Relationship between Modic Change and Resorption of Ruptured Lumbar Disc Herniation Based on MRI: A Longitudinal Study

Motivation: Ruptured lumbar disc herniation (RLDH) can lead to severe clinical symptoms, significantly impacting patients' daily lives. . Understanding factors influencing disc resorption, particularly Modic change (MC), is crucial for making treatment decisions. Goal(s): To investigate the relationship between MC and the occurrence of disc resorption in RLDH patients. Approach: This longitudinal study examined the presence of MC at baseline and assessed disc resorption at follow-up to determine the potential influence of MC on RLDH resorption. Results: The study revealed that MC is an independent influencing factor for RLDH resorption failure, highlighting its significance in the management of this condition. Impact: First, our study validated the efficacy of nonsurgical treatment of RLDH in resorption. Second, we demonstrated that MC is an independent factor hindering resorption, which helps clinicians to forecast resorption in RLDH patients, to select appropriate treatment methods.