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Research ArticleLumbar Spine

Can Imaging Characteristics on Magnetic Resonance Imaging Predict the Acuity of a Lumbar Disc Herniation?

Srikanth N. Divi, Dhruv K.C. Goyal, Heeren S. Makanji, Christopher K. Kepler, D. Greg Anderson, Eric D. Warner, Matthew S. Galetta, Victor E. Mujica, Nathan V. Houlihan, I. David Kaye, Mark F. Kurd, Barrett I. Woods, Kris E. Radcliff, Jeffrey A. Rihn, Alan S. Hilibrand, Alexander R. Vaccaro and Gregory D. Schroeder
International Journal of Spine Surgery June 2021, 15 (3) 458-465; DOI: https://doi.org/10.14444/8032
Srikanth N. Divi
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Dhruv K.C. Goyal
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Heeren S. Makanji
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Christopher K. Kepler
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD, MBA
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D. Greg Anderson
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Eric D. Warner
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
BS
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Matthew S. Galetta
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
BA
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Victor E. Mujica
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Nathan V. Houlihan
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
BS
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I. David Kaye
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Mark F. Kurd
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Barrett I. Woods
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Kris E. Radcliff
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Jeffrey A. Rihn
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Alan S. Hilibrand
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Alexander R. Vaccaro
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD, PHD, MBA
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Gregory D. Schroeder
Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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  • Figure 1
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    Figure 1

    Disc Height. (a) Example normal disc height with herniation at L4–5. (b) Example of decreased disc height with herniation at L4–5.

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    Figure 2

    Area of measurement of (a) T2 central and (b) T2 herniation signal on sagittal T2 sequence.

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    Figure 3

    Measurement of T1 central signal and T1 herniation signal on axial T1 sequence.

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    Figure 4

    Measurement of ligamentum flavum thickness at the midpoint along interior lamina. >5.0 mm was considered indicative of ligamentum flavum hypertrophy.

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    Figure 5

    (a) Sagittal T1 and (b) sagittal T2 images depicting anterior vertebral body spurring and Type 2 Modic changes.

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International Journal of Spine Surgery
Vol. 15, Issue 3
1 Jun 2021
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Can Imaging Characteristics on Magnetic Resonance Imaging Predict the Acuity of a Lumbar Disc Herniation?
Srikanth N. Divi, Dhruv K.C. Goyal, Heeren S. Makanji, Christopher K. Kepler, D. Greg Anderson, Eric D. Warner, Matthew S. Galetta, Victor E. Mujica, Nathan V. Houlihan, I. David Kaye, Mark F. Kurd, Barrett I. Woods, Kris E. Radcliff, Jeffrey A. Rihn, Alan S. Hilibrand, Alexander R. Vaccaro, Gregory D. Schroeder
International Journal of Spine Surgery Jun 2021, 15 (3) 458-465; DOI: 10.14444/8032

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Can Imaging Characteristics on Magnetic Resonance Imaging Predict the Acuity of a Lumbar Disc Herniation?
Srikanth N. Divi, Dhruv K.C. Goyal, Heeren S. Makanji, Christopher K. Kepler, D. Greg Anderson, Eric D. Warner, Matthew S. Galetta, Victor E. Mujica, Nathan V. Houlihan, I. David Kaye, Mark F. Kurd, Barrett I. Woods, Kris E. Radcliff, Jeffrey A. Rihn, Alan S. Hilibrand, Alexander R. Vaccaro, Gregory D. Schroeder
International Journal of Spine Surgery Jun 2021, 15 (3) 458-465; DOI: 10.14444/8032
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Keywords

  • radiculopathy
  • T1 central
  • T2 central
  • T1 herniation
  • T2 herniation
  • Pfirrmann grade

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