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儿科腰椎MRI:结构成像发现和与椎间盘相关的解剖变异

Şükriye Yılmaz¹, Hasan Bulut², Muhammed Erkan Emrahoğlu³

¹Department of Pediatric Radiology, Ankara Etlik City Hospital, Ankara, Turkey. dryavuzer@gmail.com.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|December 22, 2025

概括

儿科腰部MRI对于识别患有腰部疼痛的儿童的结构性问题至关重要. 腰椎间盘与诸如腰 sacral 过渡脊椎等解剖学变异有关.

科学领域:

儿科放射学儿科放射学
脊柱成像 - 脊柱成像 - 脊柱成像
肌肉骨MRI的使用情况.

背景情况:

儿童腰部疼痛评估需要了解常见的MRI发现.
儿童的腰椎间盘 (LDH) 需要评估相关的结构因素.

研究的目的:

评估临床指示,成像发现和结构因素在儿科腰部MRI上.
专注于儿童的非创伤性腰部疼痛和腰椎间盘 (LDH).

主要方法:

对1,253个儿科腰部MRI检查 (年龄在0-18岁) 的回顾性审查.
对非创伤性腰部疼痛的成像检测结果的系统分析.
在LDH患者中重新评估腰部神经过渡脊椎 (LSTV),脊髓解剖和脊髓解剖,使用Castellvi对LSTV的分类.

主要成果:

腰部疼痛是主要的症状 (51.9%).
大多数检查 (62.3%) 是正常的;常见的异常包括椎间盘突起 (15.1%),退行性变化 (8.9%),脊髓溶解 (5.5%),脊髓溶解 (2.8%).
主要发生在L5-S1的LDH;LSTVs在8%的LDH患者中存在,较高的卡斯特尔维度与LDH有显著的关联 (p<0.001).

结论:

儿科腰部MRI对于检测结构异常至关重要,尽管大多数腰部疼痛检查正常.
在老年青少年中,LDH更为普遍,并且与LSTV和 lumbarization有关.
识别这些解剖学变异是准确诊断和治疗儿科腰部疼痛的关键.

关键词:

腰部疼痛腰部疼痛腰部疼痛腰椎间盘的发生腰部神经过渡性脊椎腰部神经过渡性脊椎儿科腰部核磁共振成像

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