The Prevalence and Correlation between Degenerative Change of Cervical and Lumbar Spine

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Kitjapat Tirachanvut
Thipthara Tarathipayakul
Pumibal Wetpiriyakul


Objective: To evaluate the prevalence of degenerative changes in the cervical and lumbar spine and its correlation.

Material and methods: The medical records and Magnetic resonance images of patients (Age >40 years) attending Vajira Hospital over a 5-year period (2014-2019) were reviewed for the prevalence, type and location of Modic changes (MCs). The degree of vertebral degeneration was assessed on a MCs for each level of cervical and lumbar spine. The patients were divided into two groups based on the MCs for each spinal level: absence (Modic type 0), presence (Modic type 1-3).

Results: 50 patients met the inclusion criteria. The MCs of cervical and lumbar spine were present in 64% and 54% respectively. The prevalence of MCs at C5 (34%) was the most common in the cervical spine. The highest prevalence of MCs in the lumbar spine was identified at L3 (46%). There was no significant difference in MCs between the cervical and lumbar spine. In patient with present of MCs in lumbar spine, we found 70.37% present of MCs in cervical spine.

Conclusions: More than 50% of patients over 50 years of age have MCs. There is no significant difference in MCs between the cervical and lumbar spine. However, patient with positive MCs in lumbar spine tend to present with positive MCs than lumbar negative MCs.


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