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
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.
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