scholarly journals Prevalence of Lumbosacral Transitional Vertebra in Individuals with Low Back Pain: Evaluation Using Plain Radiography and Magnetic Resonance Imaging

2017 ◽  
Vol 11 (6) ◽  
pp. 892-897
Author(s):  
Asra Shaikh ◽  
Sohail Ahmed Khan ◽  
Munawar Hussain ◽  
Sadia Soomro ◽  
Hatem Adel ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Lumbosacral Spine ◽  
Low Back ◽  
Type Ii ◽  
Lumbosacral Junction ◽  
Resonance Imaging ◽  
Type Iii

<sec><title>Study Design</title><p>Descriptive cross-sectional study.</p></sec><sec><title>Purpose</title><p>To determine the frequency of lumbosacral transitional vertebrae (LSTV) in patients with low back pain (LBP) and the role of iliolumbar ligament (ILL) origin from L5 in LSTV cases.</p></sec><sec><title>Overview of Literature</title><p>Transitional vertebrae are developmental variants of the spine. LSTV is a common congenital abnormality, and failure to recognize this anomaly may result in serious consequences during surgery.</p></sec><sec><title>Methods</title><p>All patients aged 11–90 years of either gender with LBP for any duration, who presented for X-ray and magnetic resonance imaging (MRI) of the lumbosacral spine, were included. X-rays of the lumbosacral spine in anteroposterior and lateral views were acquired. In addition, T1- and T2-weighted sagittal and axial MRI was performed. Images were evaluated on a workstation.</p></sec><sec><title>Results</title><p>Of 504 patients, transitional vertebrae were observed in 75 patients (15%). Among them, 39 (52%) patients had Castellvi type III and 36 (48%) patients had Castellvi type II. However, on MRI, 42 (56%) patients had O'Driscoll type II, 18 (24%) patients had O'Driscoll type IV, and 15 patients (20%) had O'Driscoll type III. ILL origin from L5 was significantly higher (n=429, 100%) among patients with a normal lumbosacral junction than among patients with a transitional lumbosacral junction (n=22, 29.3%) (p&lt;0.001).</p></sec><sec><title>Conclusions</title><p>LSTV occurs at a high frequency in patients with LBP. Furthermore, in the presence of LSTV, the ILL is not a reliable marker for the identification of L5.</p></sec>

scholarly journals Incorporation of Whole Spine Screening in Magnetic Resonance Imaging Protocols for Low Back Pain: A Valuable Addition

2017 ◽  
Vol 11 (5) ◽  
pp. 700-705 ◽  
Author(s):  
Akhilesh Rao ◽  
Atul Mishra ◽  
Yayati Pimpalwar ◽  
Ravinder Sahdev ◽  
Neha Yadu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Magnetic Resonance ◽  
Incidental Findings ◽  
Lumbosacral Spine ◽  
Low Back ◽  
Resonance Imaging ◽  
Whole Spine

<sec><title>Study Design</title><p>A retrospective review of lumbar magnetic resonance imaging (MRI) studies conducted at the Department of Radiodiagnosis &amp; Imaging of a Tertiary Care Armed Forces Hospital between May 2014 and May 2016.</p></sec><sec><title>Purpose</title><p>To assess the advantages of incorporating sagittal screening of the whole spine in protocols for conventional lumbar spine MRI for patients presenting with low back pain.</p></sec><sec><title>Overview of Literature</title><p>Advances in MRI have resulted in faster examinations, particularly for patients with low back pain. The additional detection of incidental abnormalities on MRI helps to improve patient outcomes by providing a swifter definitive diagnosis. Because low back pain is extremely common, any change to the diagnostic and treatment approach has a significant impact on health care resources.</p></sec><sec><title>Methods</title><p>We documented all additional incidental findings detected on sagittal screenings of the spine that were of clinical significance and would otherwise have been undiagnosed.</p></sec><sec><title>Results</title><p>A total of 1,837 patients who met our inclusion criteria underwent MRI of the lumbar spine. The mean age of the study population was 45.7 years; 66.8% were men and 33.2% women. Approximately 26.7% of the patients were diagnosed with incidental findings. These included determining the level of indeterminate vertebrae, incidental findings of space-occupying lesions of the cervicothoracic spine, myelomalacic changes, and compression fractures at cervicothoracic levels.</p></sec><sec><title>Conclusions</title><p>We propose that T2-weighted sagittal screening of the whole spine be included as a routine sequence when imaging the lumbosacral spine for suspected degenerative pathology of the intervertebral discs.</p></sec>

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

2013 ◽  
Vol 18 (6) ◽  
pp. 755-765 ◽  
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

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

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.

scholarly journals Associations Between Spondyloarthritis Features and Magnetic Resonance Imaging Findings: A Cross-Sectional Analysis of 1,020 Patients With Persistent Low Back Pain

2016 ◽  
Vol 68 (4) ◽  
pp. 892-900 ◽  
Author(s):  
Bodil Arnbak ◽  
Anne Grethe Jurik ◽  
Kim Hørslev-Petersen ◽  
Oliver Hendricks ◽  
Louise Thuesen Hermansen ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Low Back ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

Electromyographic and Magnetic Resonance Imaging to Predict Lumbar Stenosis, Low-Back Pain, and No Back Symptoms

2007 ◽  
Vol 89 (2) ◽  
pp. 358-366 ◽  
Author(s):  
Andrew J. Haig ◽  
Michael E. Geisser ◽  
Henry C. Tong ◽  
Karen S.J. Yamakawa ◽  
Douglas J. Quint ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Low Back ◽  
Lumbar Stenosis ◽  
Resonance Imaging

Pattern of lumbosacral magnetic resonance imaging findings in diagnosed cases of disc degenerative disease among Nigerian adults with low back pain

2017 ◽  
Vol 24 (1) ◽  
pp. 25
Author(s):  
EricOkechukwu Umeh ◽  
UzoamakaRufina Ebubedike ◽  
GodwinI Ogbole ◽  
CA Ndubuisi ◽  
WilfredC Mezue ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Degenerative Disease ◽  
Low Back ◽  
Imaging Findings ◽  
Resonance Imaging
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