MRI evaluation of Degenerative disease of spine presented with back pain & neurological manifestation in Jharkhand.

Dr. ANIMA RANJNI XALXO; Dr. SURESH KUMAR TOPPO; Dr. LEO MINKAN KHOYA

Volume : X, Issue : V, May - 2020

MRI evaluation of Degenerative disease of spine presented with back pain & neurological manifestation in Jharkhand.

Dr. Anima Ranjni Xalxo, Dr. Suresh Kumar Toppo, Dr. Leo Minkan Khoya

Abstract :

AIMS AND OBJECTIVE: It is a cross–sectional and observational study to evaluate the characterization, extent, and changes associated with the degenerative disc disease by Magnetic Resonance Imaging. MATERIALS AND METHODS: A total 95 patients of back pain with age group between 15 to 90 years were studied on 1.5 Tesla Magnetic Resonance Imaging machine & diagnosed as disc degenerative disease. MRI findings like lumbar lordosis, lost cervical curvature, Schmorl‘s nodes, decreased disc height, annular tear, herniation, bulge, protrusion and extrusion were observed. Narrowing of the spinal canal, lateral recess and neural foramen with compression of Spinal cord and nerve roots observed. Ligamentum flavum thickening and facetal arthropathy was also observed. RESULT: Females were more commonly affected in Degenerative Spinal Disease & most of the patients show loss of lumbar lordosis. Decreased disc height was common at L5–S1 level. Mostly multiple disc involvement was seen per person. L4 – L5 disc was the most commonly involved. Annular disc tear found at various cervical as well as lumbar region. Disc herniation, disc extrusion, narrowing of spinal canal, narrowing of lateral recess, compression of neural foramen, ligamentum flavum thickening, nerve root compression, disc buldge, Posterior osteophytes, Anterolisthesis, End plate changes and facetal arthropathy was also common at Multiple Lumbar as well as Cervical disc level. spondylolisthesis are less common. Incidental hemangioma were also noted at C6, T6, T9 & T12 level. Schmorls node at T11, L1, L2 & L3. Wedge shaped collapse of L1 vertea was found. CONCLUSION: Disc degeneration is the common cause of back pain in Jharkhand. Plain radiograph can be helpful in visualizing gross anatomic changes in the interverteal disc. But, MRI is the standard imaging modality for detecting disc pathology due to its advantage of multiplanar imaging capability, excellent spinal soft–tissue contrast and precise localization of interverteal discs changes; and lack of radiation.