scholarly journals Spine MRI Patterns And Predictors of Disability In Patients With Lower Back Pain. A Prospective Cross-Sectional Study at University of Gondar Comprehensive Specialized Hospital, North West Ethiopia. 2020.

2021 ◽  
Author(s):  
Yonathan Gebrewold ◽  
Bati Tesfaye
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Cross Sectional Study ◽  
Foraminal Stenosis ◽  
Mri Findings ◽  
Disc Disease ◽  
Cross Sectional ◽  
North West ◽  
Degree Of Disability ◽  
Spine Mri

Abstract Background: Low back pain (LBP) has become one of the most serious public health problems with substantial socioeconomic implication. Degenerative disc disease one of the commonest cause of LBP. Magnetic resonance imaging (MRI) is routinely utilized in evaluation patients with degenerative changes of the lumbar spine. However there are contradictors reports with regards to association of MRI findings of lumbar spine and patients’ symptoms.Objective: This study is aimed determine correlation of degree of disability with lumbar spine MRI findings in patients with LBP at University of Gondar comprehensive Specialized Hospital (UoGCSH), North West Ethiopia, 2020.Methods and Materials. A prospective cross-sectional study was conducted on 72 consecutively enrolled patients with lower back pain who underwent lumbar MRI scan. Degree of disability was measured using Oswestry disability Index (ODI) questionnaire translated to local language. Association between lumbar spine MRI parameters and ODI score and category was tested using Spearman’s rank correlation coefficient and Chi square tests. Results The mean age the study subjects was 43.81±1.88 years (range 22-83 years). 59.7% of the study population were Female. In terms of ODI category, most fell under minimal and moderate disability 33 (45.8%) and 25(34.7%) respectively. Disc bulge (81.9%) and foraminal stenosis were the most frequent MRI abnormalities detected. ODI score showed weak correlation with grade of spinal canal stenosis. Foraminal stenosis grade was not correlated ODI.Conclusion: The clinical relevance of MRI findings in patients with degenerative disc disease is limited and MRI should be sparingly ordered in evaluation of these patients particularly in resource constrained settings.

scholarly journals Do more MRI findings imply worse disability or more intense low back pain? A cross-sectional study of candidates for lumbar disc prosthesis

2013 ◽  
Vol 42 (11) ◽  
pp. 1593-1602 ◽  
Author(s):  
Linda Berg ◽  
◽  
Christian Hellum ◽  
Øivind Gjertsen ◽  
Gesche Neckelmann ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Disc ◽  
Cross Sectional Study ◽  
Low Back ◽  
Disc Prosthesis ◽  
Sectional Study ◽  
Mri Findings ◽  
Cross Sectional

scholarly journals Influence of Psychosocial and Sociodemographic Variables on Sickness Leave and Disability in Patients with Work-Related Neck and Low Back Pain

2020 ◽  
Vol 17 (16) ◽  
pp. 5966
Author(s):  
Israel Macías-Toronjo ◽  
José Luis Sánchez-Ramos ◽  
María Jesús Rojas-Ocaña ◽  
E. Begoña García-Navarro
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Educational Level ◽  
Cross Sectional Study ◽  
Study Data ◽  
Low Back ◽  
Cross Sectional ◽  
Sociodemographic Variables ◽  
Work Related ◽  
Degree Of Disability

The purpose of this study was to describe the association between psychosocial factors in patients with work-related neck or low back pain (n = 129), in order to study sickness leave, its duration, the disability reported, and to analyze the relationship of these factors with different sociodemographic variables. This was a descriptive cross-sectional study. Data on kinesiophobia, catastrophizing, disability, and pain were gathered. Sociodemographic variables analyzed included sex, age, occupational, and educational level. Other data such as location of pain, sick leave status and duration of sickness absence were also collected. Educational level (p = 0.001), occupational level (p < 0.001), and kinesiophobia (p < 0.001) were found to be associated with sickness leave; kinesiophobia (b = 1.47, p = 0.002, r = 0.35) and catastrophizing (b = 0.72, p = 0.012, r = 0.28) were associated with the duration of sickness leave. Educational level (p =0.021), kinesiophobia (b = 1.69, p < 0.000, r = 0.505), catastrophizing (b = 0.76, p < 0.000, r = 0.372), and intensity of pain (b = 4.36, p < 0.000, r = 0.334) were associated with the degree of disability. In the context of occupational insurance providers, educational and occupational factors, as well as kinesiophobia and catastrophizing, may have an influence on sickness leave, its duration and the degree of disability reported.

