Magnetic Resonance Imaging of Lumbar Spine in Lower Backache: A Comparative Study on Gender Basis
DOI:
https://doi.org/10.51985/JBUMDC202257Keywords:
Low back pain, lumbar radiculopathy, foraminal compression, Magnetic resonance ImagingAbstract
Objective: To compare the clinical features of lower backache with Magnetic Resonance Imaging (MRI) findings on
gender basis.
Study design & Setting: A cross-sectional descriptive study was carried out among male & female patients with a backache
at Sir Syed Hospital, Karachi. This study conducted from 1st Jan 2020 to 1st June 2020. We studied 90 patients by using
the non-probability convenient sampling technique.
Methodology: Lower backache is a common problem that creates disability. MRI lumbar spine without contrast were
reviewed with clinical complaints. Performa was used after the ethical approval from Institutional Research and Ethical
committee. Components focused during the study in MRI findings at different spinal levels were disc bulging, neural
foraminal compromise, nerve root compression, ligamentum flavum and facet joint hypertrophy.
Results: The results showed that the mean age of 90 patients was 44.64 years. On MRI imaging 46(86.8%) males and
26(70.3%) females had disc desiccation but multi-level disc osteophyte complexes were demonstrated more in females
11(29.7%). Diffuse disc bulge is more in males at L4-5 and L5-S1 level 49(92.5%) than in females 34(91.9%) at L4-5
and 33(89.2%) at L5-S1 level with mild to moderate spinal canal stenosis. The narrowing of Neural foramen is almost
similar at L4-5 level in both gender but more at L5-S1 in females 35(94.6%) as compared to males 49(92.5%) with nerve
root compression. Overall male patients tended to have slightly more disc degenerative changes than females.
References
Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, Williams
G, Smith E, Vos T, Barendregt J, Murray C. The global burden
of low back pain: estimates from the Global Burden of Disease
study. Annals of the rheumatic diseases. 2014 Jun
;73(6):968-74. doi: 10.1136/annrheumdis-2013-204428.
Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, Blyth
FM, Smith E, Buchbinder R, Hoy D. Global low back pain
prevalence and years lived with disability from 1990 to 2017:
estimates from the Global Burden of Disease Study 2017.
Ann Transl Med. 2020;8(6):299. doi:10.21037/atm.
02.175.
Alghwiri A, Marchetti G. Occupational back pain among
schoolteachers in Jordan: estimated prevalence and factors
associated with self-reported pain and work limitations. Int
J Occup Saf Ergon. 2018;24(3):341–346. doi:10.1080/ 10803
2016.1247605
Suliman M. Prevalence of low back pain and associated
factors among nurses in Jordan. Nurs Forum. 2018;53(4):
–431. doi:10.1111/nuf.12269
Rathore FA, Attique R, Asmaa Y. Prevalence and perceptions
of musculoskeletal disorders among hospital nurses in Pakistan:
a cross-sectional survey. Cureus. 2017;9(1). DOI: 10.7759/
cureus.1001
Yin, J., Liu, Z., Li, C. et al. Effect of facet-joint degeneration
on the in vivo motion of the lower lumbar spine. J Orthop
Surg Res 15, 340 ,2020. Doi .10.1186/s13018-020-01826-z
Wong AYL, Karppinen J, Samartzis D. Low back pain in
older adults: risk factors, management options and future
directions. Scoliosis Spinal Disord. 2017;12:14. doi: 10.1186/
s13013-017-0121-3.
Qaseem A, Wilt TJ, McLean RM, et al.: Noninvasive treatments
for acute, subacute, and chronic low back pain: a clinical
practice guideline from the American College of Physicians.
Ann Intern Med. 2017, 166:514-30. DOI :10.7326/M16-2367
Kohat AK, Kalita J, Ramanivas S. Clinical significance of
magnetic resonance imaging findings in chronic low backache.
The Indian journal of medical research. 2017; 145(6):796.
doi: 10.4103/ijmr.IJMR_1653_14
Yousif S, Musa A, Ahmed A, Abdelhai A. Correlation between
Findings in Physical Examination, Magnetic Resonance
Imaging, and Nerve Conduction Studies in Lumbosacral
Radiculopathy Caused by Lumbar Intervertebral Disc
Herniation. Advances in Orthopedics. 2020;24(34);24 -27.
doi: 10.1155/2020/9719813
Wang YX, Griffith JF, Zeng XJ, Deng M, Kwok AW, Leung
JC, Ahuja AT, Kwok T, Leung PC. Prevalence and sex
difference of lumbar disc space narrowing in elderly chinese
men and women: osteoporotic fractures in men (Hong Kong)
and osteoporotic fractures in women (Hong Kong) studies.
Arthritis Rheum. 2013;65(4):1004-10. doi: 10.1002/art.37857.
PMID: 23335175; PMCID: PMC3618501.
Fjeld OR, Grøvle L, Helgeland J, Småstuen MC, Solberg TK,
Zwart JA, Grotle M. Complications, reoperations, readmissions, and length of hospital stay in 34 639 surgical cases
of lumbar disc herniation. Bone Joint J. 2019;101-B(4):470-
doi: 10.1302/0301-620X.101B4.
Singh R, Kumar P, Wadhwani J, Yadav RK, Khanna M, Kaur
S. A comparative study to evaluate disc degeneration on
magnetic resonance imaging in patients with chronic low
back pain and asymptomatic individuals. Journal of
Orthopaedics, Trauma and Rehabilitation. January 2021.
doi:10.1177/22104917211039522
Griffith JF, Huang J, Law S.W ,et al. Population reference
range for developmental lumbar spinal canal size. Quant
Imaging Med Surg 2016:6(6);671-679. doi: 10.21037/ qims.
12.17
Schröder C, Nienhaus A. Intervertebral Disc Disease of the
Lumbar Spine in Health Personnel with Occupational Exposure
to Patient Handling-A Systematic Literature Review and
Meta-Analysis. Int J Environ Res Public Health. 2020;17(13)
:4832. doi: 10.3390/ijerph17134832.
Jensen RK, Jensen TS, Koes B, Hartvigsen J. Prevalence of
lumbar spinal stenosis in general and clinical populations: a
systematic review and meta-analysis. Eur Spine J. 2020;29(9):
-2163. doi: 10.1007/s00586-020-06339-1
Liyew WA. Clinical Presentations of Lumbar Disc
Degeneration and Lumbosacral Nerve Lesions. Int J
Rheumatol. 2020;2020:2919625. doi: 10.1155/2020/2919625.
Deer T, Sayed D, Michels J, Josephson Y, Li S, Calodney
AK. A review of lumbar spinal stenosis with intermittent
neurogenic claudication: disease and diagnosis. Pain Med
; 20: S32–44. doi: 10.1093/pm/pnz161.
Beynon R, Elwenspoek MMC, Sheppard A, et al The utility
of diagnostic selective nerve root blocks in the management
of patients with lumbar radiculopathy: a systematic review.
BMJ Open 2019;9:e025790. doi: 10.1136/bmjopen-2018-
Ibrahim, I, Antonín S; Vít H, et al. Magnetic resonance
tractography of the lumbosacral plexus: Step-by-step.
Medicine: February 12, 2021;100(6): p e24646 doi: 10.1097/
MD. 0000000000024646
Vagaska, E; Litavcova A; Srotova, I; Vlckova E ; et al. Do
lumbar magnetic resonance imaging changes predict
neuropathic pain in patients with chronic non-specific low
back pain?, Medicine: April 2019: 98(17); p e15377 doi: 10.
/ MD. 0000000000015377
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