ISSN: 1899-0967
Polish Journal of Radiology
Established by prof. Zygmunt Grudziński in 1926 Sun
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1/2021
vol. 86
 
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Musculoskeletal radiology
abstract:
Review article

Imaging features of the aging spine

Krzysztof Wocial
1
,
Beata A. Feldman
1
,
Bartosz Mruk
2
,
Katarzyna Sklinda
2
,
Jerzy Walecki
1, 2
,
Marcin Waśko
1

1.
Department of Diagnostic Imaging, Gruca Teaching Hospital, Medical Center of Postgraduate Education, Otwock, Poland
2.
Department of Diagnostic Radiology, Central Clinical Hospital of the Ministry of the Interior in Warsaw, Poland
Pol J Radiol 2021; 86: e380-e386
Online publish date: 2021/06/24
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Among many degenerative abnormalities commonly found in spine imaging, not all are associated with the patient’s symptoms. We aimed to assess features of the standard, asymptomatic aging process of the spine. In this narrative review, we emphasize studies that describe imaging features of the spine in asymptomatic populations of different age groups. Degeneration of the intervertebral discs, bulging, and facet joint arthropathy have been documented in almost 90% of asymptomatic patients over 60 years of age. After the age of 40 years, nearly all patients have anterior and lateral vertebral osteophytes, whereas posterior osteophytes are found in a minority of them. There is a gradual increase in vertebral bone marrow fat composition with age with the acceleration of this process in women after menopause. The prevalence of these findings is common in asymptomatic populations and varies depending on the patient’s age. It is essential to differentiate likely natural and age-related findings from pathological abnormalities to make an accurate diagnosis.
keywords:

aging, spine, MRI, asymptomatic




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