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MRI evaluation of degenerative lumbar spine disease in young adults : a quantitative evaluation of risk factors.

Article

Last updated: 03 Jan 2025

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-

Tags

Degenerative

Abstract

Background Data: Evidently, there is an alarmingly increasing incidence of degenerative lumbar spine disease in adolescents and young adults. Hence, it is imperative to ascertain and identify the risk factors so that early lifestyle modifications can be done, and early lumbar spine degeneration can be prevented. Purpose: To study the array of MRI findings of degenerative lumbar spine disease in young adults and quantitatively evaluate the risk factors. Study Design: A prospective imaging case study.
Patients and Methods: A total of 200 young adult patients between 21 and 30 years old presenting with low back pain were included in this study. MRI findings of 200 young adults were graded and quantitatively evaluated in relation to three risk factors, that is, physical activity, smoking, and BMI. Grading of intervertebral disc degeneration, lumbar facet joint degeneration, and foraminal stenosis was done.
Results: Modic type II endplate changes and reduced T2 bright disc signal were the most common manifestations of spondylosis and intervertebral disc (IVD) degeneration, respectively. A correlation between obesity and increasing grades of disc degeneration was found to be most significant at a 95% confidence interval. A significant correlation was found between each of the risk factors (obesity, sedentary lifestyle, and smoking) and increasing grades of IVD degeneration and facet arthropathy with a p value of <0.05. Foraminal stenosis manifested a positive association with BMI at a 95 % confidence interval. Conclusion: This study could recognize a statistically significant correlation between lumbar DDD and physical activity, smoking, and BMI. Identification of causative lifestyle factors could help prevent the occurrence and progression of lumbar DDD. 

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DOI

10.21608/esj.2020.42293.1147

Keywords

MRI, degenerative, lumbar spine, young adults, risk factors

Authors

First Name

Gunjan

Last Name

Jindal

MiddleName

-

Affiliation

Assistant Professor, Department of Radiodiagnosis, MMIMSR, Mullana, Haryana,India

Email

dr.gunjanvjindal@gmail.com

City

Mullana

Orcid

0000-0003-0720-1369

First Name

Abhishek

Last Name

Aggarwal

MiddleName

-

Affiliation

Professor, Department of Radiodiagnosis, MMIMSR, Mullana, Haryana,India

Email

drabhishek_aggarwal@yahoo.co.in

City

Mullana

Orcid

0000-0001-8906-8615

First Name

Rupinder

Last Name

Singh

MiddleName

-

Affiliation

Professor, Department of Radiodiagnosis, MMIMSR, Mullana, India

Email

rupsj@yahoo.com

City

Mullana

Orcid

-

First Name

Pratik

Last Name

Mittal

MiddleName

-

Affiliation

Consultant, Department of Neurology, MMIMSR, Mullana, India

Email

docpratikmittal@gmail.com

City

Mullana

Orcid

-

First Name

Manu

Last Name

Solanki

MiddleName

-

Affiliation

Junior Resident 2nd year, Department of Radiodiagnosis, MMIMSR, Mullana, India

Email

manupawan2005@gmail.com

City

Mullana

Orcid

-

First Name

Shilpi

Last Name

Gupta

MiddleName

-

Affiliation

Assistant Professor, Department of Community Medicine, MMIMSR,Mullana, India

Email

guptashilpi15@gmail.com

City

Mullana

Orcid

-

Volume

35

Article Issue

1

Related Issue

19171

Issue Date

2020-07-01

Receive Date

2020-04-28

Publish Date

2020-07-01

Page Start

85

Page End

93

Print ISSN

2314-8950

Online ISSN

2314-8969

Article File

article_130595_8b16da3e635c71054e562fe40e4e70c8.pdf

PDF . 21B

Link

https://esj.journals.ekb.eg/article_130595.html

Detail API

https://esj.journals.ekb.eg/service?article_code=130595

Order

7

Type

Clinical Articles

Type Code

433

Publication Type

Journal

Publication Title

Egyptian Spine Journal

Publication Link

https://esj.journals.ekb.eg/

MainTitle

MRI evaluation of degenerative lumbar spine disease in young adults : a quantitative evaluation of risk factors.

Details

Type

Article

Created At

22 Jan 2023