内静脉真空现象与人口老龄化中的腰椎退化模式相匹配
Derek T Cawley1, Andrew Simpkin2, Elizabeth Abrahim2
1University of Galway, Galway, Republic of Ireland. derekcawley@hotmail.com.
概括
椎间盘内真空现象 (IDVP) 影响了超过一半的老年人,随着年龄的增长和严重程度向脊椎下部增加. 下骨盆发病率和退行性疾病与较高的IDVP发病率有关.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 老年学是一门学科.
背景情况:
- 椎间盘内真空现象 (IDVP) 是一种已知的,但对退行性椎间盘疾病的发现知之甚少.
- 它在脊柱对齐和与腰形态的关联中的作用需要进一步研究.
研究的目的:
- 用CT扫描来确定老龄化人口中IDVP的患病率和模式.
- 为了确定IDVP,腰骨盆形态 (骨盆发病率) 和退行性脊柱病理之间的关联.
主要方法:
- 分析了2020年60岁以上没有急性脊柱问题的人的腹部CT扫描.
- 斜腰腰骨重建用于评估IDVP和测量骨盆发病率 (PI).
- 具有先前存在的退行性病理的受试者被单独分析.
主要成果:
- 腰椎IDVP患病率为50.3%,随年龄和严重程度而增加,L5S1受影响最多 (46.3%).
- 下骨盆发病率与较高的IDVP发病率显著相关,特别是在L5S1 (p < 0.01).
- IDVP经常与退行性病理,如脊髓疏松,骨折和过渡性脊椎 (p <0.05) 一起发生.
结论:
- 这项研究量化了老龄化队列中的IDVP患病率和严重程度.
- 盆腔发病率和退行性状况是影响IDVP模式的显著形因素,为衰老的脊柱功能提供了新的见解.
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