Modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathy
Abstract Background The distribution and related factors of Modic changes (MC) in the lumbar spine has been evaluated. In the present study, the MC in the cervical endplate of patients with cervical spondylotic myelopathy (CSM) was investigated. Methods A total of 6422 cervical endplates of 539 pati...
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-018-0805-2 |
| _version_ | 1798040579817340928 |
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| author | Pan Qiao Tian-Tong Xu Wen Zhang Rong Tian |
| author_facet | Pan Qiao Tian-Tong Xu Wen Zhang Rong Tian |
| author_sort | Pan Qiao |
| collection | DOAJ |
| description | Abstract Background The distribution and related factors of Modic changes (MC) in the lumbar spine has been evaluated. In the present study, the MC in the cervical endplate of patients with cervical spondylotic myelopathy (CSM) was investigated. Methods A total of 6422 cervical endplates of 539 patients suffered from CSM (259 males and 280 females) with mean age of 46 ± 5.2 years. All patients underwent MRI scans and X-ray for evaluating the distribution of MC. The clinical information were recorded. Results It was observed that 13.0% of patients and 2.4% of endplates showed MC. There were 3.7, 7.6, and 1.7% of cases diagnosed as types I, II, and III, respectively, suggesting MC were corrected with disc degeneration. The incidence rates of MC were 0, 0.3, 0.6, 0.9, 0.7, and 0.2%, respectively, in different intervertebral disc segments C2–3, C3–4, C4–5, C5–6, C6–7, and C7T1. Disc degeneration, segment, disease course, and age were statistically related to the MC. Patients over the age of 40 more easily suffered from MC. Conclusions MCs manifested as type II mainly in patients with CSM. The incidence was highest in the C5–6 segment. Disc degeneration greatly contributed to the occurrence of MC. |
| first_indexed | 2024-04-11T22:09:34Z |
| format | Article |
| id | doaj.art-17f3a82e48024061b7a831dbaaf86a93 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T22:09:34Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-17f3a82e48024061b7a831dbaaf86a932022-12-22T04:00:36ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-04-011311710.1186/s13018-018-0805-2Modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathyPan Qiao0Tian-Tong Xu1Wen Zhang2Rong Tian3Department of Spine Surgery, Tianjin Union Medical CenterDepartment of Spine Surgery, Tianjin Union Medical CenterDepartment of Pediatrics, Tianjin Children’s HospitalDepartment of Spine Surgery, Tianjin Union Medical CenterAbstract Background The distribution and related factors of Modic changes (MC) in the lumbar spine has been evaluated. In the present study, the MC in the cervical endplate of patients with cervical spondylotic myelopathy (CSM) was investigated. Methods A total of 6422 cervical endplates of 539 patients suffered from CSM (259 males and 280 females) with mean age of 46 ± 5.2 years. All patients underwent MRI scans and X-ray for evaluating the distribution of MC. The clinical information were recorded. Results It was observed that 13.0% of patients and 2.4% of endplates showed MC. There were 3.7, 7.6, and 1.7% of cases diagnosed as types I, II, and III, respectively, suggesting MC were corrected with disc degeneration. The incidence rates of MC were 0, 0.3, 0.6, 0.9, 0.7, and 0.2%, respectively, in different intervertebral disc segments C2–3, C3–4, C4–5, C5–6, C6–7, and C7T1. Disc degeneration, segment, disease course, and age were statistically related to the MC. Patients over the age of 40 more easily suffered from MC. Conclusions MCs manifested as type II mainly in patients with CSM. The incidence was highest in the C5–6 segment. Disc degeneration greatly contributed to the occurrence of MC.http://link.springer.com/article/10.1186/s13018-018-0805-2Modic changesBone marrow edemaCervical spondylotic myelopathyDisc degenerationCervical endplate |
| spellingShingle | Pan Qiao Tian-Tong Xu Wen Zhang Rong Tian Modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathy Journal of Orthopaedic Surgery and Research Modic changes Bone marrow edema Cervical spondylotic myelopathy Disc degeneration Cervical endplate |
| title | Modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathy |
| title_full | Modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathy |
| title_fullStr | Modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathy |
| title_full_unstemmed | Modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathy |
| title_short | Modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathy |
| title_sort | modic changes in the cervical endplate of patients suffering from cervical spondylotic myelopathy |
| topic | Modic changes Bone marrow edema Cervical spondylotic myelopathy Disc degeneration Cervical endplate |
| url | http://link.springer.com/article/10.1186/s13018-018-0805-2 |
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