Magnetic Resonance Imaging Findings In Patients Above 40 Years of Age, With Neck Pain: MRI Findings in Patients above 40 Years of Age with Neck Pain

Sehrish  Yaqoob; Muhammad  Zakir; Imran  Yousaf; Syed Muhammad Yousaf  Farooq; Mehreen  Fatima; Zahra Ahsan; Sana  Delawar; Sarwat Jabeen  Tooba; Aneela Zaman; Khaleel-Ul Rehman

doi:10.54393/pbmj.v5i4.291

Authors

Sehrish Yaqoob University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan
Muhammad Zakir University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan
Imran Yousaf Radiology Department of Shalamar Hospital, Lahore, Pakistan
Syed Muhammad Yousaf Farooq University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan
Mehreen Fatima University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan
Zahra Ahsan University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan
Sana Delawar University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan
Sarwat Jabeen Tooba University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan
Aneela Zaman University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan
Khaleel-Ul Rehman University Institute of Radiological Sciences and Medical Imaging Technologies (UIRSMIT), Faculty of Allied Health Sciences (FAHS), The University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v5i4.291

Keywords:

MRI, Cervical pain, Vertebral Height, Disc Height, Disc Bulge, Signal Changes T2

Abstract

Neck pain considerably influences worldwide. Neck pain is a common finding of the cervical spine abnormality. Disc degeneration is associated with progressive age groups. Objective: To find the Magnetic Resonance Imaging findings in patients above 40 years of age, with neck pain. Methods: In Shalamar Hospital Lahore, a descriptive study was conducted on MRI Philips MULTIVA 1.5 Tesla. 200 patients of above 40 years age groups were enrolled in this study with convenient sampling technique. All patients referred by clinicians with neck pain. Both male and female were included. Prior Neck Surgery, Traumatic Spine Fractures, Metabolic Bone Disease Spinal Infection, Rheumatoid Arthritis, Active Malignancy, prosthesis inside the body or any contra-indication to MRI were excluded. Results: Among 200 patients of different age groups, MRI findings were noted that reduced vertebral height, disc height, signal changes T2 and disc bulge present in patient with neck pain. 1 male patient had reduced vertebral height at C6 (0.5%) in 40-60 age group. 105 patients (52.7% males) had reduced disc height at C5/C6 (45.8%) in 81-100 age group and six patients had reduced signal intensity T2 at C6/C7 (3%) in 81-100 age group most frequently in males. 57 patients (34.4% females) of 40-60 age group had reduced disc bulge at C5/C6 (22.4%) level. Conclusion: Signal intensity T2 of the intervertebral disc and disc height were reduced in eighty-one to hundred age group and others findings were reduced at forty to sixty age groups i.e., vertebral height and disc bulge.

References

Rudy IS, Poulos A, Owen L, Batters A, Kieliszek K, Willox J, Jenkins H. The correlation of radiographic findings and patient symptomatology in cervical degenerative joint disease: a cross-sectional study. Chiropractic & manual therapies. 2015 Dec;23(1):1-7.

https://doi.org/10.1186/s12998-015-0052-0

Suzuki A, Daubs MD, Hayashi T, Ruangchainikom M, Xiong C, Phan K, Scott TP, Wang JC. Patterns of cervical disc degeneration: analysis of magnetic resonance imaging of over 1000 symptomatic subjects. Global spine journal. 2018 May;8(3):254-9.

https://doi.org/10.1177/2192568217719436

Hogg-Johnson Sheilah, van der Velde Gabrielle, Carroll Linda J., Holm Lena W., Cassidy J David, Guzman Jamie, et al. The Burden and Determinants of Neck Pain in the General Population: Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders.Journal of Manipulative and Physiological Therapeutics. 2009; 32(2) Supplement): S46-S60.

D.G.Hoy, M.Protani, R.De, R.Buchbinder. The epidemiology of neck pain. Best Practice & Research Clinical Rheumatology. 2010; 24(6): 783-792.

https://doi.org/10.1016/j.berh.2011.01.019

Fejer R., K.O. Kyvik, and J. Hartvigsen. The prevalence of neck pain in the world population: a systematic critical review of the literature. European Spine Journal. 2006; 15(6): 834-848.

https://doi.org/10.1007/s00586-004-0864-4

Abdulrahman M El-Sayed,Craig Hadley, Fasil Tessema, Ayalew Tegegn, John A Cowan Jr., and Sandro Galea. Back and neck pain and psychopathology in rural subSaharan Africa: evidence from the Gilgel Gibe Growth and Development Study, Ethiopia.Spine. 2010; 35(6): 684-689.

