CORRELATION BETWEEN MULTIPLE DEGENERATIVE CHANGES OF THE SPINE AND LOW-BACK PAIN IN ADULTS – STUDY IN A REHABILITATION CLINIC

2017 ◽  
Author(s):  
Brindusa Mitoiu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Degenerative Changes ◽  
Low Back ◽  
Rehabilitation Clinic

scholarly journals MRI Findings of Non-Degenerative Pathoanatomical Changes in Low Back Pain

2016 ◽  
Vol 12 (2) ◽  
pp. 59-62 ◽  
Author(s):  
Dan B Karki ◽  
Om B Panta ◽  
Ghanshyam Gurung
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Multimodality Imaging ◽  
Compression Fracture ◽  
Degenerative Changes ◽  
Lumbosacral Spine ◽  
Low Back ◽  
Neoplastic Lesion ◽  
Lower Lumbar ◽  
Meningeal Cysts

Non-degenerative pathoanatomical changes are far less common than degenerative changes but benefi ts most from imaging assessment. This study aimed to evaluate the non-degenerative pathoanatomical changes in patients undergoing MRI for low back pain.The study was a retrospective study conducted for the duration of 3 years in a multimodality-imaging center. All patients undergoing MRI of lumbosacral spine with complains of low back pain with or without radiculopathy were assessed for morphological changes and other abnormal fi ndings. After excluding patients with degenerative changes, non-degenerative pathologies were evaluated. Data was entered in predesigned proforma and analysis was done with SPSS 21.0.There were 183 patients who met the inclusion criteria and were included in the study. The mean age of the patients was 51.23 ±16.86 years. Compression fracture of the vertebra was the most common non-degenerative changes accounting for 34% cases followed by spinal meningeal cysts (26%) and infection (14%). Fractures were more common in upper lumbar level as compared to lower lumbar levels. Meningeal cysts were noted to involve the sacral spinal canal more frequently followed by lower lumbar levels. Infective lesions were equally distributed throughout the lumbar spine. Hemangioma was common lesion involving 16% of cases. Lumbosacral transitional vertebra was seen in 7(3.8%) patients.The common non-degenerative pathoanatomical changes associated with low back pain were traumatic lesion, infection, neoplastic lesion and lumbosacral transitional vertebra.Nepal Journal of Neuroscience 12:59-62, 2015

scholarly journals Spectrum and Prevalence of degenerative changes seen on Mri of Lumbosacral Spine in Patients with Low Back Pain

2017 ◽  
Vol 16 (01) ◽  
pp. 41-47
Author(s):  
Dr. Sai Sudha Angam ◽  
Dr. Nadeem Ahmed ◽  
Dr. Sreedevi Thakkallapelli ◽  
Dr.Swapna Chouhan ◽  
Dr. Madhavilatha Routhu ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Degenerative Changes ◽  
Lumbosacral Spine ◽  
Low Back

Characteristics of The Patients with Low Back Pain in The Medical Rehabilitation Clinic, Dr. Ramelan Naval Hospital Surabaya

2019 ◽  
Vol 2 (2) ◽  
pp. 81
Author(s):  
Lena Wijayaningrum ◽  
Herin Setianingsih ◽  
Agustin Silfi Rahayu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Medical Records ◽  
Medical Rehabilitation ◽  
Low Back ◽  
Know How ◽  
Surrounding Areas ◽  
Rehabilitation Clinic ◽  
Naval Hospital ◽  
Diabetes Melitus

<p><span>Background : </span><span>The total number of visits of patients with complaints of low back pain in the Medical Rehabilitation Subdepartment of dr. Ramelan Naval Hospital Surabaya from January to November 2018 was 38.7% of all visits. Low back pain is a symptom, not a disease, which is defined as pain between the edge of the ribs and the gluteus fold which can be caused by a variety of causes. It is important to know how the characteristics of LBP sufferers.</span></p><p><span>Material and Methods :</span><span> This study was a descriptive study, Medical records from the LBP population in July to September 2018 are used, at the Dr. Ramelan Hospital RSAL Medical Rehabilitation Clinic, with sample criteria: There are main symptoms of pain or other unpleasant feelings in the lower spine and surrounding areas. <span>Results :</span> 152 data were analyzed from July to September 2018, patients with pain complaints were (86.84%). The data obtained showed patients with hypertensive comorbidities 30, Diabetes Mellitus 26, and Osteoarthritis 20.</span></p><p><a name="0.1__GoBack"></a><span>Conclusion :</span><span> Characteristics of patients diagnosed with Low Back Pain (LBP) at the RSAL Medical Rehabilitation Clinic Dr. Ramelan Surabaya is aged 51-60 years, many suffer from women, 80 percent complain of pain, accompanied by hypertensive comorbidities, Diabetes Melitus and Osteoarthritis.</span></p><p> </p><p><span>Keywords </span><span>: Low back pain (LBP), pain, comorbidities</span></p>

DIAGNOSTIC RADIOLOGY METHODS OF DEGENERATIVE CHANGES IN LUMBAR INTERVERTEBRAL DISCS IN YOUNG PEOPLE

2020 ◽  
pp. 93-96
Author(s):  
Ilhar Halyb ohly Mammadov
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Clinical Symptoms ◽  
Intervertebral Discs ◽  
Information Value ◽  
Diagnostic Radiology ◽  
Degenerative Changes ◽  
Low Back ◽  
Disc Disease ◽  
Disc Protrusion

