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Table 1 Disc degeneration grading according to Pfirrmann et al.

From: Different spinal subtypes with varying characteristics of lumbar disc degeneration at specific level with age: a study based on an asymptomatic population

Grade

Structure

Distinction of nucleus and anulus

Signal intensity

Intervertebral disc height

I

Homogeneous, bright white

Clear

Hyperintense, isointense to cerebrospinal fluid

Normal

II

Heterogeneous with or without horizontal bands

Clear

Hyperintense, isointense to cerebrospinal fluid

Normal

III

Heterogeneous, gray

Unclear

Intermediate

Normal to slightly decreased

IV

Heterogeneous, gray to black

Lost

Intermediate to hypointense

Normal to moderately decreased

V

Heterogeneous, black

Lost

Hypointense

Collapsed disc space