scholarly journals Association between Severity of Low Back Pain (LBP) and Magnetic Resonance Imaging Pathologies in Patients with Acute LBP

2019 ◽  
Vol 9 (1) ◽  
pp. 93
Author(s):  
Mohammadreza Mahabadi Mahabad ◽  
Behnam Sartip
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Cross Sectional Study ◽  
Low Back ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Cross Sectional ◽  
Body Fracture

Background and Objectives: Low Back Pain (LBP) is a common health problem that affects people worldwide, and about 15% of Iranians. It imposes high costs to societies and requires great attention. Magnetic Resonance Imaging (MRI) is considered a reliable and accurate diagnostic tool, however some studies have questioned the appropriateness of MRI in LBP. Thus, this study aimed to evaluate the relationship between the intensity of LBP and positive findings in MRI, in patients with acute LBP. Materials and Methods: A cross-sectional study was performed on all patients, who reported less than four weeks of LBP and were referred to the radiology center of Shafa-e-Yahyaeian hospital, ranged from March to July, 2014, to perform MRI. Data collected included demographics and pain characteristics, in addition to an Oswestry Disability Index questionnaire. MRI pathologies were distinguished by two spinal surgeons and one radiologist. Data was analyzed using the SPSS software. Results: A total of 200 patients were enrolled in this study with a mean age of 41.78 years. Nearly half (48%) of the studied patients had positive MRI findings on L4-L5, and NFS and disc bulging (42.5%, and 38%, respectively) were the most common pathologies, while 11.5% of patients had normal MRIs. The mean ODI was highest in patients with vertebral body fracture, and disc herniation and lowest in hemangioma. Conclusion: A noticeable percentage of patients demonstrated a high ODI score, but MRI findings were in significant association with age of patients, indicating that patients with acute LBP do not require MRI immediately. Using the ODI questionnaire can help us towards a better diagnostic approach.

scholarly journals Lumbar spine Schmorl's nodes; prevalence in adults with back pain, and their relation to vertebral endplate degeneration

2019 ◽  
Vol 50 (1) ◽  
Author(s):  
Israa Mohammed Sadiq
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Disc Degeneration ◽  
Age Groups ◽  
Vertebral Endplate ◽  
Cross Sectional ◽  
Adjacent Vertebral Body ◽  
City Population ◽  
Schmorl’S Nodes ◽  
Spine Mri

Abstract Background In 1927, Schmorl described a focal herniation of disc material into the adjacent vertebral body through a defect in the endplate, named as Schmorl’s node (SN). The aim of the study is to reveal the prevalence and distribution of Schmorl’s nodes (SNs) in the lumbar spine and their relation to disc degeneration disease in Kirkuk city population. Results A cross-sectional analytic study was done for 324 adults (206 females and 118 males) with lower back pain evaluated as physician requests by lumbosacral MRI at the Azadi Teaching Hospital, Kirkuk city, Iraq. The demographic criteria of the study sample were 20–71 years old, 56–120 kg weight, and 150–181 cm height. SNs were seen in 72 patients (22%). Males were affected significantly more than the females (28.8% vs. 18.8%, P = 0.03). SNs were most significantly affecting older age groups. L1–L2 was the most affected disc level (23.6%) and the least was L5–S1 (8.3%). There was neither a significant relationship between SN and different disc degeneration scores (P = 0.76) nor with disc herniation (P = 0.62, OR = 1.4), but there was a significant relation (P = 0.00001, OR = 7.9) with MC. Conclusion SN is a frequent finding in adults’ lumbar spine MRI, especially in males; it is related to vertebral endplate bony pathology rather than discal pathology.

Back pain and MRI abnormalities in the thoraco-lumbar spine of elite long distance runners. A cross sectional study.

