Predictive worth of Modic sort II modifications within the alternative of surgical remedy of lumbar disc herniation.
Rev Esp Cir Ortop Traumatol. 2018 Feb 06;:
Authors: Figa R, Morera-Dominguez C
Summary
OBJECTIVE: To judge the predictive worth of Modic typeII modifications on nuclear magnetic resonance (NMR) previous to intervention by discectomy for lumbar disc herniation in sufferers with radicular signs.
MATERIAL AND METHOD: Retrospective descriptive research of 190 sufferers (58.2% males and 41.eight% ladies) with a imply age of 43.5 years, handled between December 2005 and January 2013. They have been divided into group 1, single disc herniation (n=85), and group 2, with disc herniation and modifications Modic typeII (n=80). Variables studied: weight, top, handedness, stage of harm, earlier neurological deficit, postoperative problems, persistent ache and wish for posterior lumbar fusion, with a imply of 67 months (group 1: 68.1; group 2: 66.eight).
RESULTS: In group 1 there have been 4 hernia recurrences requiring revision surgical procedure and 6 sufferers wanted lumbar fusion. In group 2, 4 recurrences have been additionally revised and eight circumstances requiring arthrodesis have been noticed. No statistically important variations have been discovered when evaluating the incidence of relapse (P=.903), the necessity for subsequent fusion (P=.572) or within the remaining variables.
DISCUSSION: The information obtained and the traits of our research, we can not say that Modic typeII modifications have been a predictive signal of the results of lumbar discectomy in our research inhabitants.
PMID: 29426732 [PubMed – as supplied by publisher]