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Table 1 Pfirrmann disc degeneration grading system (Pfirrmann et al. 2001)

From: The relationship between quantitative measures of disc height and disc signal intensity with Pfirrmann score of disc degeneration

Score

Structure

Distinction of nucleus and annulus

Signal intensity

Intervertebral disc height

1

Homogeneous, bright white

Clear

Hyperintense, isointense to CSF

Normal

2

Inhomogeneous with or without horizontal bands

Clear

Hyperintense, isointense to CSF

Normal

3

Inhomogeneous, gray

Unclear

Intermediate

Normal to slightly decreased

4

Inhomogeneous, gray to black

Lost

Intermediate to hypointense

Normal to moderately decreased

5

Inhomogeneous, black

Lost

Hypointense

Collapsed disc space