Correlations between Modic change and degeneration in 3-joint complex of the lower lumbar spine: A retrospective study
| Autor: | Fuchong Lai, Ping Zhan, Runsheng Guo, Tian Gao, Bin Zhang, Min Dai, Yanchun Zhong, Qi Lai, Xiaowei Yang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Facet (geometry) magnetic resonance imaging (MRI) Modic change degeneration Degeneration (medical) Intervertebral Disc Degeneration lumbar facet joint Zygapophyseal Joint 030218 nuclear medicine & medical imaging Facet joint 03 medical and health sciences 0302 clinical medicine Lumbar lumbar disc medicine Humans Joint (geology) Aged Retrospective Studies Lumbar Vertebrae business.industry Modic changes Retrospective cohort study Signal Processing Computer-Assisted General Medicine Clinical Trial/Experimental Study Middle Aged Low back pain Magnetic Resonance Imaging humanities medicine.anatomical_structure Female Radiology medicine.symptom business Low Back Pain 030217 neurology & neurosurgery Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Background: Modic changes (MCs) associated with low back pain (LBP) have been assessed in a few studies. It has been documented that patients with LBP have MCs in a specific segment, but the relationship between facet joint or disc degeneration and MCs is still disputed. Thus, we aimed to evaluate the correlation between MC and facet joint or disc degeneration using imaging. Methods: Imaging data of patients were retrospectively analyzed at the Orthopedic Department of the First Affiliated Hospital of Nanchang from January 2014 to August 2017. MCs, facet joint degeneration, and disc degeneration in L3-S1 were evaluated by lumbar MRI. χ2 test and contingency correlation coefficient were used for the statistical analyses, and a P value 0); particularly, type II MCs were closely related to lumbar disc degeneration (P 0). On the other hand, MCs were more frequently distributed in grades 1, 2, and 3 of the degenerative lumbar facet regardless of whether they were in the L3–4, L4–5, or L5-S1 segment (P 0). Particularly, type II MCs were frequently distributed in grades 1, 2, and 3 of the facet joint in the L4–5 and L5-S1 segments (P 0). Conclusion: MCs are correlated with the grade of lumbar spine degeneration, including lumbar disc and facet joint degeneration. MCs, especially type II, frequently occurred in severe degeneration of the lumbar disc and facet joint. Thus, MC may be one of the manifestations of lumbar disc and facet joint degeneration. |
| Databáze: | OpenAIRE |
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