Skip to main content

Table 3 MRI-based grading system for cervical intervertebral disc degeneration.

From: The NEtherlands Cervical Kinematics (NECK) Trial. Cost-effectiveness of anterior cervical discectomy with or without interbody fusion and arthroplasty in the treatment of cervical disc herniation; a double-blind randomised multicenter study

Grade

Nucleus signal intensity

Nucleus structure

Distinction of nucleus and annulus

Disc height

I

Hyperintense

Homogenous, white

Clear

Normal

II

Hyperintense

Inhomogenous with horizontal band, white

Clear

Normal

III

Intermediate

Inhomogenous, grey to black

Unclear

Normal to decreased

IV

Hypointense

Inhomogenous, grey to black

Lost

Normal to decreased

V

Hypointense

Inhomogenous, grey to black

Lost

Collapsed