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Year :2017
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Month :
July-August
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Volume :
6
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Issue :
3
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Page :
RO22 - RO27
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Evaluation of Degenerative Lumbosacral Diseases and Common Location of Disc Herniations causing Radiculopathy
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Correspondence Address :
Mallikarjun MD, Chetan M, Santosh Patil,
Dr. Mallikarjun MD,
Assistant Professor, Department of Radiology,
Navodaya Medical College, Raichur-584103,
Karnataka, India.
E-mail: drmallikarjunmd@gmail.com
mhsur16@gmail.com
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Introduction: Introduction: Low back pain is a common cause of morbidity in all individuals. An accurate diagnosis regarding the type and extent of pathology is essential for operative as well as non operative treatment. The most widely used diagnostic modality to asses back pain are X-ray and MRI. X-ray though inaccurate, is cheap and readily available along with the drawback of ionizing radiation and less soft tissue detailing.
Aim: This study was under taken to study the various imaging findings in degenerative diseases of lumbosacral spine and common location of disc herniation causing radiculopathy.
Materials and Methods: The study was prospective study design. Symptomatic patient referred from various referral hospitals and units, with history of backpain were referred to the Department of Radiodiagnosis, Navodaya Medical College. Total 100 patients with backpain who underwent MRI were included in the study from October 2012 to March 2014. Investigation, clinical examination and X-ray were performed and findings were compared with MRI.
Results: Of the total 100 patients evaluated, most of the spine changes were of degenerative type, of which disc degeneration was the major cause of backpain. Lumbar spine was more significant in involvement than thoracic spine in the study group and also among both the genders, females had higher preponderance with correlation of findings, found a higher incidence in 4th decade of life.
Conclusion: Most common signs being of degenerative causes of back pain and the most common age group being in the fourth decade of life. The finding in this study was that degenerative discs of the lumbar spine occur most commonly at L4/5 and L5/S1. Diagnostic value of MRI in the study offers a reliable evaluation with high specificity and positive predictive value, in order to make appropriate therapeutic decisions.
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