


Volume 20 No 22 (2022)
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A Comparative study of degenerative changes in different segments of cervical intervertebral discs using 1.5 T Magnetic Resonance Imaging
Maurya RK , Ali S , Singh B , Pant MK , Kumar P , Mittal P , Bhatiya R
Abstract
The cervical spine is the most mobile part of the vertebral column & Cervical spondylosis is one of
the leading causes of chronic neck pain. This prospective observational study was done on 200
subjects of the age group 18-85 years & subjects were further sub-categorized into different age
groups and gender. The most common degenerative changes were seen at C5-C6 (77%) followed by
C6-C7 (63.5%) and C4-C5 (39.9%) vertebral levels. The severity of disc degeneration was graded
according to the Pfirrmann classification system. Out of 200 subjects, 148 subjects had cervical
degenerative disc disease in one or more disc levels. So a total of 1036 discs were assessed, out of
which 304 discs showed degenerative changes. 36.8% of total degenerated discs showed grade 4
degeneration and 25.7% grade 3 degeneration. Out of 148 subjects in which disc degeneration was
noticed, degenerative changes at solitary disc levels were seen in 29.7% (n=44) and at multiple levels
in 70.3% (n=104). The lower Segment of the cervical spine is more prone to degenerative changes in
the intervertebral disc. MRI is one of the best diagnostic tools to identify early degenerative changes
in the cervical spine. The early diagnosis of cervical spondylosis and its complications like
myelopathy would help reduce the burden of this incapacitating morbidity.
Keywords
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