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Table 1 Classification of degenerative changes in the intervertebral disc [9]

From: The future of minimally invasive spine surgery in low-income Latin American countries

Stage

Disc structure

Signal intensity (MRI T2W)

Distinction of annulus from pulposus

Height of the disc

I

Homogeneous

Hyperintense (white)

Clear border

Normal

II

Inhomogeneous

Hyperintense (white)

Clear border

Normal

III

Inhomogeneous

Isointense

(gray)

Fuzzy

Normal or slightly reduced

IV

Inhomogeneous

Isointense to hypointense

(gray–black)

Absent

The border is normal or moderately reduced

V

Inhomogeneous

Hypointense (black)

Absent

The border is sharply lowered