Categorization of Pathology Causing Low Back Pain using Magnetic Resonance Imaging (MRI).
BACKGROUND
Low backache is the most common ailment flooding the orthopaedic clinic. Most of the population at least once seek medical attention for low back ache. Magnetic Resonance Imaging (MRI) is a non invasive, commonly used diagnosing modality and accurate in diagnosing pathology causing low back ache.


OBJECTIVE
To classify and quantify the causes of low back pain referred to radiology department by MRI.


METHODS
Patients with back pain referred to radiology department were subjected to single MRI scan after ruling out any contraindications using the following sequences: T1W Turbo Spin Echo, T2W Turbo Spin Echo, Gradient-echo, Myelogram and short TI inversion recovery (STIR), in all imaging planes. Gadolinium enhanced T1W turbo spin echo sequence was used wherever necessary.


RESULTS
Data were analysed using Excel 2007, SPSS 14, Students t-test. Degenerative disc diseases were the commonest pathology followed by congenital and traumatic lesions. Neoplastic lesions were the least common. Commonest herniation type being the disc bulge (79%) followed by disc protrusion (15%), disc extrusion (6%) and disc sequestration (<1%). The posterolateral disc herniation as the commonest and foraminal the least. Sacralisation was the most common congenital spinal anomaly, followed by lumbar scoliosis and perineural cyst. There is no sex difference in disc protrusion but male preponderance in disc extrusion with subligmentous extrusion.


CONCLUSIONS
MRI is useful in classifying the spinal lesions which again influences the treatment modality and clinical outcome. Degenerative disc disease is the single most common category which accounts for most the Low Back Ache for which a preventing strategy should be drafted.
Assistant Professor, Department of Radiology, Sri Venkateshwaraa Medical College Hospital and Research Centre , Ariyur, Puducherry, India .
Nirmalkumar
N
Gopalakrishnan
Professor & Head of Department, Department of Radiology, Sri Venkateshwaraa Medical College Hospital and Research Centre , Ariyur, Puducherry, India .
Kulasekaran
K
Nadhamuni
Assistant Professor, Department of Anatomy, Sree Balaji Medical College & Hospital (Bharath University) , Chrompet, Chennai, India .
T
T
Karthikeyan
Degenerative disc disease; Low backache; Magnetic resonance imaging