Review Article

The Alterations in the Brain Corresponding to Low Back Pain: Recent Insights and Advances

Table 5

Evaluation of white matter alterations in back pain patients.

SubjectsAssessed indicesMain findingsReference

14 CLBP patientsWhole brain white matter FAFA in left INS white matter↑↑, No significant differences in INS right white matter[69]
17 patients with NSLBPGlobal network measuresThe structural network values of patients NSLBP ↓↓[73]
120 SBP patientsWhole brain white matter integrity, Regional white matterFA values in the left superior longitudinal fasciculus↓, the left retro-lenticular part of the internal capsule↓, part of the corpus callosum including the anterior corona radiata↓[74]
159 SBP patientsFC in white matter networksWhite matter connections between nodes concentrated within the corticolimbic system ↑[75]
103 chronic LBP patientsS1-adjacent white matter skeleton FAFA in both left and right S1 ROI, and left S1 ROIs in CLBP↓[25]
16 CBLP patientsglobal and regional white matter high intensitiesRegional WMH in left hemispheric tracts: anterior thalamic radiation, lower cingulate, inferior longitudinal fasciculus, superior longitudinal fasciculus, and the superior longitudinal fasciculus branch to the temporal lobe[76]

CLBP, chronic low back pain; FA, fractional anisotropy; NSLBP, nonspecific low back pain; ROI, regions of interest; S1 cortex, primary somatosensory cortex; SBP, subacute back pain; WMH, white matter hyperintensities.