Correlation of MRI Findings of Lumber Spondylosis with Age and Gender, A Cross-Sectional Study

Research Article

Authors

  • Maham Nasir Department of Medical Imaging and Ultrasonography, School of Health Sciences, University of Management & Technology, Lahore, Pakistan
  • Alia Mubarak Department of Medical Imaging and Ultrasonography, School of Health Sciences, University of Management & Technology, Lahore, Pakistan
  • Mohammad Zohaib Department of Medical Imaging and Ultrasonography, School of Health Sciences, University of Management & Technology, Lahore, Pakistan
  • Iqra Batool Department of Medical Imaging and Ultrasonography, School of Health Sciences, University of Management & Technology, Lahore, Pakistan
  • Hafsa Naveed Department of Medical Imaging and Ultrasonography, School of Health Sciences, University of Management & Technology, Lahore, Pakistan
  • Wasit Sajjad Department of Medical Imaging and Ultrasonography, School of Health Sciences, University of Management & Technology, Lahore, Pakistan
  • Mahnoor Nasir Department of Medical Imaging and Ultrasonography, School of Health Sciences, University of Management & Technology, Lahore, Pakistan

DOI:

https://doi.org/10.31580/vbte7h27

Keywords:

Backache, Disc bulge, Lumbar spondylosis, MRI

Abstract

Background: The majority of people worldwide report low back pain due to lumber spondylosis as their most prevalent complaint. Its great contrast in the soft tissues of the spine, along with its non-ionizing radiation nature, make it useful for identifying minute intervertebral disk alterations. Objectives: The objectives of this study were to find the Correlation of MRI findings of lumbar spondylosis with age and gender. Methodology: Over the course of three months, from May 2024 to July 2024 (ERC#134/2024), the research was conducted in the radiology department of the Government and Private Sector Hospitals and Diagnostic center in Punjab, Pakistan. Using magnetic resonance imaging, a total of 67 individuals with lumbar spondylosis were assessed in this cross-sectional and observational investigation. Several MRI characteristics of lumbar spondylosis were examined using the standardized MRI sequences for the lumbar spine. Result: Patients between age 41-60 years had the highest frequency of lumbar spondylosis whereas, patients between age 61-80 years were second most affected population. Lumber spondylosis was more common among females who were 40 (57.1%) than males who were 27 and makes 38.6% of total population. LBP is 34.3%. Lumbar disc degenerative was 12.9%. Anterior osteophytes were present in 24(34.3%) patients. Hypertrophy of ligamentum flavum was 14.3%. Facet joint arthrosis was about in 14 patients (20%). Lumber lordosis curvature present in 38(54.3%) patients. Intervertebral level L4/L5 was the most frequent site (34.3%).  of disc degeneration and disc bulges. Second most affected site was L5/S1 level present in 14 (20%) individuals. Whereas, at L1/L2, L2/L3 and L3/L4 level were common among 2(2.9%), 4(5.7%) and 6(8.6%). Disc bulge was 75.7%. Disc tear and herniation was present only 5(7.1%) patients. Disc desiccation present in 37(52.9%) patients. Conclusion: Hence concluded that there is association between MRI findings and age of patient but gender is not associated with these findings. These results underscore the importance of considering lumbar spondylosis and related degenerative changes as relevant issues in age 31-50 years’ patients, mostly at the level of L4-L5, and also Osteophytes, Facet joint, Lumber lordosis curvature, and Hypertrophy of Ligamentum flavum

References

Sąsiadek M, Jacków-Nowicka J. Degenerative disease of the spine: How to relate clinical symptoms to radiological findings. Adv Clin Exp Med. 2024 ;33(1):91-98.

Bezuglov E, Lazarev A, Petrov A, Brodskaia A, Lyubushkina A, Kubacheva K, Achkasov E, Nikolenko V. Asymptomatic Degenerative Changes in the Lumbar Spine Among Professional Soccer Players. Spine (Phila Pa 1976). 2021 ;46(2):122-128.

