scholarly journals Clinical Significance of High-intensity Zone for Discogenic Low Back Pain: A Review

2016 ◽  
Vol 63 (1.2) ◽  
pp. 1-7 ◽  
Author(s):  
Subash C. Jha ◽  
Kosaku Higashino ◽  
Toshinori Sakai ◽  
Yoichiro Takata ◽  
Mitsunobu Abe ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Significance ◽  
High Intensity ◽  
Low Back ◽  
High Intensity Zone ◽  
Discogenic Low Back Pain

scholarly journals Full-endoscopic Spine Surgery for Discogenic Low Back Pain with High-intensity Zones and Modic Type 1 Change in a Professional Baseball Player

2021 ◽  
Vol 8 (1) ◽  
pp. 587-593
Author(s):  
Daiki NAKAJIMA ◽  
Kazuta YAMASHITA ◽  
Makoto TAKEUCHI ◽  
Kosuke SUGIURA ◽  
Masatoshi MORIMOTO ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
High Intensity ◽  
Professional Baseball ◽  
Baseball Player ◽  
Low Back ◽  
Endoscopic Spine Surgery ◽  
Discogenic Low Back Pain ◽  
Modic Type

Anterior High-Intensity Zone in Lumbar Discs: Prevalence and Association with Low Back Pain

Pain Medicine ◽  
2020 ◽  
Vol 21 (10) ◽  
pp. 2111-2116
Author(s):  
Zi-Xuan Wang ◽  
Zeng-Tao Hou ◽  
You-Gu Hu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
High Intensity ◽  
Annulus Fibrosus ◽  
Low Back ◽  
Mr Images ◽  
Mr Image ◽  
High Intensity Zone ◽  
Age Related ◽  
Common Shape

Abstract Objectives To explore the features of high-intensity zone (HIZ) in anterior annulus fibrosus and assess the association of anterior HIZ with low back pain (LBP). Design, Setting, and Subjects A retrospective study of 5,940 discs in 1,188 individuals was conducted. Methods Subjects’ information and LBP symptoms confirmed by an orthopedic surgeon were acquired from the medical record. Magnetic resonance (MR) image reading and analysis were performed by two experienced blinded radiologists. Results Two hundred eighty individuals exhibited 355 anterior HIZs in 355 discs. The prevalence was 23.57%; 88.45% were located in the inferior part of the annulus fibrosus. It frequently occurred in the middle and upper segments of lumbar spine, especially at L3/4 (45.63%). Of the 355 anterior HIZs, only 79 (22.25%) were consecutive-slides HIZ. Round type (63.38%) was the most common shape of anterior HIZs. The highest prevalence was found in individuals aged 60–69 years. LBP was confirmed in 141 anterior-HIZ individuals. The incidence of LBP in anterior-HIZ individuals was significantly higher than in non-HIZ subjects (50.36% vs 35.24%, χ2 = 18.314, P < 0.001). Conclusions Anterior HIZ is a lower-prevalence, age-related sign on lumbar MR images. The spatial distribution of anterior HIZ can be distinguished from posterior HIZ. The number of consecutive anterior HIZ slides might suggest fewer Dallas grade 4 anterior annular disruptions in this sample. Anterior HIZ was correlated with LBP.

scholarly journals Correlation between high-intensity zone on MRI and discography in patients with low back pain

Medicine ◽  
2017 ◽  
Vol 96 (30) ◽  
pp. e7222 ◽  
Author(s):  
Huadong Wang ◽  
Zhonghai Li ◽  
Chunli Zhang ◽  
Weisheng Zhang ◽  
Li Li ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
High Intensity ◽  
Low Back ◽  
High Intensity Zone

scholarly journals Correlation of Low Back Pain to a High-Intensity Zone of the Lumbar Disc in Indian Patients

2009 ◽  
Vol 17 (2) ◽  
pp. 190-193 ◽  
Author(s):  
Ketan C Pande ◽  
Ketan Khurjekar ◽  
Vilas Kanikdaley
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Visual Analogue Scale ◽  
High Intensity ◽  
Analogue Scale ◽  
Lumbar Disc ◽  
Low Back ◽  
Pain Drawing ◽  
Observer Reliability ◽  
High Intensity Zone

Purpose. To assess the correlation between low back pain and a high-intensity zone (HIZ) of the lumbar disc in Indian patients. Methods. 200 patients with low back and/or leg pain underwent magnetic resonance imaging of the lumbosacral spine. The location and severity of pain and disability were assessed using the pain drawing, visual analogue scale, and Oswestry Disability Index, respectively. The inter-observer reliability was assessed using the kappa statistic. Results. The prevalence of an HIZ was 13% and 17% according to observers A and B, respectively. The inter-observer reliability was fair (κ=0.64, p<0.005). The presence of an HIZ did not correlate with low back pain according to the pain drawing, visual analogue scale, and Oswestry Disability Index. According to the pain drawing data, the sensitivity, specificity, and positive predictive values of an HIZ to low back pain were 11%, 82%, and 62%, respectively. Conclusion. The presence of an HIZ is not diagnostic of a disrupted and painful disc, and should be interpreted together with other prevailing symptoms and clinical findings.

Sign in / Sign up

Export Citation Format

Share Document