在腰椎椎间板的患者中,下腰椎间盘末板的松形态与退行性变化之间的相关性
1Department of Orthopaedics, Shanghai Jiading District Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Journal of craniovertebral junction & spine
|November 1, 2024
概括
腰椎末端板的形状与腰椎椎间板 (LDH) 患者的磁盘退化和Modic变化相关. 凸的末端板表示不太严重的退化,提供临床见解.
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 (LDH) 是一个常见的疾病.
- 腰椎末端板形态与椎间盘退化 (IDD) 之间的关系需要进一步研究.
- 目前对LDH患者的腰部末端板成像的研究是有限的.
研究的目的:
- 用MRI分析LDH患者下腰末端板 (L3-S1) 的形态变化.
- 为了研究腰部末端板的斜形态和IDD的程度之间的相关性.
主要方法:
- 包括116名患有LDH的患者.
- 根据MRI,腰椎末端板被分为,平和不规则的类型.
- 椎间盘退化通过Pfirrmann系统 (I-V) 进行分级.
- 评估了端板的模态变化.
主要成果:
- 形末端板最常见 (53.7%),通常在L3/4和L4/5.5处.
- 不规则的末端板是最不常见的 (15.5%),主要在L5/S1.1.
- 磁盘退化严重程度从形到不规则的末端板增加 (P <0.05).
- 不规则的末端板显示了更高的Modic变化的发病率 (P <0.05).
结论:
- 腰椎末端板的松形态与LDH患者的Modic变化和IDD严重程度有关.
- 形末端板通常与较低程度的腰椎变性相关.
- 这些发现对理解LDH病变产生有重大临床影响.
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