Low Back Pain After Lumbar Discectomy in Patients Showing Endplate Modic Type 1 Change

• DOI: 10.1097/brs.0b013e3181cd2cb8
• Publication Date: 2010-05-11T06:35:21Z
• Authors: Seiji Ohtori; Masaomi Yamashita; Kazuyo Yamauchi; Gen Inoue; Takana Koshi; Munetaka Suzuki; Sumihisa Orita; Yawara Eguchi; Nobuyasu Ochiai; Shunji Kishida; Masashi Takaso; Yasuchika Aoki; Tetsuhiro Ishikawa; Gen Arai; Masayuki Miyagi; Hiroto Kamoda; Junichi Nakamura; Kazuhisa Takahashi
• Keywords: Modic changes; Oswestry Disability Index; Discectomy; Back Pain; Disc herniation; Lumbar disc herniation

Prospective cohort study.To examine the relationship between low back pain after discectomy for disc herniation and Modic type 1 change.Lumbar vertebral bone marrow change is divided into types. Some reports indicate that related to pain, but reliability of this assertion unclear. The current study examines changes in patients with lumbar without fusion surgery.Forty-five showing normal or signals their were selected (mean age 35 years). All suffered leg because herniation, underwent a fusion. We evaluated [Visual analogue scale (VAS) score, Japanese Orthopedic Association score (JOAS), Oswestry Disability Index (ODI)] before, 12 24 months surgery.Twenty-three showed 22 intensity before surgery. VAS JOAS, ODI not significantly different groups. improved surgery both groups (P>0.05). Low from 3 scores was 2 (P>0.05).Discectomy suffering herniation. Patients similar improvement score. appears mainly originate nerve root compression, decompression an option these patients, even those changes.