Clinical Correlation of Magnetic Resonance Imaging with Symptom Complex in Prolapsed Intervertebral Disc Disease: A Cross-sectional Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Low back pain results from many causes including degenerative changes, spinal stenosis, neoplasm, infection, trauma, and inflammatory or arthritic processes. Herniated lumbar disc is one of the most commonly diagnosed abnormalities associated with low back pain. Aim: To evaluate correlation between the clinical features of disc prolapse and magnetic resonance imaging (MRI) finding to determine the clinical importance of anatomical abnormalities identified by MRI technique. Materials and Methods: The patients aged 18 years to 55 years with low back pain and radicular pain was included in this study. Patients selected were having the clinical features of low back pain with or without radiculopathy and neurological signs. Patients were thoroughly examined neurologically and signs involving motor and sensory dermatomal levels were noted. All the patients underwent MRI investigation with 1.5 tesla machine. Results: 60.3% of patients in this study had involvement of L5S1 disc disease followed by 34.5% of L4L5 disc disease. The most commonly observed disc herniation was protrusion (35/58 cases-60%), Root involvement is noted only in 33.33% of cases of disc bulge. Among 35 cases of disc protrusion SLR positive in 21 cases (60%). Conclusion: In our study, the correlation was made between clinical findings and MRI findings. It can safely be concluded that treating physician should put more emphasis on history, clinical examination, and make the inference by these and then should correlate the clinical findings with that of MRI to reach a final diagnosis.
Authors and Affiliations
R Selvaraj, G S Jagan Narayana, J Ranganathan, Heber Anandan
Keywords
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