Abstract
Introduction- Low back pain (LBP) is the one of the most prevalent complaints among the people. India has an increasing number of patients who present with LBP. The presentation, detection and characterization of lesions in LBP are sometimes clinically indistinguishable, necessitating evaluation by MRI.
Aim- The purpose of this study was to undertake a critical review of the potential role of magnetic resonance imaging in evaluation of low back pain (LBP) and to describe various MRI findings.
Methodology- The study was conducted at the Radiology and Imaging department of the Mamata medical college, khammam, india. It was a cross-sectional study whose subjects were adult patients with LBP referred for lumbar spine MRI. A total of 151 patients with LBP, with no contraindications to MRI underwent MRI from july 2015 to december 2015 were studied. Frequency tables were generated for categorical variables.
Results-The most common site for degenerative findings was L4/L5 followed by L5/S1. Nerve root compression was the most common complication.
Conclusion: This study established the use of MRI as the radiological investigation for detection of low back pain. It was concluded that LDD is common in the lower lumbar regions.
Keywords: Magnetic Resonance Imaging, Patients, Low Back Pain, Disc bulge
References
1. Lebkowski WJ, Lebkowska U, Niedzwiecka M, Dzieciol J. The radiological symptoms of lumbar disc herniation and degenerative changes of lumbar intervertebral discs. Med Sci Monit, 2004;10 (suppl 3):112-114.
2. Teasel W.R., White K. Clinical approaches to low back pain: Part 1-Epidemiology, diagnosis, and prevention. Can Fam Physician. 1994; 40:481-486.
3. Carragee, E.J. and D.H.A. Kim, 1997. Prospective Analysis of Magnetic Resonance Imaging Findings in Patients with Sciatica and Lumbar Disc Herniation. Correlation of Outcomes with Disc Fragment and Canal Morphology. Spine (Phila Pa 1976),22(14): 1650-1660.
4. Lumbar Disc Disease: The Natural History: Lumbar Disease and Low- Back Pain’ Neurosurg Focus, 2002,13 (2) http:// www.medscape. com/ view article/442526.
5. Williams NS, Bulstrode CJk, O’ Connell PR, Bailey and Love’s Short Practice of surgery,25th edn, London: Hodder Arnold; 2008: p. 476-7.
6. Verma S.R., Gupta P.K., Munshi A., Goyal P., Verma S.C. A retrospective analysis of magnetic resonance imaging findings in 20-40 year old patients with low back pain: experience at a semi-urban tertiary health care center in Northern India. The Internet Journal of Spine Surgery. 2011; 6(4): 1937-8270.
7. Roy SK, Treatment of Prolaspsed lumbar Intervetebral disc by minimally invasive open lumbar discectomy, [MS Thesis]. Dhaka: BSMMU; 2005.
8. Hossain MI, Role of MRI in Evaluation of low back pain: a study of 100 cases. [FCPS Dissertation].Dhaka: BCPS; 2003.
9. Helm, Major, Anderson, Kaplan, Dussault. Musculoskeletal MRI. 2nd edition. 2009.
10. Fardon D.F., Milette P.C. Nomenclature and classification of lumbar disc pathology. Recommendations of the Combined task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology. Spine. 2001; 26:E93-E113.
11. Grainger R.G., Allison D.J. Diagnostic Radiology. A text book of Medical Imaging. 5th edition, 2008. Chapter 60 html version. Churchill, Livingstone, London UK.
12. Samartzis D., Karpinnen J., Chan D., Luk K.D., Cheung K.M. The association of lumbar disc degeneration on magnetic resonance imaging with body mass index, in overweight and obese adults. Arthritis Rheum. 2012 May; 64 (5): 1488-1496.
13. Boos, N., D. Dreier, E. Hilfiker, V. Schade, R. Kreis, J. Hora, M. Aebi and C. Boesch, 1997. Tissue Characterization of Symptomatic and Asymptomatic Disc Herniations by Quantitative Magnetic Resonance Imaging. Journal of Orthopaedic Res., 15(1): 141-149.
14. Albert, H.B. and C. Manniche, 2007. Modic changes following lumbar disc herniation. European Spine Journal, 16(7): 977-982.
15. Yong P.Y., Alias N.A.A., Shuaib I.L. Correlation of clinical presentation, radiography and MRI for low back pain- A preliminary survey. J HK Coll Radiol. 2003; 6: 144-151.
16. Mboka J. Pattern of spine degenerative disease among patients referred for lumbar magnetic resonance imaging at Muhimbili National Hospital Dar es Salam Tanzania March-September 2011. Mmed Radiology Dissertation. Muhimbili University of Health and Allied Sciences. May 2011.
DOI: http://dx.doi.org/10.18535/jmscr/v4i3.44
