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DEGENERATION PATTERNS ACROSS THE SPINE: CERVICAL VS. LUMBOSACRAL INSIGHTS
K Hoti1, K Goçaj2, I Ahmetgjekaj3
11University of Prishtina, Faculty of Medicine Prishtina; 2Clinical of Radiology, University Clinical Center of Kosovo, Prishtina, Kosovo.
Georgian Medical News
|July 30, 2025
Summary
Disc degeneration varies between the neck and lower back. Lumbar spine degeneration is more severe and widespread than cervical spine degeneration, with hemangiomas potentially playing a role.
Area of Science:
- Orthopedics
- Radiology
- Spinal Medicine
Background:
- Low back and neck pain are prevalent, often stemming from disc degeneration.
- Understanding regional differences in spinal degeneration is key for effective treatment.
Purpose of the Study:
- Compare cervical and lumbosacral disc degeneration onset and progression.
- Analyze intra-patient, region-specific degeneration patterns.
Main Methods:
- 150 patients underwent MRI (cervical, lumbosacral, or combined).
- Pfirrmann and Modic classifications assessed disc and endplate degeneration.
- Osteophytes and hemangiomas were evaluated; statistical analyses performed.
Main Results:
- Moderate to advanced degeneration (Pfirrmann grades 2-4) present in both regions.
- Severe degeneration (grade 5) and Modic changes more frequent in lumbar spine (L4/L5, L5/S1).
- Lumbar degeneration showed stronger adjacent-level correlations; hemangiomas linked to higher Pfirrmann grades.
Conclusions:
- Distinct patterns of spinal degeneration exist between cervical and lumbar regions.
- Lumbar spine exhibits more severe and widespread degeneration.
- Hemangiomas may be associated with spinal degeneration.
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