Year : 2022 | Volume
: 29 | Issue : 1 | Page : 22--26
Vertebral end-plate changes: Are they clinically significant for postoperative low back pain?
Emre Kacar1, Rukan Karaca2, Demet Gunduz3, Ender Korfali4
1 Department of Radiology, Doruk Private Hospital, Bursa, Turkey
2 Department of Radiology, Malatya Darende State Hospital, Malatya, Turkey
3 Department of Radiology, Suleyman Demirel University School of Medicine, Isparta, Turkey
4 Department of Neurosurgery, Uludag University School of Medicine, Bursa, Turkey
Background: Our aim was to assess the relationship between postoperative recurrent low back pain and vertebral body end-plate signal intensity changes on magnetic resonance imaging in disc herniation patients.
Materials and Methods: The preoperative magnetic resonance images of 748 patients were retrospectively reviewed. End-plate changes were separated into three groups according to the Modic classification. The postoperative clinical improvement was defined according to the Kawabata criteria. The localization and type of end-plate degeneration and improvement after the operation were analyzed with Pearson's Chi-square test.
Results: End-plate degeneration was found in 394 of 748 patients. Single-level and multiple-level end-plate changes were present in 70.4% and 29.6% of the patients, respectively. Type 2 (85.5%), type 1 (10.7%), and type 3 (3.8%) degenerations were encountered in order of frequency. The severities of the end-plate changes were mild, moderate, and severe in 63.2%, 32.7%, and 4.1% of the patients. Type 1 and type 2 degenerations correlated with clinical course in the postoperative period (P < 0.05).
Conclusions: Type 1 and type 2 degenerative end-plate changes seen on preoperative magnetic resonance scans can influence the clinical course and be an indicator of postoperative back pain.
Dr. Rukan Karaca
Department of Radiology, Malatya Darende State Hospital, Malatya
|How to cite this article:|
Kacar E, Karaca R, Gunduz D, Korfali E. Vertebral end-plate changes: Are they clinically significant for postoperative low back pain?.West Afr J Radiol 2022;29:22-26
|How to cite this URL:|
Kacar E, Karaca R, Gunduz D, Korfali E. Vertebral end-plate changes: Are they clinically significant for postoperative low back pain?. West Afr J Radiol [serial online] 2022 [cited 2022 Dec 5 ];29:22-26
Available from: https://www.wajradiology.org/article.asp?issn=1115-3474;year=2022;volume=29;issue=1;spage=22;epage=26;aulast=Kacar;type=0