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Research ArticleOpen Access

MRI Evaluation in Lumbar PIVD

Volume 9 - Issue 4

Tarkie Abebe1-4*

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    • 1Clinical nurse at university of Gondar specialized hospital Gondar, Bachelor of Science Degree in Nursing, Ethiopia
    • 2Lecturer at the school of nursing, College of Medicine and Health Sciences at University of Gondar, Ethiopia
    • 3Lecturer at the school of medicine, College of Medicine and Health Sciences at University of Gondar, Bachelor of Science Degree in physiotherapy, and MSc in Human anatomy, Ethiopia
    • 4Lecturer and a nurse practitioner in the school of nursing, College of Medicine and Health Sciences at University of Gondar, Bachelor of Science Degree in Nursing, Ethiopia

    *Corresponding author: Tarkie Abebe, Clinical nurse at university of Gondar specialized hospital Gondar Ethiopia she has a Bachelor of Science Degree in Nursing, MSc in Surgical Nursing Specialization, Ethiopia

Received: September 26, 2018;   Published: October 09, 2018

DOI: 10.26717/BJSTR.2018.09.001848

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Abstract

Degenerative disc disease of lumbar spine is almost universal with increasing age. Between 70-90 % of individuals will experience back pain at some point in their lives. The commonest site of pain in the spine is the intervertebral disc. Although the central part of the disc has no nerve supply, the annulus is very sensitive and is often a source of pain. Disc prolapse occurs commonly in middle age with a typical history of an episode of back pain either related to lifting and / or twisting or which occurs spontaneously. 80% of disc prolapses occur in lumbar spine, the majority at L5-S1 and at L4-L5. The back pain commonly lasts for 2-6 weeks but is followed immediately by sciatica or nerve root pain. The pain follows one or more dermatomes and is often associated with neurological symptoms, altered sensation and weakness in the muscles innervated by the compressed nerve roots. Men are more commonly affected. Multiple level disc involvement is commoner as compared to single level disc involvement. L4-L5 and L5-S1 level discs are most commonly affected due to disc degeneration changes. MRI is the standard imaging modality for detecting disc pathology due to its advantage of lack of radiation, multiplanar imaging capability and precise localisation of intervertebral disc changes.

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