Magnetic Resonance Imaging Findings In Low Back Pain Due To Lumbar Degenerative Disease And Correlation With Modified Oswestry Disability Index

Jayesh Premchand Bonde; Lavan Saxena; Muktakar Singh; Robin Verma; Neeraj Singh; Tanzeem Siddiqui; Jyothi Kadipikonda

doi:10.36948/ijfmr.2026.v08i02.74017

Magnetic Resonance Imaging Findings In Low Back Pain Due To Lumbar Degenerative Disease And Correlation With Modified Oswestry Disability Index

Author(s)	Dr. Jayesh Premchand Bonde, Prof. Dr. Lavan Saxena, Dr. Muktakar Singh, Dr. Robin Verma, Dr. Neeraj Singh, Dr. Tanzeem Siddiqui, Dr. Jyothi Kadipikonda
Country	India
Abstract	ABSTRACT BACKGROUND- Low back pain (LBP) is one of the most common musculoskeletal disorders worldwide and a leading cause of disability. Magnetic Resonance Imaging (MRI) is considered the gold standard for evaluating degenerative changes such as disc bulge, disc herniation, annular fissure, Modic changes, facet arthropathy, ligamentum flavum hypertrophy, and spinal canal stenosis. However, the correlation between radiological findings and functional disability remains controversial. The Modified Oswestry Disability Index (MODI) is a validated tool used to assess disability in patients with LBP. MATERIAL AND METHOD- A hospital-based cross-sectional observational study was conducted in the Department of Radio-diagnosis at T.S. Misra Medical College & Hospital, Lucknow, over 18 months (March 2023–August 2024). Fifty patients with low back pain who met inclusion criteria underwent MRI of the lumbosacral spine using a 1.5 Tesla machine. Degenerative changes were assessed and graded using standardized criteria. Disability was evaluated using the MODI questionnaire. RESULT- The mean age was 46.9 ± 10.2 years, with male predominance (58%). L4–L5 was the most commonly affected level (58%). Majority of patients had Grade IV disc degeneration (40%). Disc bulge (64%) and disc herniation (42%) were common findings. MODI scores increased significantly with higher Pfirrmann grades (p<0.001). Significant associations were observed between MODI scores and disc herniation, annulus tear, endplate changes, facet arthropathy, ligamentum flavum hypertrophy, spinal canal stenosis, and neural foraminal stenosis (p<0.05). CONCLUSION- MRI findings in lumbar degenerative disease show a significant correlation with functional disability as assessed by MODI. Increasing severity of degenerative changes is associated with higher disability scores. Combined clinical and radiological evaluation improves assessment and management of patients with low back pain.
Keywords	Low Back Pain; Lumbar Degenerative Disease; Modified Oswestry Disability Index; Disc Degeneration.
Field	Medical / Pharmacy
Published In	Volume 8, Issue 2, March-April 2026
Published On	2026-04-10
DOI	https://doi.org/10.36948/ijfmr.2026.v08i02.74017

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Magnetic Resonance Imaging Findings In Low Back Pain Due To Lumbar Degenerative Disease And Correlation With Modified Oswestry Disability Index

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