RELATIONSHIP BETWEEN RISK FACTORS AND MODIC CHANGES TYPE ON MAGNETIC RESONANCE IMAGING OF LUMBAR VERTEBRAE IN LOW BACK PAIN PATIENTS AT H. ADAM MALIK HOSPITAL MEDAN
Main Article Content
Muhammad Rizky Ananda Hasibuan
Henny Maisara Sipahutar
Khairul Putra Surbakti
Objective: AnalyzeThe relationship between risk factors and modic change type on MRI of the lumbar vertebrae in low back pain patients at the H. Adam Malik General Hospital, Medan. Method: Cross sectional research that connectsmodic change type with risk factors and patient characteristics based on lumbar MRI examination in 120 patients diagnosed withLow back pain in 2023 that meet the inclusion and exclusion criteria. Modic Change Type is assessed based on the changes in Magnetic Resonance Imaging signals proposed by modic et al. Results: Of the 120 patients, there were more female subjects (64.2%) than male subjects (35.8%) with an average age of 58.96 years (the youngest was 40 years old and the oldest was 82 years old). Most subjects showed modic change (93.3%) with the most common type being type II (81.3%) and the most common location being L5 and L4. Most subjects also had disc herniation (72.5%) and disc degeneration (84.2%). This study did not find any relationship between modic change and gender (p=0.455), age (p=0.663), work history (p=0.671), disc herniation (p=0.213) and disc degeneration (p=1.000) in low back pain patients. From this study, there was no relationship between modic change type and gender (p=0.868), age (p=0.285), work history (p=0.130), disc herniation (p=0.510) and disc degeneration (p=0.435) in low back pain patients. From this study, there was no relationship between modic change location (L1, L2, L3, L4, L5, S1) and modic change type in low back pain patients with p>0.05. Conclusion: There is no significant relationshipbetween Risk Factors for Modic Changes Type in Magnetic Resonance Imaging of the Lumbar Vertebra in Low Back Pain Patients at H. Adam Malik General Hospital, Medan.
Bunzli S, Smith A, Schutze R, Lin I, O'Sullivan P. Making sense of low back pain and pain-related fear. journal of orthopedic & sports physical therapy. 2017;47(9):628-36.
Han T, Schouten J, Lean M, Seidell J. The prevalence of low back pain and associations with body fatness, fat distribution and height. International journal of obesity. 1997;21(7):600-7.
Kim JH, van Rijn RM, van Tulder MW, Koes BW, de Boer MR, Ginai AZ, et al. Diagnostic accuracy of diagnostic imaging for lumbar disc herniation in adults with low back pain or sciatica is unknown; a systematic review. Chiropractic & manual therapies. 2018;26(1):1-14.
Quattrocchi C, Alexandre A, Della Pepa G, Altavilla R, Zobel B. Modic changes: anatomy, pathophysiology and clinical correlation. Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves: Springer; 2011. p. 49-53
Albert HB, Kjar P, Jensen TS, Sorensen J, Bendix T, Manniche C. Modic changes, possible causes and relation to low back pain. Medical hypotheses. 2008;70(2):361-8..
Jensen TS, Kjaer P, Korsholm L, Bendix T, Sorensen JS, Manniche C, et al. Predictors of new vertebral endplate signal (Modic) changes in the general population. European Spine Journal. 2010;19(1):129-35
Crock HV. Internal disc disruption: a challenge to disc prolapse fifty years on. Spine. 1986;11:650.
Bener A., Dafeeah EE, Alnaqbi K. An epidemiologic analysis of low back pain in primary care: a hot humid country and global comparison. J Prim Care Community Health. 2013;4(3):220–227. [PubMed] [Google Scholar]
Fabriana M. Factors Related to Low Back Pain (LBP) Complaints in Workers at PT. Bakrie Metal Industri. (2015).
Saputra, A. (2020). Work Attitude, Work Period, and Age on Low Back Pain Complaints in Batik Craftsmen. HIGEIA (Journal of Public Health Research and Development), 4(Special 1), 147-157. https://doi.org/10.15294/higeia.v4iSpecial 1.36828
Sifai, IA 2018. Factors related to Low Back Pain complaints in IKAS (School Transportation Association) Drivers in Semarang Regency. Journal of Public Health, 6(5): 555-562
KJ Tanady, M Ilyas. RELATIONSHIP BETWEEN INTERVERTEBRAL DISC HERNIATION SEVERITY AND MODIC ENDPLATE CHANGE TYPES IN PATIENTS UNDERGOING LUMBOSACRAL MRI. Damianus Journal of Medicine.2022:21;153-165
Kuisma M, Karppinen J, Niinimaki J, Kurunlahti M, Haapea M, Vanharanta H, et al. A three-year follow-up of lumbar spine endplate (Modic) changes. Spine. 2006;31(15):1714-8.
Albert HB, Kjar P, Jensen TS, Sorensen J, Bendix T, Manniche C. Modic changes, possible causes and relation to low back pain. Medical hypotheses. 2008;70(2):361-8.
Kuisma M, Karppinen J, Niinimaki J, Kurunlahti M, Haapea M, Vanharanta H, et al. A three-year follow-up of lumbar spine endplate (Modic) changes. Spine. 2006;31(15):1714-8.
