迁移的腰椎椎间盘的病理生理学
Akitaka Yoshimura1, Yuichiro Morishita1, Jun Tanaka1
1Department of Orthopedic Surgery, Fukuoka University, Fukuoka, Japan.
Spine surgery and related research
|October 16, 2025
概括
椎间板的腰椎间盘迁移到更大的前额外外腔 (AES) 体积. 较高的AES体积比率预测出面核脉动 (HNP) 迁移,通常与双根症状有关.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 脊柱成像 脊柱成像 脊柱成像
背景情况:
- 脊椎间椎间椎间板的椎间盘可以迁移到前额外外位 (AES).
- 患者年龄和磁盘水平等因素会影响迁移,但AES体积的作用尚不清楚.
- 了解迁移模式对于手术规划和预测结果至关重要.
研究的目的:
- 用计算机断层扫描 (CT) 来测量前额外外腔空间 (AES) 的体积.
- 为了研究AES体积和核脉 (HNP) 的迁移方向之间的关系.
- 为了确定影响HNP迁移的因素在松平面.
主要方法:
- 对42个经过手术治疗的迁移的腰椎间盘的病例 (2014-2023) 的回顾性审查.
- 通过CT成像测量AES体积,计算上/下体积的比率.
- 分析患者的人口统计,磁盘水平,症状,退化和不稳定.
主要成果:
- 14名患者显示出面面HNP迁移;28名患者显示出尾部迁移.
- 罗斯特拉迁移与双根参与以及更高的高级/低级AES体积比率相关.
- 多变量分析确定了AES体积比率作为HNP迁移方向的重要预测指标 (OR:9.551).
结论:
- 核脉 (HNP) 首选迁移到体积较大的前额外外腔空间 (AES).
- 较大的上/下AES体积比率是决定面HNP迁移的关键因素.
- 双根症状的临床表现表明HNP的面向迁移.
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