Indian Journal of Public Health Research & Development

Kermanj Ismail Bakr ¹, Israa Mohammed Sadiq ¹, Saman Anwer Nooruldeen ²

Affiliations
1 DMRD (Baghdad University), FIBMS Radiology (Iraqi Board for Medical Specialization), Department of Surgery/Radiology, College of Medicine, University of Kirkuk, IQ
2 Azadi Teaching Hospital, Kirkuk,, IQ

Abstract

Background: Low back pain (LBP) is one of the most common musculoskeletal disorders demanding hospital visits. Inter vertebral disc degeneration is a known cause of chronic low LBP back pain. The relation between changes in the lumbar spine and lower back pain is controversial.

Objectives: To assess LSS MRI findings in patients with CLBP, and to show the relation of disc degeneration with age and gender.

Material and Method: 218 adult patients with chronic lower back pain (pain more than 12 weeks) did Lumbosacral spine MRI, at Azadi Teaching Hospital/Kirkuk city, from March/2017 to April/2018, those with a positive history of spinal pathology other than osteoarthritis were excluded. The disc degenerative MRI changes at each lumbar disc were assessed and correlated according toage and gender.

Results: 146 of patients were male, and 72 of them were female, their age ranged from (16-73 years). Males and elderly patients were affected by disc degeneration more. 92.2% of patients had disc degeneration, followed by disc contour abnormality, facet joint arthrosis, high-intensity zone (HIZ), spinal canal stenosis, Modicchanges (MC), Schmorl’s nodes (SN), and spondylolesthesis. L4-L5 disc was the most commonly involved level by disc degeneration, followed by L5-S1 disc, the least level was L1-L2.

Conclusions: Most patients with CLBP have DDD. Older males are the most susceptible people to develop DDD which affect most commonly L4-L5 disc level, other findings may associate with DDD are MC, SN, HIZ, facet joint arthrosis, spinal stenosis, and spondylolesthesis.

Keywords

Chronic, Lumbosacral, Lower Back Pain, MRI.

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Kermanj Ismail Bakr ¹, Israa Mohammed Sadiq ², Saman Anwer Nooruldeen ³

Affiliations
1 MBChB (Al‑Mustansariy University), IQ
2 MBChB (Tikrit University), DMRD (Baghdad University), FIBMS Radiology (Iraqi Board for Medical Specialization), Department of Surgery/Radiology, College of Medicine, University of Kirkuk, IQ
3 Azadi Teaching Hospital, Kirkuk/Iraq, IQ

Abstract

Background: Low back pain (LBP) is one of the most common musculoskeletal disorders demanding hospital visits. Inter vertebral discdegeneration is a known cause of chronic low LBP back pain. The relation between changes in the lumbar spine and lower back pain is controversial. Objectives: To assess LSS MRI findings in patients with CLBP, and to show the relation of disc degeneration with age and gender. Material and Method: 218 adult patients with chronic lower back pain (pain more than 12 weeks) did Lumbosacral spine MRI, at Azadi Teaching Hospital/Kirkuk city, from March/2017 to April/2018, those with a positive history of spinal pathology other than osteoarthritis were excluded. The disc degenerative MRI changes at each lumbar disc were assessed and correlated according to age and gender. Results: 146 of patients were male, and 72 of them were female, their age ranged from (16‑73 years). Males and elderly patients were affected by disc degeneration more. 92.2% of patients had disc degeneration, followed by disccontour abnormality, facet joint arthrosis, high‑intensity zone (HIZ), spinal canal stenosis, Modicchanges (MC), Schmorl’s nodes (SN), and spondylolesthesis. L4‑L5 disc was the most commonly involved level by disc degeneration, followed by L5‑S1disc, the least level was L1‑L2. Conclusions: Most patients with CLBP have DDD. Older males are the most susceptible people to develop DDD which affect most commonly L4‑L5 disc level, other findings may associate with DDD are MC, SN, HIZ, facet joint arthrosis, spinal stenosis, and spondylolesthesis.

Keywords

Chronic, lumbosacral, lower back pain, MRI.

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Israa Mohammed Sadiq ¹, Kermanj Ismail Bakr ²

Affiliations
1 Tikrit University, IQ
2 Department of Surgery, Radiology, College of Medicine, University of Kirkuk, Kirkuk, IQ

Abstract

Background:Renal parenchymal thickness (RPT) was found to be a vital parameter that can offer prognostic information on end-stage kidneys diseases. The aim of the current study was to establish normal RPT value in our population; and to reveal its relationship with age, height, and weight.

Method:It was a cross-sectional analytic study conducted in the department of radiology/Azaditeaching hospital at Kirkuk city, where the sonographic assessment of RPT was performed from January 2016 to May 2018 for 253 adults with different complaints; Individuals with history of medical disorders/drugs known to affect the kidney, malignancy, pregnancy, those who had renal variant/pathology during ultrasound examination and abnormal laboratory tests were excluded from the study. Differences of RPT between two sides and gender were assessed with student ‘ s t-test, and its correlation with age, height, and weight were assessed with the Pearson’s correlation coefficient (r).

Results:In males, the mean value (SD) of right RPT was 18.2(3.2) mm, and left RPT was 18.9(3) mm. In females, it was 16.4(2.4)mm in the right kidney and 16.9 (2.4) mm in left kidney. There was no statistical difference between RPT of the right and left kidneys (p = 0.0001). The RPT was significantly thicker in males (18.6 mm versus 16.7 mm) (P= 0.0001). There was significant moderate and strong negative correlation with age in right and left kidney respectively. There was a positive correlation with a person’s height and weight which was significant(P= 0.00001).

Conclusion:Our population parenchymal thickness values are different from others, it is 18.6 mm male and 16.7 mm in female, parenchyma is considered thin if it was less than 13 mm in males and 10 mm in females, its decreased with age, taller and more obese persons have thicker parenchyma on both sides.

Keywords

Adults, Healthy,measurement,renal Parenchymal Thickness (RPT), Sonographic.

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