A definition and clinical grading of Modic changes
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A definition and clinical grading of Modic changes. / Udby, Peter M.; Samartzis, Dino; Carreon, Leah Y.; Andersen, Mikkel Østerheden; Karppinen, Jaro; Modic, Michael.
In: Journal of Orthopaedic Research, Vol. 40, No. 2, 2022, p. 301-307.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - A definition and clinical grading of Modic changes
AU - Udby, Peter M.
AU - Samartzis, Dino
AU - Carreon, Leah Y.
AU - Andersen, Mikkel Østerheden
AU - Karppinen, Jaro
AU - Modic, Michael
N1 - Publisher Copyright: © 2021 Orthopaedic Research Society. Published by Wiley Periodicals LLC
PY - 2022
Y1 - 2022
N2 - To provide an up-to-date description of knowledge and pitfalls related to the classification, definition and grading of Modic changes (MC) visualized on magnetic resonance imaging (MRI). State-of-the-art review of current knowledge regarding the definition and grading of MC on MRI. MC on MRI have been reported to be associated with low back pain and disability. However, previous studies have shown heterogeneous results in regards to the impact of MC and its clinical relevance in patients with back pain. MC is a term used with considerable variation in the literature. No strict definition has been provided previously, this has contributed to varying diagnostic inclusion criteria, heterogeneous study populations, and discrepancy in results. A definition of MC and a proposal for grading is provided in this state-of-the-art review. MC are important, clinically relevant findings. However, issues with the nomenclature, definition and grading of these changes need to be addressed. Our current review highlights relevant issues related to MC, and provides a definition and grading score for the term MC that includes the Modic type and the extent of vertebral body involvement. Future studies should seek to validate the MC grading score in clinically relevant populations.
AB - To provide an up-to-date description of knowledge and pitfalls related to the classification, definition and grading of Modic changes (MC) visualized on magnetic resonance imaging (MRI). State-of-the-art review of current knowledge regarding the definition and grading of MC on MRI. MC on MRI have been reported to be associated with low back pain and disability. However, previous studies have shown heterogeneous results in regards to the impact of MC and its clinical relevance in patients with back pain. MC is a term used with considerable variation in the literature. No strict definition has been provided previously, this has contributed to varying diagnostic inclusion criteria, heterogeneous study populations, and discrepancy in results. A definition of MC and a proposal for grading is provided in this state-of-the-art review. MC are important, clinically relevant findings. However, issues with the nomenclature, definition and grading of these changes need to be addressed. Our current review highlights relevant issues related to MC, and provides a definition and grading score for the term MC that includes the Modic type and the extent of vertebral body involvement. Future studies should seek to validate the MC grading score in clinically relevant populations.
U2 - 10.1002/jor.25240
DO - 10.1002/jor.25240
M3 - Review
C2 - 34910328
AN - SCOPUS:85121687145
VL - 40
SP - 301
EP - 307
JO - Journal of Orthopaedic Research
JF - Journal of Orthopaedic Research
SN - 0736-0266
IS - 2
ER -
ID: 321651150