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Year : 2020  |  Volume : 15  |  Issue : 1  |  Page : 98-107

Role of magnetic resonance imaging in the evaluation of low backache: Examining the disease spectrum

Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

Correspondence Address:
Dr. Varghese Paul
Department of Radiodiagnosis, JNMC, Sawangi, Wardha, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_150_19

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Introduction: The Spine Society of Europe defines low back pain (LBP) as the muscle tension or stiffness localized below the costal margin and above the inferior gluteal folds. LBP is a common musculoskeletal complain that can originate from ligaments, facet joints, vertebrae, paravertebral musculature, or spinal nerve roots. LBP lays a huge burden on the healthcare system. Aim: In this study, we analyze cases of LBP and conduct various studies within the framework of key domains of pain generators in LBP, namely (1) degenerative, (2) traumatic, (3) infectious, and (4) neoplastic etiologies. Materials and Methods: A total of 585 patients who underwent magnetic resonance imaging of lumbar spine/dorsolumbar spine with the complaints of LBP were selected for the study. The pathology was identified and grouped under one of the four entities mentioned above. Analytical tools were applied and the concerned inference was made for each case. Results and Conclusions:(1) Ligamentum flavum thickness has a positive correlation with age, severity of disc degeneration, facetal osteoarthritis, and sagittal orientation of facets at significance (P < 0.01). (2) The features of posterior element involvement, convex posterior border, and band signal are the ones with maximum differential power in differentiating benign and malignant vertebral compression fracture (P < 0001). (3) Thoracolumbar injury classification and severity score is a comprehensive and recent injury grading scale to classify spinal fractures and to provide valuable guidelines regarding diagnosis and management of spinal injuries with high accuracy. (4) Tuberculous spondylosis can mimic other infectious conditions such as spondylitis and also several other non-infectious conditions, and if some pitfalls are not considered, it might lead to wrong diagnoses.

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