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Journal of Craniovertebral Junction and Spine
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ORIGINAL ARTICLE
Year : 2018  |  Volume : 9  |  Issue : 2  |  Page : 93-95

Late appearance of low back pain relating to modic change after lumbar discectomy


1 Department of Neurosurgery, Centre Clinical, Chirurgie De Rachis, Soyaux, France
2 Department of Neurosurgery, Neurosurgical Clinic of Dr Gharaei, Tehran, Iran
3 Department of Neurosurgery, Werner Forssmann Hospital, Academic Hospital of Charité – Universitätsmedizin Berlin, Germany

Correspondence Address:
Dr. Keyvan Mostofi
Department of Neurosurgery, Centre Clinical, Chirurgie de Rachis, Soyaux
France
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvjs.JCVJS_25_18

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Background: In practice of neurosurgery, we find that a wide number of patients referred for refractory low back pain have a history of lumbar discectomy. In a large number of them, magnetic resonance imaging (MRI) studies detect Modic changes (MCs). The aim of this study is to determine the relationship between emergence of MC and low back after lumbar discectomy. Materials and Methods: Three hundred and fifty-eight patients with a medical history of discectomy had a MC at the level of the operated disc without any other discopathy. They have been selected from among the 1154 patients operated for lumbar disc herniation over 5 years. Results: Two hundred and fourteen patients (67.30%) had not presented MCs on preoperative MRI. Conclusion: Our study awakens a strong presumption about the relationship between emergence of MC after lumbar discectomy.


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