Abstract
Introduction: Intervertebral disc (IVD) degeneration (IDD) is one of the main causes of low back pain (LBP). Standardized diagnostic algorithms for adequate estimation and classification of changes of lumbar discs are mandatory before starting with therapy.Methods: One hundred patients who were indicated for lumbar magnetic resonance imaging (MRI) were included in the study. Pfirrmann grading system was used for the determination of IDD, while the visual analog scale (VAS) is used for evaluation of the intensity of LBP. To quantification of disability for LBP, we used the Oswestry Disability Index (ODI).Result: Results showed higher Pfirrmann grades II and III for L2/L3 and L3/L4 lumbar levels and lower scores at L4/L5 and L5/S1. The analysis also showed low scores at the L2/3 and L3/4 lumbar level for Pfirrmann grades IV and V, and there was an increased at more inferior lumbosacral levels L4/5 and L5/S1. There was a significant correlation between Pfirrmann grades and ODI (p = 0.24) as well as VAS (p = 0.16).Conclusion: Higher Pfirrmann grades correlated with increased ODI and VAS. Therefore, MRI can be used as a strong indicator of clinical appearance, but it is important to take into consideration that LBP should be correlated with clinical features. By summing Pfirrmann grades of all lumbar intervertebral levels in each patient, we can get more accurate insight for the status of the lumbar spine.
Highlights
Intervertebral disc (IVD) degeneration (IDD) is one of the main causes of low back pain (LBP)
Suada Hasanović-Vučković, et al Journal of Health Sciences 2020;10(3):191-195 have a high impact on imaging modalities and health-care system, standardized diagnostic algorithms for adequate estimation and classification of those degenerative changes of lumbar discs are mandatory before therapy
The purpose of this study is to evaluate the correlation between Pfirrmann grades of IDD and two commonly used systems of pain intensity (VAS) and condition-specific measures for the estimation of outcomes in spinal pathologies (ODI)
Summary
Intervertebral disc (IVD) degeneration (IDD) is one of the main causes of low back pain (LBP). Standardized diagnostic algorithms for adequate estimation and classification of changes of lumbar discs are mandatory before starting with therapy. During their lifetime, 80% of adults suffer from low back pain (LBP), and it represents the most. One of the most significant causes of LBP is intervertebral disc (IVD) degeneration (IDD). Suada Hasanović-Vučković, et al Journal of Health Sciences 2020;10(3):191195 have a high impact on imaging modalities and health-care system, standardized diagnostic algorithms for adequate estimation and classification of those degenerative changes of lumbar discs are mandatory before therapy. Characteristics of the disc signal in T2-weighted MRI images reflect changes caused by aging or degeneration [3,4,5]
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