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What Does This MRI Report Of Spine Indicate?

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Posted on Fri, 17 Apr 2015
Question: I have scheuermann's disease - thoracic kyphosis, lumbar lordosis, lumbar pain and thoracic mechanical back pain.

I had an MRI and it says "widespread endplate irregularity at multiple endplate infraction is associated with thoracic kyphosis but no neural compression"

What does that mean?
What is an endplate infraction?

Thanks.
doctor
Answered by Dr. Vivek Chail (29 minutes later)
Brief Answer:
Your MRI report describes the features of scheuermann's disease as below

Detailed Answer:
Hi XXXXXXX XXXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. As you might be aware that our spine is made up of small bones aligned on top of each other from neck to tail bone region and this is called the back bone. In scheuermann's disease there is deformity in the spine at multiple levels due to increased angulation of bones at the levels involved and this is called as kyphosis.

2. Each of the small bones making up the back bone has end plates at its upper and lower ends. In scheuermann's disease it is thought that there is deficient blood supply to the end plate region of the involved bones and this is called end plate infarction.

3. In your report above, it says that the end place infarction changes are present at more than one level and this is causing deformity in the bones leading to abnormal spinal curvature or kyphosis and therefore causing scheuermann's disease. There is no compression of nerves due to your present condition as seen on the MRI.

4. Radiological features of scheuermann's disease includes the following
(i) thoracic spine kyphosis >40 degrees
(ii) thoracolumbar spine kyphosis >30 degrees
(iii) at least 3 adjacent vertebrae demonstrating wedging of >5 degrees
(iv) vertebral end plate irregularity due to extensive disc invagination
(v) intervertebral disc space narrowing, more anteriorly

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Does This MRI Report Of Spine Indicate?

Brief Answer: Your MRI report describes the features of scheuermann's disease as below Detailed Answer: Hi XXXXXXX XXXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. As you might be aware that our spine is made up of small bones aligned on top of each other from neck to tail bone region and this is called the back bone. In scheuermann's disease there is deformity in the spine at multiple levels due to increased angulation of bones at the levels involved and this is called as kyphosis. 2. Each of the small bones making up the back bone has end plates at its upper and lower ends. In scheuermann's disease it is thought that there is deficient blood supply to the end plate region of the involved bones and this is called end plate infarction. 3. In your report above, it says that the end place infarction changes are present at more than one level and this is causing deformity in the bones leading to abnormal spinal curvature or kyphosis and therefore causing scheuermann's disease. There is no compression of nerves due to your present condition as seen on the MRI. 4. Radiological features of scheuermann's disease includes the following (i) thoracic spine kyphosis >40 degrees (ii) thoracolumbar spine kyphosis >30 degrees (iii) at least 3 adjacent vertebrae demonstrating wedging of >5 degrees (iv) vertebral end plate irregularity due to extensive disc invagination (v) intervertebral disc space narrowing, more anteriorly Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek