MRI Evaluation of Degenerative Lumbar Spine in Population Of Eastern Nepal

N. Ranabhat, Rakshya Bhattarai, Prasansa Basnet, Udaya Raj Banjade, Shreebridhi Pande, Suhail Sapkota, Diki Sherpa
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Abstract

Introduction:Low back pain is the most commonly encountered symptom, with approximately 80% of individuals experiencing at least one instance of back pain throughout their lifetime. Magnetic resonance imaging is widely regarded as a highly effective diagnostic tool for assessing different factors contributing to back pain.Methods:The study included all patients who had a history of chronic low back pain and were referred for Magnetic resonance imaging at the Radiology Department of Nobel Medical College between September 1, 2020, and September 1, 2021. These patients were suspected to have degenerative diseases of the lumbar spine.Results:A total of 120 patients were included in the study, with ages ranging from 28 to 81 years (mean: 53.38 ± 11.5 years). Among these patients, 64 individuals (53.3%) were females. The most common finding observed was disc desiccation, which was present in 115 patients (95.8%). The prevalence of degenerative findings increased with age, indicating a correlation between age and degenerative changes in the lumbar spine.Conclusions:The study's conclusion states that Magnetic resonance imaging is the most sensitive imaging technique for evaluating low back pain related to degenerative changes. The use of Magnetic resonance imaging is recommended due to its lack of known side effects, absence of radiation exposure, and noninvasive nature. It was found that various types of degenerative changes can be present in symptomatic patients aged over40.
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尼泊尔东部人群退行性腰椎的MRI评价
简介:腰痛是最常见的症状,大约80%的人一生中至少经历过一次背痛。磁共振成像被广泛认为是一种非常有效的诊断工具,用于评估导致背部疼痛的不同因素。方法:该研究纳入了2020年9月1日至2021年9月1日期间在诺贝尔医学院放射科转诊的所有有慢性腰痛病史并接受磁共振成像的患者。这些患者被怀疑患有腰椎退行性疾病。结果:共纳入120例患者,年龄28 ~ 81岁,平均53.38±11.5岁。其中女性64例,占53.3%。最常见的发现是椎间盘干燥,115例患者(95.8%)出现椎间盘干燥。退行性病变的发生率随着年龄的增长而增加,这表明年龄与腰椎退行性病变之间存在相关性。结论:该研究的结论表明,磁共振成像是评估与退行性改变相关的腰痛最敏感的成像技术。由于磁共振成像没有已知的副作用,没有辐射暴露,并且是非侵入性的,因此推荐使用磁共振成像。研究发现,40岁以上有症状的患者可出现各种类型的退行性改变。
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