莫迪克变化的患病率和分布以及与腰部疼痛的关联:描述性分析
Mohamed A Shazahan1, Alistair Stirling1, Adrian Gardner1,2
1The Royal Orthopedic Hospital NHS Foundation Trust, Birmingham, UK.
Bone & joint open
|December 7, 2025
概括
腰椎下部的模态变化 (MCs) 是常见的,并且与腰椎下部疼痛 (LBP) 密切相关. 这项研究强调了MC的流行,特别是在女性和不同年龄组,与LBP相关.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 脊柱健康 脊柱健康 脊柱健康
背景情况:
- 模态变化 (MCs) 是腰椎MRI的常见发现.
- 它们与腰部疼痛 (LBP) 的关联已经确立,但详细的分布和人口相关性需要进一步调查.
研究的目的:
- 检查腰椎中Modic变化 (MCs) 的患病率和解剖分布.
- 调查不同年龄和性别类别的MC和腰部疼痛 (LBP) 之间的关联.
主要方法:
- 来自英国骨科中心的腰椎MRI的回顾性横截面分析.
- 考虑到患者的人口统计数据,对Modic变化 (I型和II型) 与LBP存在之间的相关性分析.
- 排除以前经历脊柱手术或形的患者.
主要成果:
- 在下腰部水平 (L4/L5,L5/S1) 观察到的高频率的Modic变化 (MCs),与机械应力相关.
- 在MC和LBP之间发现了显著的相关性 (66%的MC患者患有LBP).
- 与男性 (58%) 相比,女性的LBP与MC的患病率更高 (72%). 在年轻人和老年人中,I型模式变化更频繁地与LBP相关.
结论:
- 节律变化 (MCs) 是腰椎的常见发现,与腰背疼痛 (LBP) 相相关.
- 这项研究提供了与LBP相关的MC的解剖位置,女性占主导地位和年龄分布的具体数据,加强了之前的发现.
更多相关视频
05:10Back Mechanical Sensitivity Assessment in the Rat for Mechanistic Investigation of Chronic Back Pain
Published on: August 30, 2022
3.4K
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
1.1K
相关概念视频
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
![Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F58491.jpg&w=3840&q=50)