In recent years, the number of scientific studies investigating the prevalence of low back pain among schoolchildren has been significantly increased. Degenerative disease of the discs is often accompanied by a low back pain with irradiation into the legs in representatives of different age groups, in particular, in older children. The main factors of its development are genetic predisposition, trauma, obesity, lack of exercise. Most of the components of the vertebral motor segment have the nerve endings and reflex influences, accompanied by inflammation, microcirculatory disorders, and their combination contributes to an appearance of back pain. Diagnosis of degenerative disc disease includes the study of the patient's medical history, analysis of clinical symptoms, use of functional tests and various types of imaging to clarify the degree of macrostructural changes in disks, among which the main place is taken by the magnetic resonance imaging. The development of degenerative changes in intervertebral discs as early as childhood, which requires a further study using non−invasive, accessible and informative methods, especially ultrasound ones. The results of ultrasonography of lumbar intervertebral discs were analyzed in 36 adolescents aged 16−18 years, diagnosed for the protrusion when the MRI was applied. Paramedian protrusion was found to be significantly more frequent than posterolateral, median, and circular ones. Due to its non−invasiveness, low price and information value, the ultrasound can be the most popular method not only as a screening one but also for the expert evaluation of lumbar intervertebral disc protrusion in schoolchildren. Key words: diagnostic radiology, lumbar intervertebral discs, adolescents.

scholarly journals The Association between Imaging Parameters of the Paraspinal Muscles, Spinal Degeneration, and Low Back Pain

2017 ◽  
Vol 2017 ◽  
pp. 1-14 ◽  
Author(s):  
Leonid Kalichman ◽  
Eli Carmeli ◽  
Ella Been
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Fatty Infiltration ◽  
Degenerative Changes ◽  
Low Back ◽  
Paraspinal Muscles ◽  
Lumbar Multifidus ◽  
Imaging Parameters ◽  
Fat Deposits ◽  
Spinal Degeneration

This narrative review investigated imaging parameters of the paraspinal muscles and their association with spinal degenerative features and low back pain (LBP) found in the literature. Three principal signs of muscle degeneration were detected on imaging: decreased muscle size, decreased radiographic density, and increased fat deposits. Men have a higher density of paraspinal muscles than women, younger individuals have a higher density than older ones, and lean individuals have a higher density than those with an increased body mass index. Fatty infiltration appears to be a late stage of muscular degeneration and can be measured noninvasively by an MRI scan. Fatty infiltration in the lumbar multifidus is common in adults and is strongly associated with LBP, especially in women, independent of body composition. Fatty infiltration develops in areas where most degenerative changes are found. MR spectroscopy studies have corroborated that the lumbar multifidus in LBP subjects has a significantly higher fat content than asymptomatic controls. There is a strong need for establishing uniform methods of evaluating normal parameters and degenerative changes of the paraspinal muscles. Additional imaging studies are needed to improve the understanding of the association and causal relationships between LBP, spinal degeneration, and changes in the paraspinal muscles.

Degenerative Changes in the Lumbar Spine Correlate with Spino-Pelvic Alignment in Patients with Low Back Pain

2013 ◽  
Vol 13 (9) ◽  
pp. S153-S154
Author(s):  
Dominique A. Rothenfluh ◽  
Julia Lebschi ◽  
Esin Rothenfluh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Degenerative Changes ◽  
Low Back

scholarly journals Age and disc degeneration in low back pain: automated analysis enables a magnetic resonance imaging comparison of large cross-sectional cohorts of symptomatic and asymptomatic subjects.

2021 ◽  
Author(s):  
Jamaludin Amir ◽  
Timor Kadir ◽  
Andrew Zisserman ◽  
Iain McCall ◽  
Frances MK Williams ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Disc Degeneration ◽  
Chronic Back Pain ◽  
Degenerative Changes ◽  
Structural Defects ◽  
Low Back ◽  
Cross Sectional ◽  
Age Related ◽  
Asymptomatic Subjects

Objectives We aimed to improve understanding of the role of imaging in diagnosis of low back pain by determining the prevalence of age-related disc degeneration in asymptomatic and symptomatic subjects. Spinal MRIs of symptomatic and asymptomatic subjects were re-annotated onto the same objective grading system and prevalence of degenerative changes compared. Methods In an exploratory cross-sectional study, we compared the prevalence of disc degeneration between two large groups of anonymised females, 30-80yrs, viz a symptomatic group with chronic back pain (724) and an asymptomatic (701) group. We used a verified automated MRI annotation system to re-annotate their spinal MRIs and report degeneration on the Pfirrmann (1-5) scale, and other degenerative changes (herniation, endplate defects, marrow signs, spinal stenosis) as binary present/absent. Results Severe degenerative changes were significantly more prevalent in discs of symptomatics than asymptomatics in the lower (L4-S1) but not the upper (L1-L3) lumbar discs in subjects <60years. We found high co-existence of several degenerative features in both populations. Degeneration was minimal in around 30% of symptomatics < 50years. Conclusions. Automated MRI provides a valuable means of rapidly comparing large MRI datasets. Here, through directly comparing MRI annotations on the same objective scales it enabled us to detect significant age and spinal-level related differences in the prevalence of degenerative features between asymptomatic and symptomatic populations. By distinguishing between symptomatics whose discs have structural defects, and symptomatics with minimal degenerative changes, MRI could provide a means of clinical stratification, and provide a useful pathway to investigate possible pain sources.

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