A cross-sectional study, Prevalence of spinal degeneration in the population of Kosova

Session

Nursing and Medical Sciences

Description

The aim of the stady: This study aims to assess the incidence of spinal degeneration in the population of Kosovo. Correlation between specific age groups and severity of degeneration discussed in the spine. To assess the gender variation.

The methodology of the scientific work: This is a retrospective Cross-Sectional study, with the data obtained from this conducted in the period of time from April 2021 to December 2021 at the University Clinical Center of Kosovo. 478 MRI of the spine were taken, including cervical, thoracic and lumbosacral levels as well as the whole spine. The sample is randomized. Total (478 patients, 272 women, 206 men; average age: 45.96).

Data collection: Demographic data, including age and gender, were obtained. MRI scans clarified the severity of Pfirrmann disc degeneration (grade I-V).

Imaging technique: The magnetic resonance apparatus is Phillips 1.5T. MRI scans of the spine were processed by reviewing images in sagittal T1 and T2 WI sequences.

Findings: The data were processed using the IBM SPSS 26 software application program.

Total MRI exams: 478, Normal Findings (No Degeneration) 60, ~37%. Degenerative Changes were distributed as follows, with the highest prevalence in the cervical region being in C4/C5 disc level. As of the Pfirrmann disc degeneration Grade 1: 60 (33.7%) and Pfirrmann Grade 2: 40 (22.5%) of the patients. Analysing 99 exams of the thoracic region, Th11/L1 observed the most disc changes. Pfirrmann Grade 1: 38 (38.4%), Pfirrmann Grade 2: 19 (19.2%). And the lumbar region inclded 223 MRI exams, with 82 without incidence of disc degeneration and the rest distributed as follows. L5/S1 observed the most changes.Pfirrmann Grade 1: 28 (12.6%),Pfirrmann Grade 2: 43 (19.3%), Pfirrmann Grade 3: 40 (17.9%), Pfirrmann Grade 4: 25 (11.2%),Pfirrmann Grade 5: 5 (2.2%)

Conclusion:The study highlights varying degrees of disc degeneration across different spinal regions. The lumbar region, especially L5/S1, shows the most degeneration, while the cervical C4/C5 and thoracal Th11/L1 regions predominantly exhibit milder degenerative changes.

Clinical Importance:

  • Targeted Treatments: Knowledge of which spinal regions are most prone to degeneration allows for more precise therapeutic interventions.

  • Early Detection: With about 37% of discs showing no degeneration, there's a strong case for regular spinal check-ups to catch and address changes early.

  • Guided Patient Care: These insights can help clinicians in tailored patient education, treatment decisions, and preventive measures.

In summary, this study offers valuable data on spinal health, aiding in better patient care and treatment planning.

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-550-95-6

Location

UBT Lipjan, Kosovo

Start Date

28-10-2023 8:00 AM

End Date

29-10-2023 6:00 PM

DOI

10.33107/ubt-ic.2023.214

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Oct 28th, 8:00 AM Oct 29th, 6:00 PM

A cross-sectional study, Prevalence of spinal degeneration in the population of Kosova

UBT Lipjan, Kosovo

The aim of the stady: This study aims to assess the incidence of spinal degeneration in the population of Kosovo. Correlation between specific age groups and severity of degeneration discussed in the spine. To assess the gender variation.

The methodology of the scientific work: This is a retrospective Cross-Sectional study, with the data obtained from this conducted in the period of time from April 2021 to December 2021 at the University Clinical Center of Kosovo. 478 MRI of the spine were taken, including cervical, thoracic and lumbosacral levels as well as the whole spine. The sample is randomized. Total (478 patients, 272 women, 206 men; average age: 45.96).

Data collection: Demographic data, including age and gender, were obtained. MRI scans clarified the severity of Pfirrmann disc degeneration (grade I-V).

Imaging technique: The magnetic resonance apparatus is Phillips 1.5T. MRI scans of the spine were processed by reviewing images in sagittal T1 and T2 WI sequences.

Findings: The data were processed using the IBM SPSS 26 software application program.

Total MRI exams: 478, Normal Findings (No Degeneration) 60, ~37%. Degenerative Changes were distributed as follows, with the highest prevalence in the cervical region being in C4/C5 disc level. As of the Pfirrmann disc degeneration Grade 1: 60 (33.7%) and Pfirrmann Grade 2: 40 (22.5%) of the patients. Analysing 99 exams of the thoracic region, Th11/L1 observed the most disc changes. Pfirrmann Grade 1: 38 (38.4%), Pfirrmann Grade 2: 19 (19.2%). And the lumbar region inclded 223 MRI exams, with 82 without incidence of disc degeneration and the rest distributed as follows. L5/S1 observed the most changes.Pfirrmann Grade 1: 28 (12.6%),Pfirrmann Grade 2: 43 (19.3%), Pfirrmann Grade 3: 40 (17.9%), Pfirrmann Grade 4: 25 (11.2%),Pfirrmann Grade 5: 5 (2.2%)

Conclusion:The study highlights varying degrees of disc degeneration across different spinal regions. The lumbar region, especially L5/S1, shows the most degeneration, while the cervical C4/C5 and thoracal Th11/L1 regions predominantly exhibit milder degenerative changes.

Clinical Importance:

  • Targeted Treatments: Knowledge of which spinal regions are most prone to degeneration allows for more precise therapeutic interventions.

  • Early Detection: With about 37% of discs showing no degeneration, there's a strong case for regular spinal check-ups to catch and address changes early.

  • Guided Patient Care: These insights can help clinicians in tailored patient education, treatment decisions, and preventive measures.

In summary, this study offers valuable data on spinal health, aiding in better patient care and treatment planning.