副脊柱肌肉形态,脊椎骨参数和背痛之间的相关性:一个比较队列研究
Enrico Giordan1, Giacomo Drago2, Roberto Zanata3
1Neurosurgical Department, Aulss2 Marca Trevigiana, Treviso, Italy enrico.giordan@aulss2.veneto.it.
International journal of spine surgery
|October 6, 2023
概括
副脊柱肌肉中的脂肪透 (FI) 与腰部疼痛和残疾有很强的相关性. 然而,这种退化与脊柱结构或退化变化无关,为康复提供了洞察力.
科学领域:
- 脊柱成像和生物力学
- 肌肉骨健康和疼痛研究研究
背景情况:
- 副脊髓肌肉退化与腰部疼痛 (LBP) 之间的联系仍在争论中.
- 研究已经探索了与LBP相关的副脊柱肌肉的脂肪透 (FI) 和横截面积 (CSA).
研究的目的:
- 为了研究副脊髓肌质 (FI) 和数量 (CSA) 与慢性LBP之间的关联.
- 为了确定肌肉变化是否与退行性或脊椎骨盆脊柱变化相关.
主要方法:
- 预计将招募205名患者 (153人患有慢性腰痛,52人没有),年龄在18-65岁之间.
- 收集临床人口统计,结构和脊椎骨盆数据.
- 用多变量模型对近脊肌FI和CSA (T12-S1) 与患者数据的相关性分析.
主要成果:
- 年龄与近肌CSA降低相关,但FI没有增加.
- 调整后的分析显示,FI与背部疼痛 (OR 8.80) 和高残疾 (OR 3.41) 的风险增加有关.
- 降低的CSA与减少的圆盘高度有关;FI和CSA都与异常的脊皮膜参数无关.
结论:
- 副脊椎肌肉脂肪透是背痛和残疾的重要相关因子.
- 没有发现FI或CSA与结构性/退行性脊柱变化之间的关联.
- 这些发现在临床上与患者咨询和指导康复策略有关.
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