https://doi.org/10.1097/BRS.0b013e3181b4926e

Olarinoye-Akorede SA, Ibrahim MZ, Kajogbola G. Cervical Spine MRI findings in the evaluation of persistent neck pain in a Nigerian Tertiary Hospital. Nigerian Journal of Basic and Clinical Sciences. 2018 Jan 1;15(1):29.

https://doi.org/10.4103/njbcs.njbcs_37_17

Karki DB, Panta OB, Gurung G. Non degenerative disease in MRI cervical spine of symptomatic patients. Journal of College of Medical Sciences-Nepal. 2015;11(4):20-3.

https://doi.org/10.3126/jcmsn.v11i4.14320

Safdari M, Safdari Z, Sadeghi Ferezghi S, Shirdeli M, Safdari Z, Pishjoo M. Cervical Magnetic Resonance Imaging (MRI) Findings in Patients with Neck Pain A Cross Sectional Study in Southeast of Iran. International Journal of Medical Investigation. 2018 Sep 10;7(3):25-31.

Moll LT, Kindt MW, Stapelfeldt CM, Jensen TS. Degenerative findings on MRI of the cervical spine: an inter-and intra-rater reliability study. Chiropractic & manual therapies. 2018 Dec;26(1):1-8.

https://doi.org/10.1186/s12998-018-0210-2

Waheed MA, Hasan S, Tan LA, Bosco A, Reinas R, Ter Wengel PV, Hey HW, Aleem IS. Cervical spine pathology and treatment: a global overview. Journal of Spine Surgery. 2020 Mar;6(1):340.

https://doi.org/10.21037/jss.2020.01.12

Modic MT, Ross JS, Masaryk TJ. Imaging of degenerative disease of the cervical spine. Clinical orthopaedics and related research. 1989 Feb 1(239):109-20.

https://doi.org/10.1097/00003086-198902000-00011

Vetti N, Kråkenes J, Ask T, Erdal KA, Torkildsen MD, Rørvik J, Gilhus NE, Espeland A. Follow-up MR imaging of the alar and transverse ligaments after whiplash injury: a prospective controlled study. American journal of neuroradiology. 2011 Nov 1;32(10):1836-41.

https://doi.org/10.3174/ajnr.A2636

Abdulkarim JA, Dhingsa R, Finlay DB. Magnetic resonance imaging of the cervical spine: frequency of degenerative changes in the intervertebral disc with relation to age. Clinical radiology. 2003 Dec 1;58(12):980-4.

https://doi.org/10.1016/S0009-9260(03)00255-1

Mustapha Z, Okedayo M, Ibrahim K, Abba Ali A, Ahmadu MS, Abubakar A, Yusuf M. Cervical spine MRI findings in patients presenting with neck pain and radiculopathy. Int Res J Basic Clin Stud. 2014 Feb 2;2(2):20-6.

Kolstad F, Myhr G, Kvistad KA, Nygaard ØP, Leivseth G. Degeneration and height of cervical discs classified from MRI compared with precise height measurements from radiographs. European journal of radiology. 2005 Sep 1;55(3):415-20.

https://doi.org/10.1016/j.ejrad.2005.02.005

Kim KH, Park JY, Kuh SU, Chin DK, Kim KS, Cho YE. Changes in spinal canal diameter and vertebral body height with age. Yonsei medical journal. 2013 Nov 1;54(6):1498-504.

https://doi.org/10.3349/ymj.2013.54.6.1498

Alghamdi A, Alqahtani A. Magnetic Resonance Imaging of the Cervical Spine: Frequency of Abnormal Findings with Relation to Age. Medicines. 2021 Dec;8(12):77.

https://doi.org/10.3390/medicines8120077

Gabkwet, A.E., Igoh, E.O., Gwom, P.M., Taiwo, F.Y., Salaam, A.J., Danjem, S.M., & Pam, S.D. (2021). Pattern of cervical disc changes in patients with non-traumatic neck pain: a review of cervical MRI scan findings. International Journal of Advances in Medicine.

https://doi.org/10.18203/2349-3933.ijam20214125

Ubaid RM, Al-Najjar SA. Magnetic resonance imaging findings of patients with neck pain in Erbil City. Zanco Journal of Medical Sciences (Zanco J Med Sci). 2020 Apr 30;24(1):96-106.

https://doi.org/10.15218/zjms.2020.013