scholarly journals Association between clinically diagnosed lumbar intervertebral disc prolapse and magnetic resonance image findings

2016 ◽  
Vol 9 (3) ◽  
pp. 146
Author(s):  
Md. Habibur Rahman ◽  
K.M. Tarikul Islam ◽  
Md. Rokibul Islam ◽  
Moududul Haque ◽  
Haradhon Devnath ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Intervertebral Disc ◽  
Magnetic Resonance Image ◽  
Lumbosacral Spine ◽  
Disc Prolapse ◽  
Mri Findings ◽  
Neural Foramen ◽  
Lumbar Intervertebral Disc ◽  
K Value ◽  
Good Agreement

<p>There are contradictory reports on the findings of magnetic resonance image (MRI) in lumbar intervertebral disc prolapse. A study was conducted on 54 patients using 3 of 4 clinical criteria (low back pain with radiation down to the lower limbs, radicular pain along specific dermatomes, positive straight leg raising test, presence of neurological symptoms and signs e.g. motor or sensory deficit and MRI of lumbosacral spine of the respondent). Evaluation of MRI of lumbosacral spine was done based on extent of disc prolapse, disc degeneration, nerve root compression neural foramen compromise. The logistic regression analysis between the findings of MRI and the clinical features show that there was a significant association in the neural foramen or lateral recess (Odd's ratio 7.106, p&lt;0.05), the root compression (p&lt;0.01) as well as the disc extrusion (p&lt;0.05). There was no statistical association between clinical levels and other MRI findings like disc protrusion and disc bulge (p value 0.21 and 0.14, respectively). The strength of agreement between clinical and MRI diagnosis level of disc prolapse was calculated using kappa statistics (k-value). The test revealed a very good agreement for L3/4 (k-value = 0.812) and good agreement for L4/5 and L5/SI  level (k-value 0.75 and 0.75 respectively) between these two procedures, suggesting that level of disc prolapse could be correctly  diagnosed without MRI findings.  In conclusion, clinically diagnosed levels associate well with MRI levels, but all MRI abnormalities do not have any clinical significance.</p><p> </p>

scholarly journals T1ρ Magnetic Resonance Imaging Quantification of Early Lumbar Intervertebral Disc Degeneration in Healthy Young Adults

Spine ◽  
2012 ◽  
Vol 37 (14) ◽  
pp. 1224-1230 ◽  
Author(s):  
Bruno Beomonte Zobel ◽  
Gianluca Vadalà ◽  
Riccardo Del Vescovo ◽  
Sofia Battisti ◽  
Francesca Maria Martina ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Young Adults ◽  
Magnetic Resonance ◽  
Intervertebral Disc ◽  
Disc Degeneration ◽  
Intervertebral Disc Degeneration ◽  
Resonance Imaging ◽  
Lumbar Intervertebral Disc

scholarly journals CORRELATION BETWEEN FINDINGS IN MAGNETIC RESONANCE AND BIOPSY IN THE DIAGNOSIS OF SPONDYLODISCITIS

2020 ◽  
Vol 19 (2) ◽  
pp. 123-126
Author(s):  
GUSTAVO LUCIO BARBOSA DE QUEIROZ ◽  
ELOY DE AVILA FERNANDES ◽  
ANDRÉ SOUSA GARCIA ◽  
IGOR PELLUCCI PINTO ◽  
GABRIEL PARIS DE GODOY ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Blood Culture ◽  
Infectious Agent ◽  
Etiological Agent ◽  
Diagnostic Tools ◽  
Lumbosacral Spine ◽  
Diagnostic Study ◽  
Mri Findings ◽  
Level Of Evidence ◽  
Almost All

ABSTRACT Objective To correlate magnetic resonance imaging (MRI) findings with the microbiological and anatomopathological diagnosis of spinal infection. Methods A retrospective, cohort review of online medical records (laboratory, anatomopathology and diagnostic imaging sector) of patients diagnosed with spondylodiscitis, who underwent a full spine MR scan between January 2014 and July 2018 at the Department of Orthopedics and Traumatology of the Universidade Federal de São Paulo. Results Staphylococcus aureus was the most commonly found etiological agent (57%). Blood culture was positive in 76% of cases and 82% of the patients who underwent biopsy had a spondylodiscitis diagnosis. Pain was the most prevalent clinical symptom and the lumbosacral spine was the most frequent site of infection. T1 hyposignal, T2/STIR hypersignal, and terminal plate destruction were verified in almost all MR scans. Conclusions No direct correlation was found between MR findings and any specific etiological agent. Blood culture and biopsy are important diagnostic tools that should be used for accurate diagnosis of the infectious agent . Level of evidence IV; Diagnostic Study.

scholarly journals Criteria for selection of patients with lumbar intervertebral disc herniation complicated by spinal canal stenosis

