Abstract:
Degenerative disease of the lumbar spine refers to a syndrome in which
an involves bony structures, intervertebral disk, spinal canal and
ligament.The syndromes encompasses the following degenerative
changes: osteophyte formation, facet joints arthropathy , intervertevral
disc narrowing ,disk degeneration, endplate changes (modic change) ,
nerve root compression, vacuum phenomenon and spondylolisthesis.
The purposes of the study to evaluate radiographic features of lumbar
spine degeneration changes and to determine whether these observed
findings influenced by age ,gender through the vertebral level, evaluate
on computed tomography (CT) and compare CT findings with MRI
findings.
This descriptive cross-sectional study involved 168 patients
in both
genders (86 males and 82 females), from Ribat Teaching Hospital
,Alfiasal Hospital, Khartuom Modern Diagnostic Center , from June 2012
to June 2015. Lumbar CT scans were performed through mild portion of
T12- to mild portion S1. Six degenerative findings were detected at:
osteophyte formation
narrowing
,scrolotic
, facet joints arthropathy , intervertevral disc
endplate
,
vacuum
phenomenon
and
spondylolisthesis. Statistical analysis was performed using computer
program Statistical Package for Social Sciences (SPSS) version; 13. Chi-
square test was, used to compare between age, gender and CT findings.
A p-value of <0.05 was considered to indicate statistically significant
difference.
The mean age of participants was 52±11.5 years. 81% of participants had
at least one degenerative finding. Osteophyte formation being the most
frequent finding seen in 136 (81%) patients, followed by disc narrowing
111(66.1%), facet Joint OA 109 (64.9%), endplate scrolotic 50(29.8%