Gilchrist A, Pokorná A. Prevalence of musculoskeletal low back pain among registered nurses: Results of an online survey. J Clin Nurs. 2021 ;30(11-12):1675-1683.

Baradaran Mahdavi S, Riahi R, Vahdatpour B, Kelishadi R. Association between sedentary behavior and low back pain; A systematic review and meta-analysis. Health Promot Perspect. 2021 ;11(4):393-410.

Agnus Tom A, Rajkumar E, John R, Joshua George A. Determinants of quality of life in individuals with chronic low back pain: a systematic review. Health Psychol Behav Med. 2022 ;10(1):124-144.

Wei W, Qi X, Cheng B, Zhang N, Zhao Y, Qin X, He D, Chu X, Shi S, Cai Q, Yang X, Cheng S, Meng P, Hui J, Pan C, Liu L, Wen Y, Liu H, Jia Y, Zhang F. A prospective study of associations between accelerated biological aging and twenty musculoskeletal disorders. Commun Med (Lond). 2024 ;4(1):266.

Trinh GM, Shao HC, Hsieh KL, Lee CY, Liu HW, Lai CW, Chou SY, Tsai PI, Chen KJ, Chang FC, Wu MH, Huang TJ. Detection of Lumbar Spondylolisthesis from X-ray Images Using Deep Learning Network. J Clin Med. 2022 ;11(18):5450.

An CH, Lee JS, Jang JS, Choi HC. Part Affinity Fields and CoordConv for Detecting Landmarks of Lumbar Vertebrae and Sacrum in X-ray Images. Sensors (Basel). 2022 ;22(22):8628.

Lopes MA, Coleman RR, Cremata EJ. Radiography and Clinical Decision-Making in Chiropractic. Dose Response. 2021 ;19(4):15593258211044844.

Oakley PA, Harrison DE. Radiophobic Fear-Mongering, Misappropriation of Medical References and Dismissing Relevant Data Forms the False Stance for Advocating Against the Use of Routine and Repeat Radiography in Chiropractic and Manual Therapy. Dose Response. 2021 ;19(1):1559325820984626.

Spiegl U, Bork H, Grüninger S, Maus U, Osterhoff G, Scheyerer MJ, Pieroh P, Schnoor J, Heyde CE, Schnake KJ. Osteoporotic Fractures of the Thoracic and Lumbar Vertebrae: Diagnosis and Conservative Treatment. Dtsch Arztebl Int. 2021 ;118(40):670-677.

Salaffi F, Ceccarelli L, Carotti M, Di Carlo M, Polonara G, Facchini G, Golfieri R, Giovagnoni A. Differentiation between infectious spondylodiscitis versus inflammatory or degenerative spinal changes: How can magnetic resonance imaging help the clinician? Radiol Med. 2021 ;126(6):843-859.

Zheng K, Wen Z, Li D. The Clinical Diagnostic Value of Lumbar Intervertebral Disc Herniation Based on MRI Images. J Healthc Eng. 2021 ;2021:5594920.

Barchetti F, Stagnitti A, Glorioso M, Al Ansari N, Barchetti G, Pranno N, Montechiarello S, Pasqualitto E, Sartori A, Marini A, Gigli S, Mazza D, Buonocore V, Marini M. Static and dynamic MR imaging in the evaluation of temporomandibular disorders. Eur Rev Med Pharmacol Sci. 2014 ;18(20):2983-7.

Parenteau CS, Lau EC, Campbell IC, Courtney A. Prevalence of spine degeneration diagnosis by type, age, gender, and obesity using Medicare data. Sci Rep. 2021 ;11(1):5389.

Foreman M, Maddy K, Patel A, Reddy A, Costello M, Lucke-Wold B. Differentiating Lumbar Spinal Etiology from Peripheral Plexopathies. Biomedicines. 2023 ;11(3):756.

