The relationship between findings on magnetic resonance imaging and previous history of low back pain
Juichi Tonosu,1 Hiroyuki Oka,2 Ko Matsudaira,2 Akiro Higashikawa,1 Hiroshi Okazaki,1 Sakae Tanaka3 1Department of Orthopedic Surgery, Kanto Rosai Hospital, Kawasaki, 2Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, 3Department of Orth...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-12-01
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| Series: | Journal of Pain Research |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-relationship-between-findings-on-magnetic-resonance-imaging-an-peer-reviewed-article-JPR |
| _version_ | 1818577886765907968 |
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| author | Tonosu J Oka H Matsudaira K Higashikawa A Okazaki H Tanaka S |
| author_facet | Tonosu J Oka H Matsudaira K Higashikawa A Okazaki H Tanaka S |
| author_sort | Tonosu J |
| collection | DOAJ |
| description | Juichi Tonosu,1 Hiroyuki Oka,2 Ko Matsudaira,2 Akiro Higashikawa,1 Hiroshi Okazaki,1 Sakae Tanaka3 1Department of Orthopedic Surgery, Kanto Rosai Hospital, Kawasaki, 2Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, 3Department of Orthopedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan Abstract: The objective of this study was to evaluate the relationship between magnetic resonance imaging (MRI) findings and previous low back pain (LBP) in participants without current LBP. Current LBP was defined as LBP during the past month. Previous LBP was defined as a history of medical consultation for LBP. Ninety-one participants without current LBP were included. Sagittal T2-weighted MRI was used to assess the intervertebral space from T12/L1 to L5/S1. These images were classified into five grades based on the Pfirrmann grading system. Furthermore, we evaluated the presence of disk bulging, high-intensity zone, and spondylolisthesis. We compared the MRI findings between groups with (27 participants) and without (64 participants) previous LBP without current LBP. Intraobserver and interobserver kappa values were evaluated. Participants had an average age of 34.9 years; 47 were female and 44 were male; and their average body mass index was 21.8 kg/m2. Compared to the group of participants without previous LBP, the group of participants with previous LBP had a significantly higher incidence of disk degeneration such as a Pfirrmann grade ≥3, disk bulging, and high-intensity zone in the analyses adjusted by age and sex. There were no significant differences in spondylolisthesis between the groups. An odds ratio of >10 was only found for Pfirrmann grade ≥3, ie, a Pfirrmann grade ≥3 was strongly associated with a history of previous LBP in participants without current LBP. Keywords: disk bulging, low back pain, magnetic resonance imaging, MRI, Pfirrmann grading, previous history, high-intensity zone |
| first_indexed | 2024-12-16T06:37:02Z |
| format | Article |
| id | doaj.art-9c452890cfa041b6ad6771a656d242da |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-12-16T06:37:02Z |
| publishDate | 2016-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-9c452890cfa041b6ad6771a656d242da2022-12-21T22:40:47ZengDove Medical PressJournal of Pain Research1178-70902016-12-01Volume 10475230690The relationship between findings on magnetic resonance imaging and previous history of low back painTonosu JOka HMatsudaira KHigashikawa AOkazaki HTanaka SJuichi Tonosu,1 Hiroyuki Oka,2 Ko Matsudaira,2 Akiro Higashikawa,1 Hiroshi Okazaki,1 Sakae Tanaka3 1Department of Orthopedic Surgery, Kanto Rosai Hospital, Kawasaki, 2Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, 3Department of Orthopedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan Abstract: The objective of this study was to evaluate the relationship between magnetic resonance imaging (MRI) findings and previous low back pain (LBP) in participants without current LBP. Current LBP was defined as LBP during the past month. Previous LBP was defined as a history of medical consultation for LBP. Ninety-one participants without current LBP were included. Sagittal T2-weighted MRI was used to assess the intervertebral space from T12/L1 to L5/S1. These images were classified into five grades based on the Pfirrmann grading system. Furthermore, we evaluated the presence of disk bulging, high-intensity zone, and spondylolisthesis. We compared the MRI findings between groups with (27 participants) and without (64 participants) previous LBP without current LBP. Intraobserver and interobserver kappa values were evaluated. Participants had an average age of 34.9 years; 47 were female and 44 were male; and their average body mass index was 21.8 kg/m2. Compared to the group of participants without previous LBP, the group of participants with previous LBP had a significantly higher incidence of disk degeneration such as a Pfirrmann grade ≥3, disk bulging, and high-intensity zone in the analyses adjusted by age and sex. There were no significant differences in spondylolisthesis between the groups. An odds ratio of >10 was only found for Pfirrmann grade ≥3, ie, a Pfirrmann grade ≥3 was strongly associated with a history of previous LBP in participants without current LBP. Keywords: disk bulging, low back pain, magnetic resonance imaging, MRI, Pfirrmann grading, previous history, high-intensity zonehttps://www.dovepress.com/the-relationship-between-findings-on-magnetic-resonance-imaging-an-peer-reviewed-article-JPRdisc bulginglow back painmagnetic resonance imaging (MRI)Pfirrmann' gradingprevious history |
| spellingShingle | Tonosu J Oka H Matsudaira K Higashikawa A Okazaki H Tanaka S The relationship between findings on magnetic resonance imaging and previous history of low back pain Journal of Pain Research disc bulging low back pain magnetic resonance imaging (MRI) Pfirrmann' grading previous history |
| title | The relationship between findings on magnetic resonance imaging and previous history of low back pain |
| title_full | The relationship between findings on magnetic resonance imaging and previous history of low back pain |
| title_fullStr | The relationship between findings on magnetic resonance imaging and previous history of low back pain |
| title_full_unstemmed | The relationship between findings on magnetic resonance imaging and previous history of low back pain |
| title_short | The relationship between findings on magnetic resonance imaging and previous history of low back pain |
| title_sort | relationship between findings on magnetic resonance imaging and previous history of low back pain |
| topic | disc bulging low back pain magnetic resonance imaging (MRI) Pfirrmann' grading previous history |
| url | https://www.dovepress.com/the-relationship-between-findings-on-magnetic-resonance-imaging-an-peer-reviewed-article-JPR |
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