在Scheuermann病中发生胸腔椎间盘:老年和青少年患者的不同临床特征
Zixuan Xu1,2, Siyu Zhou1,2, Yuanyu Hu1,2
1Department of Orthopedics, Peking University Third Hospital, No 49. North Garden Street, Hai Dian District, Beijing, 100191, China.
BMC musculoskeletal disorders
|November 25, 2025
概括
患有谢尔曼病和胸腔椎间盘 (TLDH) 的老年患者表现较差,症状持续时间较长. 与年龄相关的退化和带骨化有助于老年人TLDH的严重程度.
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
- 老年医学 老年医学
背景情况:
- 舒尔曼病通常是青少年的疾病.
- 在老年人中,Scheuermann病中的胸腔椎间盘 (TLDH) 是不常见的.
研究的目的:
- 研究Scheuermann病中TLDH的致病机制.
- 比较老年人和青少年患者之间的临床特征.
主要方法:
- 对48名经过手术治疗的舍尔曼病患者 (24名老年人,24名青少年) 的回顾性分析.
- 收集的数据包括医疗记录和成像参数.
- 患者被分为老年人 (≥65岁) 和青少年 (≤20岁) 组.
主要成果:
- 老年患者的手术前修改日本整形医学协会 (mJOA) 评分较低,症状持续时间更长.
- 在老年人中,糖尿病发病率更高,磁盘变性更严重,磁盘真空现象更严重.
- 老年人群显示了较少的施莫尔节点,但更多的局部骨化/带的过度缩小.
结论:
- 在老年谢尔曼病患者中,晚期发病的TLDH是由遗传因素和与年龄相关的退化造成的.
- 老年患者常见的带骨化/缩是常见的,可能会加重症状.
相关概念视频
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
251
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
251
01:16Vertebral Column: Regions and Curvature
5.9K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
5.9K