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Correlation of Modic Changes in Patients of Low Back Pain with its Related Factors Using Magnetic Resonance Imaging

作者
Nabeel Riaz,Sarah Maryam,Kinza Rasool,Sana Iqbal,M. Wajid Fareed,Hayaan Kamran,Muhammad Zakir
摘要

Background: Signal intensity changes, in the vertebral body bone marrow bordering the endplates are usually seen on Magnetic Resonance Imaging (MRI), and a couple of examinations have shown a connection between modic changes and relentless lower back pain. Objective: To co-relate modic changes in patients of low back pain with its related factors using Magnetic Resonance Imaging. Methodology: In this cross-sectional evaluation patients of ages 10-90 years, who came for MRI with low back torment. Imaging was performed on a 3.0 Tesla MRI machine. The imaging show included T1-weighted and T2-weighted turbo- spin echo (TSE) sagittal and axial pictures. End-plate modic changes were mentioned into three sorts as per significance of Modic et al. Data were collected according to variables i.e age, gender, occupation, smoking, disc degeneration. 86 participants including 39 males (45.3) and 47 females (54.7) were preferred. For analysis of data, SPSS version 24.0 was used. Results: Results: Data analysis demonstrated that out of total 86 patients 39(45.3) were males and 47(54.7) were females. Modic changes are common between the age of 31-60 years. Modic changes were most common in females than males, Out of 86 patients 42(48.8) with modic changes and 44 (51.2) without modic changes. Type 2 modic changes were most common, Modic changes are commonest at lower lumber level L5/S1. Modic changes were significantly correlated with disc degeneration. There were significant association of smoking with modic changes total of 42 patients out of 86 with modic changes, 33(78.6) with smoking and 9(21.4) without smoking. Conclusion: We conclude that modic changes are most common in females who are housewives and are rare in children and common in middle age group. Type 2 modic changes are most common. Modic changes are strongly correlated with disc degeneration. They are commonest at lower lumber level L5/S1. Modic changes have a significant correlation with smoking.

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