Comparative Study Between Clinical And MRI Findings In Lumbar Disc Prolapse

Vol 35 | Issue 3 | September-December 2020 | page: 10-14 | Manoj Soni, Muzammil Pheroz, Saumya Agarwal, Arvind Kumar, Shivank Prakash


Authors: Manoj Soni [1], Muzammil Pheroz [2], Saumya Agarwal [2], Arvind Kumar [2], Shivank Prakash [3]

[1] Department of Orthopaedics, Velmed Hospitals, Dehradun, Uttarakhand, India.
[2] Department of Orthopaedics, Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, India.
[3] Department of Orthopaedics, Sports Injury Centre, VMMC and Safdarjung Hospital, New Delhi, India.

Address of Correspondence
Dr. Saumya Agarwal,
Senior Resident, Central Institute of Orthopaedics, VMMC and Safdarjung Hospital, New Delhi, India.
E-mail: saumyathecalyx.agarwal@gmail.com


Abstract

Background: Magnetic Resonance Imaging (MRI) is a noninvasive technique that can effectively demonstrate disc degeneration and prolapse which is a major problem in the working individuals. Patients with suspected intervertebral disc prolapse routinely undergo MRI but relevance of associated clinical findings is not an assurity.
Methods: MRI findings and the clinical status of the patients suffering with low backache were assessed with reference to sensitivity, Positive Predictive Value(PPV), Negative Predictive Value (NPV), Odd’s ratio, p-value and a correlation was made in which presence of centro-lateral disc protrusiona and extrusions with gross neural foramen compromise is invariably associated with clinical features. Central disc bulges with thecal sac compromise and without significant neural foramen compromise are clinically not of much significance. The presence of neural foramen compromise is more important in determining the clinical signs and symptoms while the type of disc herniation (disc bulge, disc protrusions) do not correlate well with clinical features. Whenever there are multiple level disc lesions with neural foramen compromise, patients are likely to have objective neurological deficit.
Conclusion: Therefore, before asking for MRI, the patients should be thoroughly evaluated and we must have a clinical diagnosis and a specific question in hand. This will greatly help in correlating the MRI and clinical findings and also in further planning and surgical management of the patients.
Keywords: Low backache, MRI, Lumbar disc prolapse, Disc herniation, Clinical finding.


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How to Cite this Article:  Soni M, Pheroz M, Agarwal S, Kumar A, Prakash S | Comparative Study Between Clinical And MRI Findings In Lumbar Disc Prolapse | Journal of Bone and Joint Diseases | September-December 2020; 35(3): 10-14.

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