磁盘的MRI表型与相邻的磁盘退化相关
Uruj Zehra1, Muhammad Saad Ilyas2, Rabia Latif1,3
1Department of Anatomy, University of Health Sciences, Lahore, Pakistan.
概括
在脊柱融合后,相邻的磁盘退化 (ADD) 是常见的. 手术前的ADD与脊椎末板缺陷和严重的椎间盘有关,可能会影响手术结果.
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.
- 退行性磁盘疾病是什么?
背景情况:
- 邻近细分退化 (ASD) 是脊髓融合手术后的常见并发症.
- 手术前的隔离性磁盘退化 (ADD) 是ASD的已知风险因素.
- 了解与ADD相关的风险因素和脊柱表型对于预测外科预后至关重要.
研究的目的:
- 为了比较磁共振成像 (MRI) 脊椎表型的椎间板水平与没有相邻的椎间板退化 (ADD).
- 在腰椎间盘的患者中,确定与ADD相关的特定MRI发现.
主要方法:
- 对155名腰椎间盘的患者进行手术前T2W斜腰腰部MRI扫描的分析.
- 评估ADD (Pfirrmann等级III及以上) 和相关的表型:脊椎末板 (VEP) 缺陷,Modic变化和高强度区域 (HIZ).
主要成果:
- 在57%的患者中存在邻近的磁盘退化 (ADD).
- 脊椎末板 (VEP) 缺陷在ADD (p=0.02) 的水平中明显更常见.
- 患有ADD的患者对VEP缺陷,Modic变化,HIZ和后盘凸起的得分显著更高.
结论:
- 脊椎末板缺陷和严重的椎间盘与手术前邻侧椎间盘退化 (ADD) 的可能性更高.
- ADD可能会影响邻近的脊柱水平,并可能影响脊柱手术后的术后预后.
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