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Non degenerative disease in MRI cervical spine of symptomatic patients

Authors:
Dan Karki at Patan Academy of Health Sciences
Dan Karki
Om Biju Panta at Nepal Mediciti
Om Biju Panta
  • Nepal Mediciti
Ghanashyam Gurung
Ghanashyam Gurung
Ghanashyam Gurung
  • This person is not on ResearchGate, or hasn't claimed this research yet.
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& Objectives: The most common etiology of neck pain is degenerative disc disease, however non-degenerative disease can be important cause of neck pain. This study aims to study the non-degenerative findings in cervical MRI in symptomatic patients with neck and radicular pain.Materials & Methods: The study was a institutional record based retrospective study performed for the duration of 3 years. MRI performed for patients with neck pain and/ or radiculopathy were reviewed. Patients with post operative findings were excluded from the study. Statistical analysis was done using SPSS 21.0.Results: A total of 721 MRI were performed for neck pain and radiculopathy, among which 91 (12.13%) cases had non-degenerative changes. Most common non degenerative change was traumatic lesions followed by neoplastic lesions and syrinx. Traumatic lesions were more common in males as compared to females. Infection was more common in females as compared to males. C5 and C6 vertebrae were most common vertebra involved in trauma and infection. Some cases like signal change in spinal cord, and syrinx were also noted in our study.Conclusion: Non degenerative cause of neck pain were less common but important cause of neck pain. Traumatic lesions were the most common cause of non degenerative neck pain.Journal of College of Medical Sciences-Nepal, Vol.11(4) 2015: 20-23
: Non degenerative pathologies of cervical spine in symptomatic patients.
: Non degenerative pathologies of cervical spine in symptomatic patients.
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... This is a similar findings compared with other studies. [7,13] Spondylosis, as the most common pathology in this study, is contrary to the findings of the studies conducted by Maaji et al. [2] and Karki et al. [27] Such differences in the cited findings versus our findings may be because of different sample sizes and sample characteristics, as well as the contexts in which the cited studies were conducted. ...
... The majority of participants in our study had a single level of spinal involvement with C5 commonly affected (Table 3). This is in keeping with the findings of Karki et al. [27] Olarinoye-Akorede [3] found C3/C4 to be more commonly affected. Other authors [28] also reported lower cervical spine levels of involvement (C5-C7). ...
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... patients. Two studies on patients with neck pain found non-degenerative pathologies in 12.1% and 35.5% respectively (14,17). The relative less percentage of non-degenerative pathologies in our study may be explained by the exclusion of patients with neck trauma, as majority of patients with non-degenerative findings seen in the above-mentioned studies represent trauma related findings. ...
... MRI is said to be the modality of choice for imaging spine infections with several imaging findings, such as disc space sparing, multilevel subligamentous spread, and large abscesses, can suggest the diagnosis of tuberculous over pyogenic infection, the two most common spine infections (18). In this study imaging findings suggesting infections were detected in 3(1.9%) patients which is a similar prevalence to a previous study (17). ...
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