|
KMID : 0361420120360010047
|
|
Journal of Korean Academy of Rehabilitation Medicine
2012 Volume.36 No. 1 p.47 ~ p.54
|
|
|
Magnetic Resonance Findings of Acute Severe Lower Back Pain
|
|
Kim Seon-Yu
Lee In-Sik
Kim Bo-Ram
Lim Jeong-Hoon
Lee Jong-Min
Koh Seong-Eun
Kim Seung-Beom
Park Seung-Lee
|
|
|
Abstract
|
|
|
Objective: To determine abnormal MRI fi ndings in adults hospitalized with acute severe axial LBP.
Method: Sixty patients with back pain were divided into 3 groups consisting of 1) 23 adults with acute axial severe LBP who could not sit up or stand up for several days, but had not experienced previous back-related diseases or trauma (group A), 2) 19 adults who had been involved in a minor traffi c accident, and had mild symptoms but not limited mobility (group B), and 3) 18 adults with LBP with radicular pain (group C)., Various MRI fi ndings were assessed among the above 3 groups and compared as follows: disc herniation (protrusion, extrusion), lumbar disc degeneration (LDD), annular tear, high intensity zone (HIZ), and endplate changes.
Results: Th e MRI fi ndings of A group were as follows: disc herniation (87%), LDD (100%), annular tear (100%), HIZ (61%), and end plate changes (4.4%). Th e fi ndings of disc herniation, annular tear, HIZ, and LDD were more prevalent in A group than in B group (p<0.01). HIZ fi ndings were more prevalent in A group than in group B or group C (p<0.05).
Conclusion: Patients with acute severe axial LBP were more likely to have disc herniation, LDD, annular tear, HIZ. Among LBP groups, there was a signifi cant association of HIZ on MRI with acute severe axial LBP.
|
|
|
KEYWORD
|
|
|
Low back pain, Magnetic resonance imaging
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|