From: Lumbar spine abnormalities and facet joint angles in asymptomatic elite junior tennis players
Abnormality | Grading System used | Classifications |
---|---|---|
Pars abnormality | Ang et al. [17] | Grade 0 = normal, grade 1 = a stress reaction, grade 2a = an active incomplete fracture, grade 2b = a chronic incomplete fracture, grade 3 = active complete fracture, grade 4 = chronic complete fracture |
Bone marrow edema | Sims et al. [18] | The severity is calculated from the sagittal STIR sequence. The intensity value of bone marrow at the site of edema is measured using the region of interest tool. This value is then divided by the value of normal bone marrow within the vertebral body at the same level of the pars. This is referred to as the BMO “ratio” |
Disc herniation | Mysliwiec et al. [19] | Grading is dependent upon the direction and the magnitude of the disc protrusion. The grading depends on the magnitude of the distance the protrusion extends posteriorly (grading is between 1 and 3), and then follows with the mediolateral location of the protrusion (grade A–C). |
Nerve root compression | Pfirrmann et al. [20] | Grade 0 = normal, grade 1 = contact, grade 2 = deviation, or grade 3 = compression |
Canal stenosis | Guen et al. [21] | Grade 0 = normal, grade 1 = mild, grade 2 = moderate, grade 3 = severe |
Foraminal stenosis | Park et al. [22] | Grade 0 = normal, grade 1 = mild, grade 2 = moderate, grade 3 = severe |
Disc degeneration | Pfirrmann et al. [23] | Grade 0 = normal through to grade 5 = severe |
Annular fissure | Yes/no answer with location (right, posterior/central or left) | “Yes” or “No” |
Modic endplate changes | Modic et al. [24] | “Type 1” (decreased signal intensity on T1-weight images, increased signal intensity in T2-weighted images), “Type 2” (increased signal on T1-weighted images and a slightly hyperintense signal on T2-weighted images), or “Type 3” (decreased signal intensity on both T1- and T2-weighted images) |
Schmorl’s nodes | Yes/no answer | “Yes” or “No” |
Scheuermann’s disease | Yes/no answer | “Yes” or “No” |
Facet joint orientation | Noren et al. [25] | (Adapted method from Noren et al.) Facet joint orientation was measured using a midsagittal line through the vertebral body and the intersecting lines passing over the endpoints of each facet (see Fig. 1). |
Facet joint degeneration | Weishaupt et al. [26] | Grade 0 = normal through to grade 3 = severe |
Facet synovial cyst | Yes/no answer with location (left/right and infraspinal/extraspinal) | “Yes” or “No” with “Right” or “Left” |
Spondylolisthesis | Meyerding [27] | Grade 0 = no spondylolisthesis, grade 1 = 1–25% vertebral slip, grade 2 = 26–50% vertebral slip, grade 3 = 51–75% vertebral slip, grade 4 = 76–100% vertebral slip, or grade 5 = > 100% vertebral slip |
Spina bifida occulta | Yes/no answer | “Yes” or “No” |