Özet:

Objective: Back pain is a very common musculoskeletal condition that affects the quality of life. There are few studies on thoracic spine pain, and the relationship between the degree of degeneration to imaging and pain severity remains unclear. We described the characteristics, etiology and imaging findings of patients with dorsalgia. Materials and Methods: Between 2019-2020, 200 patients who applied to our clinic with complaints of back pain were retrospectively scanned. Demographic - pain characteristics and diagnoses of the patients were recorded. Kyphosis angle, Cobb angle and vertebral heights were evaluated as thoracic direct radiography findings. Modified Pfirmann grading systems, Modic changes and disc herniations were used to detect degenerative inter-vertebral disc changes via MRI. The relationship between radiological findings and clinical features was evaluated. Results: It was determined that 80 of 200 patients with dorsalgia required imaging examination. Postural dysfunction and myofascial pain syndrome were diagnosed in 82.5% of the patients. A statistically significant difference was found between the distributions of Pfirrmann grade according to age, the presence of pain at night, the duration of pain, gender and neuropathic pain (p<0.001). A statistically significant difference was found between the Modic types with the age and duration of the pain of the patients (p=0.020). There was no statistically significant difference between thoracic levels with Phirmann grades and Modic degeneration (p>0.050). Conclusion: Postural disorder and myofascial pain syndrome is the most common cause of thoracic spine pain. The imaging method can be used for further examination of the diagnosis. The pfirrmann grade and the modic changes increase with age. However, there is no clarity on the relationship between such changes and the severity of back pain. Methods for the recognition, prevention and reporting of pain should be developed.

Anahtar Kelimeler: