重新考虑和反思脊柱疾病通过研究腰椎椎间盘在患者的腰椎脊髓缩
Haoran Li1, Hengrui Chang2, Kaiyu Liu3
1The Spinal Surgery Department of the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China; Hebei Medical University, Shijiazhuang, Hebei, China.
World neurosurgery
|May 25, 2024
概括
缺口性脊柱松 (IS) 显示的磁盘退化比腰椎椎间板 (LDH) 减少. 它甚至可以保护未受影响的脊椎盘免受退行.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 脊柱外科手术 脊柱外科手术
背景情况:
- 腰椎间盘退化是腰部疼痛的常见原因之一.
- 缺口性脊柱解剖 (IS) 和腰椎间盘 (LDH) 是不同的脊柱病理.
- 了解它们与磁盘退化的关系对于诊断和治疗至关重要.
研究的目的:
- 为了比较IS,LDH患者和健康个体的椎间盘退化程度.
- 调查在未受影响的脊柱段上IS的潜在保护因素.
主要方法:
- 一项涉及138名患者的比较研究.
- 分析了三个组:IS (n=58),LDH (n=50) 和正常的腰椎 (NLV) (n=30).
- 评估包括椎间盘退化比例,Pfirrmann分级和腰椎盘 (L1-L4) 的脊椎间高度指数 (IHI).
主要成果:
- 与IS和NLV组相比,LDH组的磁盘退化明显高于IS和NLV组 (65.3%对33.3%对25.8%,P<0.05).
- 在LDH组,Pfirrmann等级更高,IHI在IS和NLV组相比较低 (P <0.05).
- 在IS组的磁盘退化与NLV组相似.
结论:
- 与LDH患者相比,IS患者的椎间盘变性较少.
- IS可能具有可以减缓脊椎磁盘未受影响段的退化因素.
- 这些发现表明,与LDH相比,IS的退行性途径不同.
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