Objective To investigate the morphology of endplate shape in teens with lumbar degenerative disc disease by means of MRI and the correlation between endplate shape and lumbar disc degeneration. Methods A retrospective study was performed on 31 teenage patients with lumbar disc herniation who underwent MRI examination between January 2011 and April 2015. The morphology of endplate was classified into three groups:concave, flat and irregular based on the midsagittal T1-weighed MRI. The degree of disc degeneration was graded on T1-weighed MRI according to Pfirrmann's method with one to five points representing grade Ⅰ to Ⅴ. All endplates were determined by Modic grading system. The associations between morphology of endplate in lower lumbar spine and disc degenerative degree as well as Modic changes were evaluated retrospectively. Results Among the 93 endplates, concave represented the maximum proportion (52/93). Irregular endplate increased from L_3/4(4/21) to L₅/S₁(10/21) gradually. The average degenerative degree for concave, flat and irregular endplate was respectively (1.19±0.11) points, (2.25±0.43) points and (3.33±0.51) point, which showed significant differences (P<0.05). Irregular was the majority in protruding sections, and concave was the majority of non-protruding sections. There were 27 modic changes in 93 endplates, in which irregular was the most, showing significant difference (P<0.05), while the difference between concave and flat endplate was not significant (P>0.05). Conclusion We can use endplate morphology, modic changes and disc degeneration to reflect degree of disc degeneration in teenage patients. Since the L₅/S₁ segments bear the greatest power in the lower lumbar spine, they are most prone to disc degeneration with more irregular endplates.

Citation： ZhouRui, WangYi, DaiGuogang. An MRI Study on the Morphology of Endplate in Teens with Lumbar Disc Herniation. West China Medical Journal, 2016, 31(9): 1561-1564. doi: 10.7507/1002-0179.201600425 Copy