Kuisma M, Karppinen J, Niinimaki J, Ojala R, Haapea M, Heliovaara M, et al. Modic changes in endplates of lumbar vertebral bodies: prevalence and association with low back and sciatic pain among middle-aged male workers. Spine. 2007;32(10):1116-22.
R. Rahme and R. Moussa. The Modic Vertebral Endplate and Marrow Changes: Pathologic Significance and Relation to Low Back Pain and Segmental Instability of the Lumbar Spine. American Journal of Neuroradiology May 2008, 29 (5) 838-842; DOI: https://doi.org/10.3174/ajnr.A0925
Teraguchi M, Hashizume H, et al. Detailed Cubphenotyping of Lumbar Modic Changes and Their Association with Low Back Pain in a Large Population-Based Study : The Wakayama Spine Study.2022; 11:57-71
Jensen OK, Nielsen CV, Sørensen JS, PedersenKS et al. Type 1 Modic changes was a significant risk factor for 1-year outcome in sick-listed low back pain patients: a nested cohort study using magnetic resonance imaging of the lumbar spine. Elsevier 2014; http://dx.doi.org/10.1016/j.spinee.2014.02.018
Zielinska N, Podg M, Haładaj R, Polguj M. Risk Factors of Intervertebral Disc Pathology—A Point of View Formerly and Today—A Review. Journal of Clinical Medicine, 10(3), 409 | 10.3390/jcm10030409. J Clin Med [Internet]. 2021;10(409). Available from:https://sci-hub.se/10.3390/jcm10030409
Han, C. et al. Prevalence of Modic changes in the lumbar vertebrae and their associations with workload, smoking and weight in northern China. Sci. Rep. 7, 46341; doi: 10.1038/srep46341 (2017).
Nurrahman, R. The relationship between work period and work attitude towards the occurrence of low back pain in weavers in Kampoeng BNI, Wajo Regency, thesis. (2016).
KJ Tanady, M Ilyas. RELATIONSHIP BETWEEN INTERVERTEBRAL DISC HERNIATION SEVERITY AND MODIC ENDPLATE CHANGE TYPES IN PATIENTS UNDERGOING LUMBOSACRAL MRI. Damianus Journal of Medicine.2022:21;153-165
Zielinska N, Podg M, Haładaj R, Polguj M. Risk Factors of Intervertebral Disc Pathology—A Point of View Formerly and Today—A Review. Journal of Clinical Medicine, 10(3), 409 | 10.3390/jcm10030409. J Clin Med [Internet]. 2021;10(409). Available from:https://sci-hub.se/10.3390/jcm10030409
R. Rahme and R. Moussa. The Modic Vertebral Endplate and Marrow Changes: Pathologic Significance and Relation to Low Back Pain and Segmental Instability of the Lumbar Spine. American Journal of Neuroradiology May 2008, 29 (5) 838-842; DOI:https://doi.org/10.3174/ajnr.A0925
Lan M, Ou Y, et al. Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study. Journal of Orthopedic Surgery and Research 2019 14:298
Weishaupt D, Zanetti M, Hodler J, Min K, Fuchs B, Pfirrmann CW, et al. Painful lumbar disk derangement: relevance of endplate abnormalities at MR imaging. Radiology. 2001;218(2):420-7.
Chung CB, Berg BCV, Tavernier T, Cotten A, Laredo JD, Vallee C, et al. End plate marrow changes in the asymptomatic lumbosacral spine: frequency, distribution and correlation with age and degenerative changes. Skeletal radiology. 2004;33(7):399-404.
Tarukado K, Ono T, Tono O, Tanaka H, Ikuta K, Harimaya K. Does modic change progress with age? Spine. 2017;42(23):1805-9.
Lan M, Ou Y, et al. Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study. Journal of Orthopedic Surgery and Research 2019 14:298
Kuisma M, Karppinen J, Niinimäki J, Ojala R, Haapea M, Heliövaara M, et al. Modic changes in endplates of lumbar vertebral bodies: Prevalence and association with low back and sciatic pain among middle-aged male workers. Spine (Phila Pa 1976). 2007;32:1116–22.
Albert HB, Manniche C. Modic changes following lumbar disc herniation. European spine journal. 2007;16(7):977-82.
Lan M, Ou Y, et al. Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study. Journal of Orthopedic Surgery and Research 2019 14:298
Y Chen, J Bao, et al. Distribution of Modic changes in patients with low back pain and its related factors. Chen et al. Eur J Med Res (2019) 24:34https://doi.org/10.1186/s40001-019-0393-6
Guo R, Yang X, Zhong Y, Lai Q, Gao T, Lai F, et al. Correlations between Modic change and degeneration in the 3-joint complex of the lower lumbar spine: A retrospective study. Medicine. 2018;97(38).
Kuisma M, Karppinen J, Niinimäki J, Ojala R, Haapea M, Heliövaara M, et al. Modic changes in endplates of lumbar vertebral bodies: Prevalence and association with low back and sciatic pain among middle-aged male workers. Spine (Phila Pa 1976). 2007;32:1116–22.
