{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T10:00:50Z","timestamp":1771927250482,"version":"3.50.1"},"reference-count":10,"publisher":"Termedia Sp. z.o.o.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reumatologia"],"published-print":{"date-parts":[[2015,9,15]]},"abstract":"<b>Objectives<\/b>: Spondyloarthritis is the most common pathological change in the spine. In a significant number of cases, it leads to compression of the nervous structures of the spinal canal, causing pain and neurological symptoms. Intervertebral disc pathology is a common cause of root deficits in neurological examination of all types of degenerative changes of the spine structures. Disc herniation is pathologically divided into 4 stages of herniated nucleus pulposus: 1) bulging, 2) protrusion, 3) extrusion, 4) sequestration. The aim of this study is to analyze the correlation between the type and severity of degenerative changes in the spine and the incidence of neurological deficits.<br \/>\n<b>Material and methods: <\/b> The study included 100 patients: 74 men and 26 women aged 50.2 \u00b110.43 years with pain of the spine in the cervical and\/or lumbosacral segments and with degenerative changes in the plain radiographs. The mean value of body mass index (BMI) was 27.8 \u00b13.95 kg\/m<sup>2<\/sup>. Each patient underwent neurological examinations and 1.5 T magnetic resonance imaging MRI of the cervical and\/or lumbar spine.<br \/>\n<b>Results<\/b>: Every patient was diagnosed with herniated nucleus pulposus affecting on average 4 \u00b12 segments of the spine. The most frequently observed degree of severity of disc herniation was the second (protrusion, 71.9% of all disc disease in 89 patients). Much less frequently found was the third degree (extrusion, 45 patients, 20.1% slipped disc), the first (bulging, 14 patients, 6.3% slipped disc), and least often only a small percentage of fourth degree (sequestration, 4 patients, 1.7% slipped disc). Neurological symptoms (deficits) were observed in 34 patients. They were accompanied by disc herniations in 23.7% of patients. In remaining patients with neurological deficits there was spinal stenosis. No correlation was observed between neurological deficits and stage 1 of disc herniation.<br \/>\n<b>Conclusions<\/b>: The incidence rate of neurological deficits is correlated with the degree of changes in the spine, as visualized by MRI.<\/jats:p>","DOI":"10.5114\/reum.2015.53995","type":"journal-article","created":{"date-parts":[[2015,10,7]],"date-time":"2015-10-07T11:25:59Z","timestamp":1444217159000},"page":"186-191","source":"Crossref","is-referenced-by-count":7,"title":["Analysis of the clinical picture in patients with osteoarthritis of the spine depending on the type and severity of lesions on magnetic resonance imaging"],"prefix":"10.5114","volume":"53","author":[{"given":"Dariusz","family":"Lachman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2015,9,21]]},"reference":[{"key":"ref-798201","doi-asserted-by":"crossref","unstructured":"Scuderi GJ, Brusovanik GV, Golish SR, et al. A critical evaluation of discography in patients with lumbag intervertebral disc disease. Spine J 2008; 8: 624-629.","DOI":"10.1016\/j.spinee.2006.10.005"},{"key":"ref-798202","doi-asserted-by":"crossref","unstructured":"Bajpai J, Saini S, Singh R. Clinical correlation of magnetic resonance imaging with symptom complex in prolapsed intervertebral disc disease: A cross-sectional double blind analysis. J Craniovert Jun Spine 2013; 4: 16-20.","DOI":"10.4103\/0974-8237.121619"},{"key":"ref-798203","unstructured":"Wagner AL, Murtagh FR, Arrington JA, et al. Relationship of Schmorl\u2019s nodes to vertebral body endplate4 fractures and acute endplate disk extrusion. J Craniovert Jun Spine 2000; 21: 276-281."},{"key":"ref-798204","doi-asserted-by":"crossref","unstructured":"Al Nezari NH, Schneiders AG, Hendrick PA. Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy: a systematic review and meta-analysis. Spine J 2013; 13: 657-674.","DOI":"10.1016\/j.spinee.2013.02.007"},{"key":"ref-798205","doi-asserted-by":"crossref","unstructured":"Suri P, Rainville J, Gellhorn A. Predictors of patient-reported recovery from motor or sensory deficits two years after acute symptomatic lumbar disk herniation. PM R 2012; 4: 936-944.","DOI":"10.1016\/j.pmrj.2012.08.023"},{"key":"ref-798206","doi-asserted-by":"crossref","unstructured":"Maus TP, Aprill CN. Lumbar discogenic pain, provocation discography, and imaging correlates. Radiol Clin North Am 2012; 50: 681-704.","DOI":"10.1016\/j.rcl.2012.04.013"},{"key":"ref-798207","doi-asserted-by":"crossref","unstructured":"Del Grande F, Maus TP, Carrino JA. Imaging the intervertebral disk: age-related changes, herniations, and radicular pain. Radiol Clin North Am 2012; 50: 629-649.","DOI":"10.1016\/j.rcl.2012.04.014"},{"key":"ref-798208","doi-asserted-by":"crossref","unstructured":"Takashima H, Takebayashi T, Yoshimoto M, et al. Efficacy of diffusion-weighted magnetic resonance imaging in diagnosing spinal root disorders in lumbar disc herniation. Spine J 2013; 15: 998-1002.","DOI":"10.1097\/BRS.0b013e31829862d3"},{"key":"ref-798209","doi-asserted-by":"crossref","unstructured":"Heary RF. Editorial: symptoms versus<\/i> magnetic resonance imaging. J Neurosurg Spine 2012; 17: 123-124.","DOI":"10.3171\/2012.3.SPINE11937"},{"key":"ref-798210","doi-asserted-by":"crossref","unstructured":"Takatalo J, Karppinen J, Taimela S, et al. Association of modic changes, Schmorl\u2019s nodes, spondylolytic defects, high-intensity zone lesions, disc herniations, and radial tears with low back symptom severity among young Finnish adults. Spine J 2012; 15: 1231-1239.","DOI":"10.1097\/BRS.0b013e3182443855"}],"container-title":["Rheumatology"],"original-title":["Analiza obrazu klinicznego pacjent\u00f3w ze zmianami zwyrodnieniowymi kr\u0119gos\u0142upa w zale\u017cno\u015bci od zmian w obrazie rezonansu magnetycznego"],"link":[{"URL":"https:\/\/reu.termedia.pl\/pdf-59118-86445","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/reu.termedia.pl\/pdf-59118-86445","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T20:59:16Z","timestamp":1675112356000},"score":1,"resource":{"primary":{"URL":"https:\/\/reu.termedia.pl\/Analysis-of-the-clinical-picture-in-patients-with-osteoarthritis-of-the-spine-depending,59118,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,15]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015]]}},"alternative-id":["59118"],"URL":"https:\/\/doi.org\/10.5114\/reum.2015.53995","relation":{},"ISSN":["0034-6233","2084-9834"],"issn-type":[{"value":"0034-6233","type":"print"},{"value":"2084-9834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,15]]}}}