THE RELATIONSHIP OF AGE AND GENDER WITH LUMBAR SPINE DEGENERATIVE CHANGES IN PATIENTS WITH LOW BACK PAIN

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Humaira Anjum
Mahnoor Rehman Khan
Sadaf Naveed
Samia Ifthikhar
Humna Imdad

Abstract

 


Objective: To evaluate the prevalence of various types of degenerative changes and to assess the relationship between the degenerative changes with age and gender of patients presenting with low back pain.


Methods: A retrospective cross-sectional observational study was conducted on patients who presented with LBP to the Radiology Department of Khyber Teaching Hospital Peshawar from June 2017 to May 2018 for a lumbosacral spine MRI.  Frequencies and distribution of Pfirrman grading, Modic changes, disc herniation, and annulus tear were assessed. Additionally, their association with the age and gender of the patient was assessed by regression analysis. Statistical analysis was done using SPSS 23 software.


Results: 163 MRI lumbar spine of patients between 30 and 90 years were included in our study. The mean age of patients was 46.88 with a 12.136 standard deviation. 83 patients were male (50.9%) and 80 (49.1%) were female. Age has a significant association with Pfirrman grading at L2-L3 to L5-S1 level (p-value <0.01). The proportion of degenerated segments also increased with increasing age. The greatest number of Modic changes were seen in the age range of 61-70 years (38.2%). Most annulus tears were seen at L4-L5 levels followed by L3-L4. 19% of males had annulus tears while 23.3% of females had annulus tears. The most disc bulges were seen in 31-40 years (n=155) followed by 41-50 years(n=75).


Conclusion: Endplate changes and disc degenerative changes are associated with increasing age. Degenerative changes in the lumbar spine are not statistically different in male and female populations.

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Original Article
Author Biographies

Humaira Anjum, Khyber Teaching Hospital Peshawar, Pakistan.

Assistant Professor, Radiology Department, KTH

Mahnoor Rehman Khan, Hayatabad Medical Complex (HMC), Peshawar

Assistant Professor, Radiology Department, Hayatabad Medical Complex

Sadaf Naveed, Khyber Teaching Hospital Peshawar, Pakistan.

Former Trainee Medical Officer at Khyber Teaching Hospital.

Samia Ifthikhar, Hayatabad Medical Complex (HMC), Peshawar

Specialist Registrar, Radiology Department, Hayatabad Medical Complex

Humna Imdad, Hayatabad Medical Complex (HMC), Peshawar

Specialist Registrar, Radiology Department,Hayatabad medical Complex