Are "structural abnormalities" on magnetic resonance imaging a contraindication to the successful conservative treatment of chronic nonspecific low back pain?

Spine

Volumn 31, Issue 19, 2006, Pages 2250-2257

  Kleinstück, Frank ^a   Dvorak, Jiri ^a   Mannion, Anne F ^a,b  

^a UNIVERSITY HOSPITAL ZURICH   (Switzerland)

^b SCHULTHESS CLINIC   (Switzerland)

Author keywords

Bulging disc; Chronic nonspecific low back pain; Disc degeneration; Endplate changes; Exercise therapy; High intensity zone; Magnetic resonance imaging; Outcome

Indexed keywords

ARTICLE; CHRONIC DISEASE; CONSERVATIVE TREATMENT; CONTROLLED STUDY; DISEASE ASSOCIATION; DISEASE SEVERITY; EVIDENCE BASED MEDICINE; FEMALE; FOLLOW UP; HUMAN; KINESIOTHERAPY; LOW BACK PAIN; LUMBAR SPINE; MAJOR CLINICAL STUDY; MALE; MULTIPLE REGRESSION; NERVE ROOT LESION; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; PAIN ASSESSMENT; PREVALENCE; PRIORITY JOURNAL; SURGICAL TECHNIQUE; SYMPTOMATOLOGY; TEST RETEST RELIABILITY;

ADULT; CHRONIC DISEASE; EXERCISE THERAPY; FEMALE; HUMANS; LOW BACK PAIN; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; SPINAL DISEASES; TREATMENT OUTCOME;

EID: 33748348392     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/01.brs.0000232802.95773.89     Document Type: Article

References (49)

