Do lumbar magnetic resonance imaging changes predict neuropathic pain in patients with chronic non-specific low back pain?
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F19%3A00070685" target="_blank" >RIV/65269705:_____/19:00070685 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/19:00109783
Result on the web
<a href="https://journals.lww.com/md-journal/fulltext/2019/04260/Do_lumbar_magnetic_resonance_imaging_changes.79.aspx" target="_blank" >https://journals.lww.com/md-journal/fulltext/2019/04260/Do_lumbar_magnetic_resonance_imaging_changes.79.aspx</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1097/MD.0000000000015377" target="_blank" >10.1097/MD.0000000000015377</a>
Alternative languages
Result language
angličtina
Original language name
Do lumbar magnetic resonance imaging changes predict neuropathic pain in patients with chronic non-specific low back pain?
Original language description
The aim of this observational, cross-sectional study was to analyse lumbar magnetic resonance imaging (MRI) findings in patients with non-specific chronic low back pain (CLBP), and to evaluate any correlation with pain intensity and their capacity to predict neuropathic pain (NP) in these patients. Fifty-two patients with non-specific CLBP, between 21 and 62 years of age, 50% men, were investigated. Lumbar MRI was employed to assess disc degeneration, endplate changes, Modic changes, disc displacement, facet degeneration, foraminal stenosis and central lumbar spinal stenosis. The characteristics of pain were evaluated and patients were divided into 2 subgroups: with NP (24 patients) and without NP (28 patients), based on the results of a DN4-interview. Correlations between particular MRI changes and their relations to the intensity of pain were evaluated. Logistic regression was used to disclose predictors of NP. Lumbar spine degenerative features were frequent in patients with non-specific CLBP, with L4/5 the most affected level. A significant correlation emerged between the severity of degenerative changes in particular lumbar spine structures (correlation coefficient ranging between 0.325 and 0.573), while no correlation was found between severity of degenerative changes and pain. Multivariate logistic regression revealed only 2 independent predictors of NP -female sex (odds ratio [OR]=11.9) and a mean pain intensity of >= 4.5 in the previous 4 weeks (OR=13.1). Degenerative changes in the lumbar spine are frequent MRI findings, but do not correlate with the intensity of pain and do not predict NP. However, female sex and pain intensity do predict NP.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30218 - General and internal medicine
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2019
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Medicine
ISSN
0025-7974
e-ISSN
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Volume of the periodical
98
Issue of the periodical within the volume
17
Country of publishing house
US - UNITED STATES
Number of pages
9
Pages from-to
"e15377"
UT code for WoS article
000467337400079
EID of the result in the Scopus database
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