The Association Between Magnetic Resonance Imaging Disc Pathology and Provocative Discography at the Lumbar Level.
J Comput Assist Tomogr
; 45(1): 146-150, 2021.
Article
em En
| MEDLINE
| ID: mdl-31929376
ABSTRACT
OBJECTIVE:
The objective of this study was to show that degenerative lumbar magnetic resonance imaging findings variably increase discography pain by level.METHODS:
Lumbar discography and magnetic resonance imaging of 736 patients were retrospectively reviewed. Univariate/multivariate logistic regressions calculated the odds ratio (OR) (95% confidence interval, P < 0.05).RESULTS:
L3-4 multivariate regression OR for a degenerative disc is 9.9; for bulge, 10.9; for annular tear, 38.9; for herniation, 51.5; and for degenerative facet, 2.158. Endplate changes were not significant. L4-5 OR for a degenerative disc is 4.52; for bulge, 13.74, for tear, 19.13; for herniation, 28.65; for endplate edema, 3.47; and fatty change, 3.84. Degenerative facet ORs were not significant. L5-S1 OR for a degenerative disc is 6.86; for bulge, 5.65; for tear, 40.56; and for herniation, 77.98. Endplate changes and degenerative facet OR's were not significant.CONCLUSIONS:
Advancing degeneration increases pain at L5-S1 followed by L3-4. Endplate signal is significant only at L4-5.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Medição da Dor
/
Degeneração do Disco Intervertebral
/
Deslocamento do Disco Intervertebral
/
Vértebras Lombares
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article