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Olof Thoreson ◽  
Karin Svensson ◽  
Pall Jonasson ◽  
Peter Kovac ◽  
Leif Sward ◽  
...  
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Distance Runners ◽  
Long Distance ◽  
Cross Sectional

scholarly journals The 1000 lumbar spine radiograph study

2017 ◽  
Vol 5 (1) ◽  
pp. 94
Author(s):  
Glorianne Pullicino ◽  
Jessica Pavia ◽  
Paul Sciortino ◽  
Ahmed Chilmeran ◽  
Philip Sciortino ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Care Pathway ◽  
Cross Sectional Study ◽  
Diagnostic Process ◽  
Lumbosacral Spine ◽  
Service Utilisation ◽  
Low Back ◽  
Cross Sectional

Magnetic resonance imaging is being increasingly used to optimize the diagnostic process for low back pain and to manage the risk of missing life-threatening pathology. The aim of the study was to examine the care pathway of low back pain with respect to the utilisation of CT and MRI service utilisation. A descriptive, retrospective, cross-sectional study was performed. A random sample of 1000 primary care patients presenting with low back pain who underwent lumbar spine radiography within a specified period was explored. 20% (n=198) of patients who underwent lumbosacral spine X-ray were referred for MRI investigation. Subsequently, 15 (7.6%) patients underwent joint infiltration whilst 6 (3%) patients underwent neurosurgical intervention during 2 years of follow-up. Such findings provide information for policy makers about the utility of MRI and CT scans.

scholarly journals POS1291 PROFILE OF LUMBAR SPINE DEGENERATIVE PATHOLOGY IN RHEUMATOLOGIC CONSULTATION IN NORTHEN TOGO

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 927.2-927
Author(s):  
P. Houzou ◽  
V. E. S. Koffi-Tessio ◽  
E. Fianyo ◽  
K. Tagbor ◽  
K. Kakpovi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Herniated Disc ◽  
Low Back ◽  
Disc Disease ◽  
Cross Sectional ◽  
Degenerative Lumbar Spine ◽  
Spine Pathology

Background:Degenerative spine pathology is a common reason for consultation in rheumatology. The lumbar spine is the first seat.Objectives:To determine the epidemiological and semiological profile of degenerative lumbar spine damage in Kara.Methods:It was a cross-sectional study based on patient records who had consulted for a degenerative lumbar spine pathology in the rheumatology department of the CHU-Kara (Northen Togo) over a three-year period.Results:Of the 1,767 patients examined during the study period, 745 (42.16%) suffered from a degenerative pathology of lumbar spine. They were 285 men (38.3%), and 460 women (61.7%) H/F ratio of 0.62. Traders (30%), civil servants (12.5%), teachers (9.5%), and housewives (8.7%) were the most affected occupational categories. The average age of patients at the consultation was 50.6 ± 12.3 years, and the average duration of disease progression was 4.3 years ± 1.8 years. The clinical forms of degenerative lumbar spine damage were: common low back pain (194 cases; 26.04%), common lomboradiculalgia by probable disco-radicular conflict (457 cases; 61.34%) and the narrowed lumbar canal (94 cases; 12.62%). Common low back pain was acute in 56.7% of cases. The path of radiculalgia during the probable herniated disc was truncated in 19.2% of cases, L5 in 46.4% of cases, S1 in 32.9% of cases, and L4 in 2.7% of cases. The walking perimeter was less than 500 meters in 48% of patients with narrowed lumbar canal. Signs of degenerative disc disease (536 cases), spondylolisthesis (102 cases) and isthmic lysis (37 cases) were the main radiological lesions observed.Conclusion:Degenerative damage to lumbar spine is dominated in North Togo by common lomboradiculalgia by probable herniated disc.References:[1]Mijiyawa M, Oniankitan O, Kolani B, Koriko T. La lombalgie en consultation hospitalière à Lomé (Togo). Rev Rhum 2000;67:914-20.[2]Louw QA, Morris LD, Grimmer-Somers K. The prevalence of low back pain in Africa: a systematic review. BMC Musculoskelet Disord 2007;8:105.[3]Morris LD, Daniels KJ, Ganguli B, Louw QA. An update on the prevalence of low back pain in Africa: a systematic review and meta-analyses. BMC Musculoskelet Disord 2018;19:196.[4]Ouédraogo D-D, Ntsiba H, Tiendrébéogo Zabsonré J, Tiéno H, Bokossa LIF, Kaboré F, et al. Clinical spectrum of rheumatologic diseases in a department of rheumatology in Ouagadougou (Burkina Faso). Clin Rheumatol 2014;33:385-9.Disclosure of Interests:None declared

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