Vertebral end-plate changes: Are they clinically significant for postoperative low back pain?

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dc.authoridKacar, Emre/0000-0001-7889-6458
dc.authoridGündüz, Demet/0000-0003-4358-984X
dc.authorwosidKacar, Emre/JLM-2426-2023
dc.authorwosidGündüz, Demet/HLQ-6029-2023
dc.contributor.authorKacar, Emre
dc.contributor.authorKaraca, Rukan
dc.contributor.authorGunduz, Demet
dc.contributor.authorKorfali, Ender
dc.date.accessioned2024-08-04T21:02:23Z
dc.date.available2024-08-04T21:02:23Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Our aim was to assess the relationship between postoperative recurrent low back pain and vertebral body end-plate signal intensity changes on magnetic resonance imaging in disc herniation patients. Materials and Methods: The preoperative magnetic resonance images of 748 patients were retrospectively reviewed. End-plate changes were separated into three groups according to the Modic classification. The postoperative clinical improvement was defined according to the Kawabata criteria. The localization and type of end-plate degeneration and improvement after the operation were analyzed with Pearson's Chi-square test. Results: End-plate degeneration was found in 394 of 748 patients. Single-level and multiple-level end-plate changes were present in 70.4% and 29.6% of the patients, respectively. Type 2 (85.5%), type 1 (10.7%), and type 3 (3.8%) degenerations were encountered in order of frequency. The severities of the end-plate changes were mild, moderate, and severe in 63.2%, 32.7%, and 4.1% of the patients. Type 1 and type 2 degenerations correlated with clinical course in the postoperative period (P < 0.05). Conclusions: Type 1 and type 2 degenerative end-plate changes seen on preoperative magnetic resonance scans can influence the clinical course and be an indicator of postoperative back pain.en_US
dc.identifier.doi10.4103/wajr.wajr_31_21
dc.identifier.endpage26en_US
dc.identifier.issn1115-3474
dc.identifier.issn2321-6670
dc.identifier.issue1en_US
dc.identifier.startpage22en_US
dc.identifier.urihttps://doi.org/10.4103/wajr.wajr_31_21
dc.identifier.urihttps://hdl.handle.net/11616/104707
dc.identifier.volume29en_US
dc.identifier.wosWOS:000890907000004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofWest African Journal of Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEnd-plateen_US
dc.subjectModic changeen_US
dc.subjectmagnetic resonance imagingen_US
dc.subjectvertebraen_US
dc.titleVertebral end-plate changes: Are they clinically significant for postoperative low back pain?en_US
dc.typeArticleen_US

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