Scan Findings in Pain Free Spines

Scan Findings in Pain Free Spines via @physicaltherapyresearch's instagram

Spinal MRI Findings by Erson Religioso III

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INTRO:
Low back pain has a high prevalence affecting up to 2/3 of adults during their lifetime and Is associated with high health care costs and loss of work productivity.
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MRI & CT is increasingly used to evaluate patients with low back pain.
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Disk degeneration, facet hypertrophy, and disk protrusion are often found and thought of as causes of back pain.
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Previous studies have shown imaging findings are present in a large proportion of asymptomatic individuals.
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Brinjikji, et al. (2015), systematically reviews the evidence for the prevalence of common degenerative spine conditions on asymptomatic people through decades of age:
(20, 30, 40, 50, 60, 70, 80 years)
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33 articles involving 3110 asymptomatic individuals were included.
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RESULTS:
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Disk degeneration:
37% of 20yr to 96% of 80yr
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Disk bulge:
30% of 20yr to 84% of 80yr
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Disk protrusion:
29% of 20yr to 43% of 80yr
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Annular fissure:
19% of 20yr to 29% of 80 yr
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CONCLUSIONS:
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Imaging findings of spine degeneration are present in high proportions of asymptomatic individuals, increasing with age. .
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Likely part of normal aging and unassociated with pain, but must be interpreted in the context of the patient’s clinical condition. .
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LIMITATIONS:
Few studies used multiple observers, its difficult to evaluate inter- and intraobserver agreement for MRI findings.
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Thoughts? Questions? Comments?
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Write them below. .
#physicaltherapyresearch #backpain #backMRI 📚📚📚
SOURCE:
Brinjikji W, et al., 2015. Systematic Literature Review of Imaging Features of Spinal Degeneration in Asymptomatic Populations. Am J Neuroradiol. 36(4): 811–816.

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