1. Jarvik JJ, Hollingworth W, Heagerty P, et al. The Longitudinal Assessment of Imaging and Disability of the Back (LAIDBack) Study: Baseline data. Spine 2001;26:1158-66.
2. Jensen MC, Brant-Zawadzki MN, Obuchowski N, et al. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med 1994;331:69-73.
3. Weishaupt D, Zanetti M, Hodler J, et al. MR imaging of the lumbar spine: Prevalence of intervertebral disk extrusion and sequestration, nerve root compression, end plate abnormalities, and osteoarthritis of the facet joints in asymptomatic volunteers. Radiology 1998;209:661-6.
4. Stadnik TW, Lee RR, Coen HL, et al. Annular tears and disk herniation: Prevalence and contrast enhancement on MR images in the absence of low back pain or sciatica. Radiology 1998;206:49-55.
5. Boden SD, Davis DO, Dina TS, et al. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am 1990;72:403-8.
6. Boos N, Rieder R, Schade V, et al. 1995 Volvo Award in clinical sciences. The diagnostic accuracy of magnetic resonance imaging, work perception, and psychosocial factors in identifying symptomatic disc herniations. Spine 1995;20:2613-25.
7. Buirski G, Silberstein M. The symptomatic lumbar disc in patients with low-back pain. Magnetic resonance imaging appearances in both a symptomatic and control population. Spine 1993;18:1808-11.
8. Powell MC, Wilson M, Szypryt P, et al. Prevalence of lumbar disc degeneration observed by magnetic resonance in symptomless women. Lancet 1986;2:1366-7.
9. Savage RA, Whitehouse GH, Roberts N. The relationship between the magnetic resonance imaging appearance of the lumbar spine and low back pain, age and occupation in males. Eur Spine J 1997;6:106-14.
10. Weinreb JC, Wolbarsht LB, Cohen JM, et al. Prevalence of lumbosacral intervertebral disk abnormalities on MR images in pregnant and asymptomatic nonpregnant women. Radiology 1989;170:125-8.
11. Koes BW, van Tulder MW, Ostelo R, et al. Clinical guidelines for the management of low back pain in primary care: An international comparison. Spine 2001;26:2504-13.
12. COST B13 Action. Guidelines for the management of chronic low back pain. Available at: www.backpaineurope.org 2004.
13. Jarvik JG. Imaging of adults with low back pain in the primary care setting. Neuroimaging Clin N Am 2003;13:293-305.
14. van Tulder MW, Assendelft WJ, Koes BW, et al. Spinal radiographic findings and nonspecific low back pain. A systematic review of observational studies. Spine 1997;22:427-34.
15. Luoma K, Riihimaki H, Luukkonen R, et al. Low back pain in relation to lumbar disc degeneration. Spine 2000;25:487-92.
16. Paajanen H, Erkintalo M, Parkkola R, et al. Age-dependent correlation of low-back pain and lumbar disc degeneration. Arch Orthop Trauma Surg 1997;116:106-7.
17. Parkkola R, Rytokoski U, Kormano M. Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects. Spine 1993;18:830-6.
18. Videman T, Battie MC, Gibbons LE, et al. Associations between back pain history and lumbar MRI findings. Spine 2003;28:582-8.
19. Videman T, Nurminen M. The occurrence of anular tears and their relation to lifetime back pain history: A cadaveric study using barium sulfate discography. Spine 2004;29:2668-76.
20. Peterson CK, Bolton JE, Wood AR. A cross-sectional study correlating lumbar spine degeneration with disability and pain. Spine 2000;25:218-23.
21. Fritzell P, Hägg O, Wessberg P, et al. 2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain. A multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group. Spine 2001;26:2521-34.
22. Aprill C, Bogduk N. High-intensity zone: A diagnostic sign of painful lumbar disc on magnetic resonance imaging. Br J Radiol 1992;65:361-9.
23. Mannion AF, Müntener M, Taimela S, et al. Comparison of three active therapies for chronic low back pain: Results of a randomised clinical trial with one year follow-up. Rheumatology 2001;40:772-8.
24. Kaser L, Mannion AF, Rhyner A, et al. Active therapy for chronic low back pain: Part 2. Effects on paraspinal muscle cross-sectional area, fiber type size, and distribution. Spine 2001;26:909-19.
25. Mannion AF, Müntener M, Taimela S, et al. A randomised clinical trial of three active therapies for chronic low back pain. Spine 1999;24:2435-48.
26. Roland M, Morris R. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low-back pain. Spine 1983;8:141-4.
27. Exner V, Keel P. Erfassung der Behinderung bei Patienten mit chronischen Rückenschmerzen. Schmerz 2000;14:392-400.
28. Pfirrmann CW, Metzdorf A, Zanetti M, et al. Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine 2001;26:1873-8.
29. Brant-Zawadzki MN, Jensen MC, Obuchowski N, et al. Interobserver and intraobserver variability in interpretation of lumbar disc abnormalities. A comparison of two nomenclatures. Spine 1995;20:1257-63.
30. Weishaupt D, Zanetti M, Hodler J, et al. Painful lumbar disk derangement: Relevance of endplate abnormalities at MR imaging. Radiology 2001;218:420-7.
31. Modic MT, Steinberg PM, Ross JS, et al. Degenerative disk disease: Assessment of changes in vertebral body marrow with MR imaging. Radiology 1988;166:193-9.
32. Gatsonis C, Sampson AR. Multiple correlation: Exact power and sample size calculations. Psychol Bull 1989;106:516-24.
33. Kasl SV, Jones BA. An epidemiological perspective on research design, measurement, and surveillance strategies. In: Quick JC, Tetrick LE, eds. Handbook of Occupational Health Psychology. Washington, DC: American Psychological Association, 2003.
34. Gilbert FJ, Grant AM, Gillan MG, et al. Low back pain: Influence of early MR imaging or CT on treatment and outcome-Multicenter randomized trial. Radiology 2004;231:343-51.
35. Gilbert FJ, Grant AM, Gillan MG, et al. Does early imaging influence management and improve outcome in patients with low back pain? A pragmatic randomised controlled trial. Health Technol Assess 2004;8:1-131.
36. Jarvik JG, Hollingworth W, Martin B, et al. Rapid magnetic resonance imaging vs radiographs for patients with low back pain: A randomized controlled trial. JAMA 2003;289:2810-8.
37. Kendrick D, Fielding K, Bentley E, et al. Radiography of the lumbar spine in primary care patients with low back pain: Randomised controlled trial. BMJ 2001;322:400-5.
38. Kendrick D, Fielding K, Bentley E, et al. The role of radiography in primary care patients with low back pain of at least 6 weeks duration: A randomised (unblinded) controlled trial. Health Technol Assess 2001;5:1-69.
39. Kerry S, Hilton S, Dundas D, et al. Radiography for low back pain: A randomised controlled trial and observational study in primary care. Br J Gen Pract 2002;52:469-74.
40. Kerry S, Hilton S, Patel S, et al. Routine referral for radiography of patients presenting with low back pain: Is patients' outcome influenced by GPs' referral for plain radiography? Health Technol Assess 2000;4:1-119.
41. Miller P, Kendrick D, Bentley E, et al. Cost-effectiveness of lumbar spine radiography in primary care patients with low back pain. Spine 2002;27:2291-7.
42. Rankine JJ, Gill KP, Hutchinson CE, et al. The clinical significance of the high-intensity zone on lumbar spine magnetic resonance imaging. Spine 1999;24:1913-9.
43. Schellhas KP, Pollei SR, Gundry CR, et al. Lumbar disc high-intensity zone. Correlation of magnetic resonance imaging and discography. Spine 1996;21:79-86.
44. Carragee EJ, Paragioudakis SJ, Khurana S. 2000 Volvo Award winner in clinical studies: Lumbar high-intensity zone and discography in subjects without low back problems. Spine 2000;25:2987-92.
45. Chung CB, Vande Berg BC, Tavernier T, et al. End plate marrow changes in the asymptomatic lumbosacral spine: Frequency, distribution and correlation with age and degenerative changes. Skeletal Radiol 2004;33:399-404.
46. Yu SW, Sether LA, Ho PS, et al. Tears of the anulus fibrosus: Correlation between MR and pathologic findings in cadavers. AJNR Am J Neuroradiol 1988;9:367-70.
47. Yu SW, Haughton VM, Sether LA, et al. Comparison of MR and diskography in detecting radial tears of the anulus: A postmortem study. AJNR Am J Neuroradiol 1989;10:1077-81.
48. Haughton VM, Lim TH, An H. Intervertebral disk appearance correlated with stiffness of lumbar spinal motion segments. AJNR Am J Neuroradiol 1999;20:1161-5.
49. Schmidt TA, An HS, Lim TH, et al. The stiffness of lumbar spinal motion segments with a high-intensity zone in the anulus fibrosus. Spine 1998;23:2167-73.