L4/5 椎间盘:不异常伴随着L5/S1低度脊髓溶解性脊髓溶解
Haicheng Zhou1, Qingshuang Zhou2, Bin Wang1
1Division of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Orthopaedic surgery
|January 12, 2024
概括
在L5的缺口性脊柱松 (IS) 可以发生在L4/5的椎间盘. 先进的L4/5盘退化,减少盘高度和较低的L5滑动百分比与这种情况有关.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 缺口性脊髓缩 (IS) 涉及到关节间部分 (pars interarticularis) 的缺陷.
- L5 IS是常见的,但L5 IS与同时发生的L4/5椎间盘的研究较少.
- 在L5 IS患者中了解L4/5盘的风险因素至关重要.
研究的目的:
- 为了确定L4/5盘发生率在L5低度IS患者中.
- 在这个患者群体中确定与L4/5盘相关的潜在风险因素.
主要方法:
- 对268名L5/S1低度IS患者的回顾性分析.
- 在具有和没有L4/5椎间板的群体之间比较放射性参数 (主剂量,端板比率,磁盘等级,Roussouly分类).
- 统计分析包括t测试,奇平方测试和后勤回归.
主要成果:
- 14.9%的患者患有L4/5盘.
- 在Roussouly分类和磁盘退化 (Pfirrmann等级) 中观察到显著差异.
- 较高的L4/5盘Pfirrmann等级,较低的L4/5盘高度和较低的L5滑动百分比与L4/5盘有关.
结论:
- L4/5椎间盘经常伴随着L5/S1低度IS.
- 先进的L4/5盘退化,减少L4/5盘高度和较低的L5滑动百分比是显著的风险因素.
相关概念视频
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...


