在有症状的成年退行性脊椎病中,凸面和面之间的不对称退行性变化
Jun-Ho Lee1, Sung Hyun Lee1, Eun Ah Cho1
1Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Republic of Korea.
Journal of clinical medicine
|October 16, 2025
概括
成人退行性脊椎病 (ADS) 显示出明显的肌肉损失和空侧的脂肪透. 针对凸侧侧的向物理治疗可能会改善ADS患者的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
背景情况:
- 成人退行性脊柱脊柱病 (ADS) 涉及不对称的脊柱退化.
- 之前的研究指出肌肉不对称,但机制尚不清楚.
研究的目的:
- 在有症状的ADS患者中,比较肌肉体积 (MV),脂肪透 (FI) 和 (CC) 和凸 (CV) 侧的脊柱退化.
主要方法:
- 74名ADS患者 (2022-2024) 的回顾性研究.
- 截脊肌 (PSM) 的MV和FI的CT扫描.
- 面部关节退化 (FJD),磁盘退化 (DD) 和前狭窄 (FS) 的MRI.
主要成果:
- 与CV侧相比,在CC侧的所有PSM中较低的MV.
- 在直立脊柱 (ES) 和CC侧的多 (MF) 中,FI更高.
- 在CC侧更严重的DD和FS;FJD的严重程度相似.
结论:
- 在ADS中,脊髓肌肉和结构性退化分布不均,有利于CC侧.
- 针对CC侧的向物理治疗可能会提高ADS治疗的疗效.
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