高端板的霍恩斯菲尔德单位值表明,在经过形腰椎体融合手术后,椎间盘退化
Huo-Liang Zheng1, Bo Li1, Shao-Kuan Song1
1Department of Clinic of Spine Center, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Orthopaedic surgery
|August 1, 2023
概括
高端板的霍恩斯菲尔德单位 (HU) 值与经过转型关关体融合 (TLIF) 手术后的腰椎退化 (LDD) 有关. 这一发现为患有退行性腰椎狭窄症的患者在TLIF后的LDD发展提供了洞察力.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
背景情况:
- 腰椎间盘退化 (LDD) 是腰部疼痛和残疾的主要原因,患病率随着年龄的增长而增加.
- 变形椎体间融合 (TLIF) 是一种用于治疗退行性腰椎狭窄症等疾病的手术程序.
研究的目的:
- 调查端板霍恩斯菲尔德单位 (HU) 值与TLIF手术后LDD的发展之间的关联.
- 在患有退行性腰椎狭窄症的患者中,鉴定TLIF后导致LDD的危险因素.
主要方法:
- 在2016年1月至2019年10月期间接受TLIF手术的157名患者的回顾性分析.
- VAS和ODI分数的比较,以评估外科手术的结果.
- 相关性和二进制物流回归分析,以评估LDD,端板HU值和其他风险因素之间的关系.
主要成果:
- 在LDD和身体质量指数 (BMI),年龄,副脊柱肌肉缩和总末盘分数 (TEPS) 之间发现了显著的相关性.
- 在所有腰椎盘水平上观察到末端板HU值和LDD之间的强烈,独立的关联.
- 较高的末端板HU,TEPS和BMI,以及较小的近脊肌横截面积 (CSA),是TLIF后LDD发展的显著预测因素.
结论:
- 在患有退行性腰椎狭窄症的患者中,TLIF手术后的Endplate HU值与LDD显著相关.
- 较高的端板HU值可能会使个人倾向于TLIF后的LDD,为其发展提供潜在的机制.
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