether to perform MRI as an advanced imaging examination for adolescent athletes with LBP who have no neurological symptoms and findings.

Download Full-text

Magnetic Resonance Imaging in the Diagnosis of Disruption of the Posterior Tibial Tendon

Foot & Ankle ◽

10.1177/107110078700800307 ◽

1987 ◽

Vol 8 (3) ◽

pp. 144-147 ◽

Cited By ~ 26

Author(s):

Ian J. Alexander ◽

Kenneth A. Johnson ◽

Thomas H. Berquist

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Soft Tissues ◽

Diagnostic Technique ◽

Clinical Findings ◽

The Body ◽

Posterior Tibial Tendon ◽

Resonance Imaging ◽

Posterior Tibial ◽

Magnetic Resonance Imaging Mri

Magnetic resonance imaging (MRI), a useful technique of studying soft tissues of the body, can be very effective in assessing the integrity of tendons. Usually a patient with a complete tear of the posterior tibial tendon has characteristic physical findings. In the patient presented, MRI demonstrated a complete disruption of the posterior tibial tendon, despite the absence of the commonly associated clinical findings. In view of the difficulties encountered with attempted tenography of the completely torn posterior tibial tendon, MRI provides a sensitive alternative diagnostic technique.

Download Full-text