TO STUDY THE CORRELATION BETWEEN MAGNETIC RESONANCE IMAGING FINDINGS AND CLINICAL SEVERITYIN PATIENTS WITH LOW BACK PAIN

Magnetic Resonance Imaging Patterns of the Lumbosacral Spine in Low Back Pain at LASUTH, Lagos: A Narrative Review of Findings and Clinical Implications

Dgenerative lumbar spine disease is the predominant cause of chronic low back pain among patients undergoing MRI at Lagos State University Teaching Hospital, and MRI remains an indispensable diagnostic tool for identifying clinically significant spinal abnormalities.

Lumbar Magnetic Resonance Imaging Profiles and Their Association with Low Back Pain in Dentists: A Cluster Analysis Study

Age appeared to influence the clinical expression of the disc–facet degenerative profile of the lumbar MRI-derived structural profiles in dentists, suggesting that lumbar MRI findings should be interpreted within a broader, age-sensitive clinical context rather than as isolated determinants of symptoms.

Correlation of Pain and Physical Disability with Radiological Features of Knee Osteoarthritis

There is a need for an integrated assessment combining clinical evaluation and radiological findings to guide treatment planning for patients with knee OA, and BMI is a major risk factor for osteoarthritis.

Lumbar spinal stenosis in axial spondyloarthritis and chronic low back pain: a cross-sectional magnetic resonance imaging study with clinical dimensions

Structural MRI Parameters Associated with Lumbar Intervertebral Disc Degeneration: Analysis of Modic Changes, Paraspinal Muscle Fat Infiltration, and Facet Joint Degeneration

Lumbar intervertebral disc degeneration (IVDD) is an important contributing factor for chronic low back pain. Recent evidence indicates that IVDD represents a "whole-organ" pathology involving multiple spinal structures, yet the relationships between structural magnetic resonance imaging (MRI) parameters remain incompletely characterised. This cross-sectional study included 100 patients with lumbar IVDD who underwent 3.0 T MRI. IVDD severity was graded using the Pfirrmann classification. Structural parameters including Modic changes, paraspinal muscle fat infiltration and facet joint degeneration were assessed independently by two radiologists. Statistical analyses included Spearman rank correlations, chi-square tests and logistic regression. Modic changes were present in 72% of patients and showed the strongest association with severe IVDD (Spearman r = 0.532, P < 0.001; χ² = 20.446, P < 0.001). Patients with Modic changes had 6.11-fold higher odds [95% CI: 2.81 – 13.28] of severe disc degeneration compared to those without. The prevalence of severe IVDD increased progressively from 21.4% in Grade 0 to 76.9% in Grade 3 Modic changes. Facet joint degeneration, present in 92%, correlated significantly with IVDD grade (r = 0.259, P = 0.009; OR = 1.83, 95% CI: 1.15 – 2.91). Paraspinal muscle fat infiltration, present in 64%, showed a weak, non-significant association with IVDD severity (r = 0.167, P = 0.097). Lumbar IVDD represents a complex "whole-organ" condition. Modic changes showed the strongest structural association with severe disc degeneration (r = 0.532, OR = 6.11), supporting a strong coupling between disc degeneration and endplate pathology. These findings reinforce the "three-joint complex" concept and have implications for comprehensive treatment strategies targeting multiple spinal structures .

Prevalence of Work-Related Neck and Back Pain, Functional Disability, and Spinal Mobility Among Dentists: A Cross-Sectional Study

Background: Dentists are prone to work related musculoskeletal disorders (WMSDs) due to the use of prolonged static positions, repetition and poor ergonomics. These factors often cause neck and back pain, disability and loss of spinal mobility. Objective: The purpose of this study was to find out the prevalence of neck and back pain, the extent of disability and the assessment of cervical and lumbar mobility and to examine the relationship of these parameters with the various occupations of the dentists. Methods: The methods include a cross sectional, an observational study of 50 dentists aged 25-40 years. Neck and back pain were measured using the Numeric Pain Rating Scale (NPRS), disability was measured using the Neck Disability Index (NDI) and Oswestry Disability Index (ODI), and spinal mobility was measured using standardized clinical measurements. Analysis of data was done by descriptive and inferential statistics and at the 5% significance level. Results: 70% reported neck pain, 76% back pain. Most participants were minimally disabled (neck 66%, back 62%) and there was no severe disability. Less cervical mobility was noted and was significantly correlated with neck disability with the higher degree of disability correlating to less cervical mobility. Conclusion: Dentists have high prevalence of work-related musculoskeletal disorders, but low rates of disability. Prevention of progression of musculoskeletal conditions and optimizing occupational health over the long term is a critical issue that requires early ergonomic interventions, posture correction, regular exercise, and workplace changes.