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J Acupunct Res > Volume 32(4); 2015 > Article
Kim, Youn, Lee, Kim, and Yoo: A Study of the Relationship between Modic Type Changs 2 and Facet Joint Arthrosis
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The purpose of this study was to observe the correlation between modic type changes 2 and facet joint arthrosis.


We randomly selected the 93 patients with Lumbar MRI films who had been admitted to Haeundae Jaseng Korean Medicine Hospital from January to June 2015 Modic type changes 2 and facet joint arthrosis data were collected and statistically analyzed.


In this study, if the findings of the MRI showed modic type changes 2the cases of facet joint arthrosis increased.


There was a significant correlation between modic type changes 2 and facet joint arthrosis

Fig. 1
Modic type 1 changes: hypointense on T1W1(left) and hyperintense on T2W1(right) at L3/4
Fig. 2
Modic type 2 changes: hyperintense on T1W1(left) and isointense or hyperintense on T2W1(right) at L4/5
Fig. 3
Modic type 3 changes: hypointense on both T1W1(left) and T2W1(right) at L4/5
Table 1
Distribution of Sex and Age
Age Male(%) Female(%) Total(%)
20~29 1(3.0) 2(3.3) 3(3.2)
30~39 12(36.4) 5(8.3) 17(18.3)
40~49 11(33.3) 7(11.7) 18(19.4)
50~59 5(15.2) 18(30.0) 23(24.7)
60~69 3(9.1) 23(38.3) 26(27.9)
70~79 1(3.0) 4(6.7) 5(5.4)
80~89 0(0.0) 1(1.7) 1(1.1)

Displays the number of patients with percent(%)

Table 2
Distribution of Facet Joint Arthrosis according to Age
Facet Joint Arthrosis
Age Male(%) Female(%) Total(%)
20~29 0(0.0) 2(6.5) 2(4.3)
30~39 3(21.4) 0(0.0) 3(6.7)
40~49 5(35.7) 4(12.9) 9(20.0)
50~59 2(14.3) 10(32.3) 12(26.7)
60~69 3(21.4) 13(41.9) 16(35.6)
70~79 1(7.2) 2(6.4) 3(6.7)
80~89 0(0.0) 0(0.0) 0(0.0)

Displays the number of patients with percent(%)

Table 3
Distribution of Modic Type Change 2 and Facet Joint Arthrosis according to Lumbar Levels
Modic Type Changes 2(%) Facet Joint Arthrosis(%)
L1/2 1(0.8) 0(0.0)
L2/3 3(2.6) 2(4.2)
L3/4 9(7.8) 5(10.4)
L4/5 48(41.4) 24(50.0)
L5/S1 55(47.4) 17(35.4)

Displays the number of patients with percent(%)



1. Albert D, Herbert K, Charles S, Murray D. MR Imaging of Marrow Changes Adjacent To End Plates In Degenerative Lumbar Disk Disease. AJR. 1987;149(3):531–4.
crossref pmid
2. Michael TM, Peter MS, Jeffrey SR, Thomas JM, John RC. Degenerative Disk Disease: Assessment of Changes in Vertebral Body Marrow with MR Imaging. Radiology. 1988;166(1):193–9.
crossref pmid
3. Rahme R, Moussa R. The Modic Vertebral End-plate and Marrow Changes: Pathologic Significance and Relation to Low Back pain and Segmental Instability of the Lumbar Spine. AJNR. 2008;29(5):838–42.
crossref pmid pmc
4. Michael TM, Thomas JM, Jeffrey SR, John SR. Imaging of Degenerative Disk Disease. Radiology. 1988;168(1):177–86.
crossref pmid
5. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture and Moxibustion. Gyeonggi: Jipmoondang. 2008:50.

6. The Society of Korean Medicine Rehabilitation. Oriental Rehabilitation Medicine. 3rd. Seoul: Koonja Publisher. 2011:62.

7. Koh DH, Hong SS, Lee JH, Jung SY, Shin JS. Statistical Study of the Ferguson’s Angle, Lumbar Gravity Line and Lumbar Lordotic Angle in HIVD patients. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007;2(2):27.

8. Heo J. Dongeuibogam. Seoul: Dongeuibogam Publisher. 2006:705.

9. Jun JY, Lee JS, Lee SJ, et al. A Relationship Study of Lumbar Lordortic Angle and Herniation of Intervertebral Disc. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2012;7(2):83–90.

10. Cha JD, Jeong SM, Kim GO, Kim GS, Kim NO. The comparison of Effectiveness between Acupuncture and Its Cotreatment with Bee Venom Acua-Acupuncture Therapy on the Treatment of Herniation of Nucleus Pulpous. The Acupuncture. 2004;21(1):149–58.

11. Kang HS, Lee JW. Spinal Imaging. Seoul: Beom-mum Education. 2013:90.

12. Tuite MJ. Facet Joint and Sacroiliac Joint Injection. Semin Roentgenol. 2004;39(1):37–51.
crossref pmid
13. Kang HS, Hong SH, Kang CH. Muscloskeletal Radiology. Seoul: Beom-mum Education. 2015:802.

14. The Korean Orthopaedic Association. Orthopaedics. Seoul: Choisin Medical Books. 2013:799.

15. Stephen IE. Text book of Spinal Disorders. Seoul: Koonja Publisher. 2008:12.

16. David D. Acute Low Back Pain: Recognizing the “Red Flags” in the Workup. Consultant. 2013;53(6):436–40.

17. Alfred CG, Jeffrey NK, Pradeep S. Osteoarthritis of the Spine: the Facet Joints. Nat Rev Rheumatol. 2013;9(4):216–24.
crossref pmid
18. Kwak KI, Kang JH, Kim YJ, Lee H. A Study on the Correlation between Menopausal Rating Scale and Bone Mineral Density for Menopausal Osteoporosis Patients. The Acupuncture. 2014;31(3):25–33.
19. Park JB, Shin JS, Youn YS, et al. Bone mineral density, body mass index, postmenopausal period and outcomes of low back pain treatment in Korean postmenopausal women. Eur Spine J. 2010;19(11):1942–7.
crossref pmid pmc

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