Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study
Abstract Background There are few studies to investigate changes in imaging parameters of Modic changes (MCs). The imaging studies examining the distinctions in the lumbar sagittal parameters between MCs and lumbar disc degeneration (LDD) are still lacking. The purpose of this study was to identify...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1355-y |
| _version_ | 1811299624195981312 |
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| author | Mindong Lan Yufu Ou Chenglong Wang Wei Wei Xianwei Lu Jianxun Wei Xiaoping Mu |
| author_facet | Mindong Lan Yufu Ou Chenglong Wang Wei Wei Xianwei Lu Jianxun Wei Xiaoping Mu |
| author_sort | Mindong Lan |
| collection | DOAJ |
| description | Abstract Background There are few studies to investigate changes in imaging parameters of Modic changes (MCs). The imaging studies examining the distinctions in the lumbar sagittal parameters between MCs and lumbar disc degeneration (LDD) are still lacking. The purpose of this study was to identify the differences in the lumbar sagittal parameters among patients for LDD with/without Modic type 2 change (MII). Methods A total of 208 patients with lumbar degenerative disease from January 2017 to August 2018 volunteered for this study. Sixty-two patients with MII were used as the MC group. The other 146 patients served as the disc degeneration (DD) group. The DD scores and sagittal parameters were measured on magnetic resonance imaging (MRI) and X-ray by using Surgimap software. Results The prevalence of MII for patients with degenerative lumbar diseases in this study was 29.81%, primarily located at L5/S1. There were significant differences in lumbar lordosis (LL) and sacral slope (SS) between these two groups (P < 0.05). Similarly, the significant decrease in intervertebral height index (IHI) was found at L3-S1 in the MC group, compared with the DD group (P < 0.05). However, a significant difference in intervertebral angle (IVA) was observed only at L5/S1 (P < 0.05). The MC group had the smaller endplate concave angle (ECA) than the DD group from L3 caudal endplate to S1 cranial endplate (P < 0.05). Conclusions MII has a severe radiographic representation in the process of lumbar degeneration than patients without MII, and the overconcentration of load caused by the smaller LL, SS, and IVA may be a reasonable explanation to answer why MCs are more common at the L5/S1. |
| first_indexed | 2024-04-13T06:38:33Z |
| format | Article |
| id | doaj.art-9a1336d30bcd46ec850f3564de8bfa6f |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T06:38:33Z |
| publishDate | 2019-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-9a1336d30bcd46ec850f3564de8bfa6f2022-12-22T02:57:48ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-09-011411710.1186/s13018-019-1355-yPatients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging studyMindong Lan0Yufu Ou1Chenglong Wang2Wei Wei3Xianwei Lu4Jianxun Wei5Xiaoping Mu6Department of Orthopaedics, Wuming Hospital of Guangxi Medical UniversityDepartment of Orthopaedics, People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Orthopaedics, People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Orthopaedics, Wuming Hospital of Guangxi Medical UniversityDepartment of Orthopaedics, Wuming Hospital of Guangxi Medical UniversityDepartment of Orthopaedics, People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Orthopaedics, People’s Hospital of Guangxi Zhuang Autonomous RegionAbstract Background There are few studies to investigate changes in imaging parameters of Modic changes (MCs). The imaging studies examining the distinctions in the lumbar sagittal parameters between MCs and lumbar disc degeneration (LDD) are still lacking. The purpose of this study was to identify the differences in the lumbar sagittal parameters among patients for LDD with/without Modic type 2 change (MII). Methods A total of 208 patients with lumbar degenerative disease from January 2017 to August 2018 volunteered for this study. Sixty-two patients with MII were used as the MC group. The other 146 patients served as the disc degeneration (DD) group. The DD scores and sagittal parameters were measured on magnetic resonance imaging (MRI) and X-ray by using Surgimap software. Results The prevalence of MII for patients with degenerative lumbar diseases in this study was 29.81%, primarily located at L5/S1. There were significant differences in lumbar lordosis (LL) and sacral slope (SS) between these two groups (P < 0.05). Similarly, the significant decrease in intervertebral height index (IHI) was found at L3-S1 in the MC group, compared with the DD group (P < 0.05). However, a significant difference in intervertebral angle (IVA) was observed only at L5/S1 (P < 0.05). The MC group had the smaller endplate concave angle (ECA) than the DD group from L3 caudal endplate to S1 cranial endplate (P < 0.05). Conclusions MII has a severe radiographic representation in the process of lumbar degeneration than patients without MII, and the overconcentration of load caused by the smaller LL, SS, and IVA may be a reasonable explanation to answer why MCs are more common at the L5/S1.http://link.springer.com/article/10.1186/s13018-019-1355-yEndplate signal changesModic changesLumbar degenerationLumbar sagittal parameters |
| spellingShingle | Mindong Lan Yufu Ou Chenglong Wang Wei Wei Xianwei Lu Jianxun Wei Xiaoping Mu Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study Journal of Orthopaedic Surgery and Research Endplate signal changes Modic changes Lumbar degeneration Lumbar sagittal parameters |
| title | Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study |
| title_full | Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study |
| title_fullStr | Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study |
| title_full_unstemmed | Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study |
| title_short | Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study |
| title_sort | patients with modic type 2 change have a severe radiographic representation in the process of lumbar degeneration a retrospective imaging study |
| topic | Endplate signal changes Modic changes Lumbar degeneration Lumbar sagittal parameters |
| url | http://link.springer.com/article/10.1186/s13018-019-1355-y |
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