Cheung KM, Karppinen J, Chan D, Ho DW, Song YQ, Sham P, Cheah KS, Leong JC, Luk KD. Prevalence and pattern of lumbar magnetic resonance imaging changes in a population study of one thousand forty-three individuals. Spine (Phila Pa 1976). 2009 ;34(9):934-40.

Sabatino A, Sola KH, Brismar TB, Lindholm B, Stenvinkel P, Avesani CM. Making the invisible visible: imaging techniques for assessing muscle mass and muscle quality in chronic kidney disease. Clin Kidney J. 2024 ;17(3):sfae028.

Sahri IE, Tlemcani ZC, Hakkou E, Mohammed Yassaad O, Abdessamad E. Congenital spondylolytic spondylolisthesis of the cervical spine: A case report and literature review. Radiol Case Rep. 2022 ;17(6):2092-2096.

He D, Li ZC, Zhang TY, Cheng XG, Tian W. Prevalence of Lumbar Spondylolisthesis in Middle-Aged People in Beijing Community. Orthop Surg. 2021 ;13(1):202-206.

Anaya JEC, Coelho SRN, Taneja AK, Cardoso FN, Skaf AY, Aihara AY. Differential Diagnosis of Facet Joint Disorders. Radiographics. 2021 ;41(2):543-558.

Kumar G, Sakalecha AK, Krishnan J, Kale R M, Katre N. Analysis of the Thickness of Ligamentum Flavum and Its Relationship With Degenerative Disc Changes at L3-4, L4-5, and L5-S1 Levels in Patients Undergoing Magnetic Resonance Imaging (MRI) of the Lumbosacral Spine. Cureus. 2024;16(11):e74233.

Smith SS, Stewart ME, Davies BM, Kotter MRN. The Prevalence of Asymptomatic and Symptomatic Spinal Cord Compression on Magnetic Resonance Imaging: A Systematic Review and Meta-analysis. Global Spine J. 2021;11(4):597-607.

Weinreb JC, Wolbarsht LB, Cohen JM, Brown CE, Maravilla KR. Prevalence of lumbosacral intervertebral disk abnormalities on MR images in pregnant and asymptomatic nonpregnant women. Radiology. 1989;170(1 Pt 1):125-8.

Näther P, Kersten JF, Kaden I, Irga K, Nienhaus A. Distribution Patterns of Degeneration of the Lumbar Spine in a Cohort of 200 Patients with an Indication for Lumbar MRI. Int J Environ Res Public Health. 2022 ;19(6):3721.

Chadha M, Srivastava A, Kumar V, Tandon A. Disc Degeneration in Lumbar Spine of Asymptomatic Young Adults: A Descriptive Cross-Sectional Study. Indian J Orthop. 2022 ;56(6):1083-1089.

Sugiura K, Morimoto M, Higashino K, Takeuchi M, Manabe A, Takao S, Maeda T, Sairyo K. Transitional vertebrae and numerical variants of the spine : prevalence and relationship to low back pain or degenerative spondylolisthesis. Bone Joint J. 2021 ;103-B(7):1301-1308.

Eitner A, Wildemann B. Diabetes - osteoarthritis and joint pain. Bone Joint Res. 2021 ;10(5):307-309.

Kuligowski T. Prevalence of Lumbar Segmental Instability in Young Individuals with the Different Types of Lumbar Disc Herniation-Preliminary Report. Int J Environ Res Public Health. 2022 ;19(15):9378.

Park DY, Upfill-Brown A, Curtin N, Hamad CD, Shah A, Kwon B, Kim YH, Heo DH, Park CW, Sheppard WL. Clinical outcomes and complications after biportal endoscopic spine surgery: a comprehensive systematic review and meta-analysis of 3673 cases. Eur Spine J. 2023 ;32(8):2637-2646.

Downloads

Published

2025-03-26