Publication: The association between degenerative spine disease on MRI of the lumbar spine and functional disability
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Date
2021
Authors
Tajri, Meor Ahmad Termizi
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Abstract
Introduction: Degenerative spinal disease is one of the spinal conditions that can cause a person to be unable to work. Various forms of questionnaires are available in determining the lack of function. The purpose of this study was to investigate and determine the relationship between degenerative spinal diseases on MRI lumbar spine and work disability. Various causes of degenerative spine disease. In this study, we wanted to investigate the different such as facet joint arthropathy, degenerative disc disease, and nerve root impingement. Methodology: Patients with degenerative spine disease were undergone a Magnetic Resonance Imaging (MRI) and Images that have been taken were viewed on Pictures Archiving and Communication System (PACS). The patient’s MRI images showed facet joint with degenerative disc disease/nerve root compression at the level of L4/L5 or L5/S1 vertebra were requirted. This patient were given a copy of the questionnaire. This questionnaire were answered by the selected patients within one houre. Each copy of the questionnaire produced the degree (grade) of disability, i.e., minimum disability (0-20%), moderate disability (21-40%), severe disability (41-60%), crippled (61-80%), and the patient is bedbound (81-100%). Using logistic regression analysis, the associations between the functional disability (PDI score) and the binary outcomes of the three study focuses were analysed. Results: A total of 137 study subjects were recruited in this study. The participants over 40 years old constitute about 82% of the study subjects. The proportion of male to female was almost similar. At the sa me time, the majority of the study subject was Malays, followed by Chinese and Indians. The proportion of the patient with facet joint osteoarthritis patients on MRI at the level L4/L5 and L5/S1 were 51 (37%) and 86 (63%), respectively. From the logistic regression analysis, the degenerative disc disease on MRI at the level L4/L5 and L5/S1 showed no significant interaction with the functional disability using Pain Disability Index (PDI) in a patient with facet joint osteoarthritis. On the other hand, the logistic regression analysis of PDI grades versus nerve root compression in patient with facet joint osteoarthritis also shows no significant interaction with each other. However, there is significant interaction between the PDI and level of vertebral involved. Conclusions: Our study shows that facet joint with degenerative disc disease/nerve root compression has no significant association with functional disability. However, the different level of vertebral involved gives a significant level of PDI.
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Keywords
Facet joint osteoarthritis , lumbar spine vertebra