在患有椎退行性磁盘疾病的患者中,模态变化和磁盘-末盘-骨髓复杂分类的关联
T Jagadish1, Chandhan Murugan1, Karthik Ramachandran1
1Department of Spine Surgery, Ganga Hospital, Coimbatore, India.
Global spine journal
|February 15, 2025
概括
部脊柱退行性变化,包括Modic变化和DEBC分类,在部疼痛患者中更为普遍. 与DEBC变化的椎间盘的存在显著增加了部疼痛和需要手术的可能性.
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:
- 宫性退行性磁盘疾病是部疼痛的常见原因之一.
- 模态变化 (MC) 和退行性终端板变化 (DEBC) 的分类用于评估磁盘退化.
- 与部疼痛和手术结果有关的DEBC的临床意义需要进一步调查.
研究的目的:
- 评估宫性退行性磁盘疾病患者的Modic变化和DEBC分类之间的关联.
- 为了比较MC和DEBC在部疼痛患者和对照组之间的患病率.
- 确定DEBC与椎间盘的相关性以及需要手术的必要性.
主要方法:
- 观察性队列研究比较部疼痛患者 (n=301) 与多创伤对照 (n=200).
- 宫脊椎的MRI评估用于Modic变化 (MC) 和DEBC分类.
- 末端板 (EP) 侵蚀和 (H+) 存在的文档.
主要成果:
- 部疼痛组中MC和DEBC的发病率较高 (20.93%) 与对照组 (12%) 相比 (P <0.05).
- 在这两组中,DEBC类型C最为普遍 (71.6%的部疼痛与54.41%的对照).
- (H+) 与DEBC同时发生的发生率在部疼痛患者 (13.95%与5.5%,P<0.005) 中显著较高,当H+和DEBC同时发生时,手术的几率比率为6.8.
结论:
- DEBC分类是评估椎退行性脊柱疾病的可靠和临床重要工具.
- 患有DEBC变化和椎间盘的患者更容易出现部疼痛和手术干预.
- 这些发现支持DEBC在预测临床结果和指导宫性退行性磁盘疾病治疗决策方面的实用性.
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