Journal of Korean Neurosurgical Society

  • 제54권1호
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  • Pages.34-37
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Modic Degenerative Marrow Changes in the Thoracic Spine : A Single Center Experience

  • Lee, Jae Meen (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Nam, Kyoung Hyup (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Lee, In Sook (Department of Radiology, Medical Research Institute, Pusan National University Hospital) ;
  • Park, Se Kyung (Department of Radiology, Medical Research Institute, Pusan National University Hospital) ;
  • Choi, Byung Kwan (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) ;
  • Han, In Ho (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital)
  • 투고 : 2013.01.17
  • 심사 : 2013.07.17
  • 발행 : 2013.07.28
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초록

Objective : The purposes of this study were to evaluate the prevalence, types, and locations of Modic changes (MCs) in the thoracic spine in a large number of subjects, and to investigate the relation between the distributions of MCs and disc herniations (DHs) in the thoracic spine. Methods : Two experienced musculoskeletal radiologists assessed the presence of MCs and DHs by consensus in the thoracic MRIs of 144 patients with non-specific back pain. Patient ages ranged from 22 to 88 years (mean=$53.3{\pm}14.66$ years), and 72 were female (50%). The prevalence, distribution, relation of MCs and DHs was recorded. Results : MC was observed in 8 of the 144 patients (5.6%) and 10 of 1728 segments (0.58%). The most common MC was type II. Of the 8 patients exhibiting MC, 6 had type II (75.0%), and 2 had mixed MCs (type I/II or type II/III). MCs were distributed mainly at the mid-thoracic level (from T5/6 to T9/10). DH was detected in 18 patients (12.5%), 36 of 1728 segments (2.1%). Of the 10 segments exhibiting MC, 5 had DHs at the same level (50.0%). Accordingly, DH was strongly associated with MC (p=0.000). Conclusion : A low prevalence of MC was observed in the thoracic spine, and type II MC predominated. The low prevalence of MC in the thoracic spine suggests that it was caused by a relative lack of mobility as compared with the cervical and lumbar spines. And DHs were found to be strongly associated with MCs even in the thoracic spine.

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참고문헌

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피인용 문헌

  1. An Animal Model of Modic Changes by Embedding Autogenous Nucleus Pulposus inside Subchondral Bone of Lumbar Vertebrae vol.6, pp.None, 2013, https://doi.org/10.1038/srep35102
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