2021 ◽  
Vol 23 (6) ◽  
pp. 828-833
Author(s):  
T. А. Ksenzov ◽  
M. V. Khyzhniak ◽  
A. Ю. Ksenzov ◽  
V. О. Tyshchenko
Keyword(s):  
Intervertebral Disc ◽  
Disc Herniation ◽  
Spinal Canal ◽  
Disease Duration ◽  
Spinal Canal Stenosis ◽  
Intervertebral Disc Herniation ◽  
Mri Findings ◽  
Lumbar Intervertebral Disc ◽  
Canal Stenosis ◽  
Lumbar Intervertebral Disc Herniation

Aim – to evaluate clinical and instrumental correlation (MRI data) in patients with lumbar intervertebral disc herniation complicated by spinal canal stenosis for optimizing the indications for differentiated surgical treatment. Materials and methods. Clinical and neurological manifestations and MRI data in 80 patients (men – 36, women – 44), aged 27 to 72 years with a diagnosis of intervertebral disc herniation complicated by spinal canal stenosis were retrospectively analyzed. Depending on the size of the spinal canal, there were 2 groups: the first – with relative spinal canal stenosis (n = 20) – 75–100 mm2, and the second group – with absolute spinal canal stenosis (n = 60) – less than 75 mm2. We examined the correlation between the clinical and neurological presentations and MRI findings. Results. Our retrospective analysis has found that the first group consisted mainly of younger patients (46 years) and with a mean intervertebral disc herniation of 8.35 mm, while the second group included older patients (51.7 years) and the mean size of intervertebral disc herniation was 7.3 mm. The group of relative spinal canal stenosis was dominated by patients with radiculopathy syndrome (70 %) and pain in one lower limb (85 %). Radiculoischemia syndrome (50 %), pain in both lower extremities (33 %), neurogenic intermittent claudication syndrome (46.6 %), knee reflex disorders (58.3 %), pelvic organ dysfunction (11.6 %) were more common in the second group of patients. In addition, the longest disease duration (more than 24 months) was observed among patients of this group. We have found a relationship between pain syndrome (according to VAS), muscle strength, the disease duration and the spinal canal area. Conclusions. The correlation of clinical and instrumental methods of examination in patients with intervertebral disc herniation complicated by spinal canal stenosis allows the indications for differentiated surgery to be optimized.

scholarly journals A study of functional outcome of laminectomy and discectomy in lumbar intervertebral disc prolapse (a comparison of retrospective and prospective analysis)

2015 ◽  
Vol 05 (04) ◽  
pp. 062-065
Author(s):  
Sanath Kumar Shetty ◽  
Arjun Ballal ◽  
Lawrence John Mathias ◽  
H. Ravindranath Rai
Keyword(s):  
Intervertebral Disc ◽  
Functional Outcome ◽  
Clinical Presentation ◽  
Disc Prolapse ◽  
Lumbar Intervertebral Disc ◽  
Excellent Outcome ◽  
Group I ◽  
Group Ii

Abstract Background: Back pain is considered as one of the most unrewarding problems in clinical medicine. There have existed several etiologies for the same and most of them do not have an ideal clinical presentation. Only those syndromes associated with neurologic compression of the cauda equina or nerve roots, have reasonably well understood clinical presentation. Aims: The aim of the study was to analyse and compare the functional outcome of laminectomy and discectomy in lumbar intervertebral disc prolapse in short and long term follow up. Materials and methods: Our study included a total of 50 diagnosed cases of lumbar intervertebral disc prolapse between age group of 40-70 years. The patients were subdivided into two groups. The first group was a retrospective group and included patients who had undergone laminectomy and discectomy between January 1993 and December 2003 with an average follow up of 3.68 years. Group two (prospective group) consisted of patients between January 2004 and December 2004 who underwent laminectomy and discectomy, with a follow up of 6 months.The subjective assessment was done using the Oswestry disability index (O.D.I). the results obtained with assessment of group I and group II were tabulated compared. Statistical analysis was done using the chi square test. Results: The results were noted to be 76% excellent, 8% good and 16% with poor scores in group I. 96% with excellent, no patients with good scores and 4% with poor scores in group II as per the O.D.I. Conclusion: We conclude saying that laminectomy and discectomy had excellent outcome in terms of pain relief in terms of long term and short term follow up.

Age changes in the lumbar intervertebral disc studied with magnetic resonance and cryomicrotomy

1988 ◽  
Vol 1 (2) ◽  
pp. 93-103 ◽  
Author(s):  
Marvin Wagner ◽  
Lowell A. Sether ◽  
Shiwei Yu ◽  
Peter S. P. Ho ◽  
Victor M. Haughton
Keyword(s):  
Magnetic Resonance ◽  
Intervertebral Disc ◽  
Age Changes ◽  
Lumbar Intervertebral Disc
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