经历过一次性腰部疼痛的病史是莫迪克变化的指标吗?
Josh Levin1,2, Derek Schirmer1, Roxana Garcia1
1Department of Orthopaedic Surgery, Stanford University, 450 Broadway St., Pavilion C, 4 Floor, MC 6342, Redwood City, CA, 94063, USA.
Interventional pain medicine
|September 6, 2024
概括
经历过一次性腰部疼痛的病史并不能强烈表明脊椎性疼痛. 这项研究发现,在MRI上预测Modic变化的季节性疼痛的敏感度低 (20%),这表明它不是一个可靠的标志物.
科学领域:
- 脊柱医学是一种脊柱医学.
- 放射学 放射学是一门学科.
- 疼痛管理 疼痛管理
背景情况:
- 插曲性腰部疼痛与迪斯科性疼痛有关.
- 脊椎性疼痛正在引起人们的注意,但其临床特征仍然不清楚.
研究的目的:
- 为了研究严重的插曲性腰部疼痛与腰椎MRI上的Modic末板变化之间的相关性.
- 评估Modic变化是否可以作为脊椎性疼痛的标志物.
主要方法:
- 对111名接受腰椎MRI的患者进行了回顾性观察性研究.
- 查看图表,将腰部疼痛分类为偶发性或非偶发性.
- 对1型或2型Modic变化的MRI分析.
主要成果:
- 在111名患者中,有71名患者表现出Modic变化.
- 对于检测Modic变化的插曲性疼痛的灵敏度为20%,特异性为70%.
- 对疼痛分类和Modic变化的评分间可靠性很强 (分别是kappa = 0.83和0.81).
结论:
- 经历过一次性腰部疼痛的病史不是脊椎性疼痛病因的可靠指标.
- 低灵敏度表明,偶发性疼痛是Modic变化的不良预测因素.
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