The value of lumbar spine MRI in the assessment of the pars interarticularis.

Abstract:

:The aim of this study is to assess the ability of conventional lumbar spine magnetic resonance imaging (MRI) to demonstrate the pars interarticularis. The right and left L4 and L5 pars in 50 patients undergoing lumbar spine MRI for low back pain, with or without radiculopathy, were assessed and classified into four types. Based on their appearance, 59 (29.5%) were classified as normal (Type 1), 59 (29.5%) as hypointense (Type 2), 53 (26.5%) could not be demonstrated (Type 3) and 29 (14.5%) were thought to have defects (Type 4). The gold standard was set by the consensus opinion of two consultant musculoskeletal radiologists on the available plain radiographs of the lumbar spine. MRI was found to have a sensitivity of 57% to 86%, specificity of 81% to 82%, positive predictive value of 14% to 18% and negative predictive value of 97% to 99% for the diagnosis of a pars defect.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Saifuddin A,Burnett SJ

doi

10.1016/s0009-9260(97)80029-3

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

666-71

issue

9

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(97)80029-3

journal_volume

52

pub_type

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