在单侧椎间盘中,多体脂肪透与腰部面部退行之间存在关联:一项回顾性研究
Hui Jin1, Huaiyu Ma1, Haoran Xu1
1Department of Orthopedics, The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, 410005, Hunan Province, China.
Journal of orthopaedic surgery and research
|February 26, 2026
概括
在腰椎间盘 (LDH) 患者中,高多体脂肪透 (FI) 度与增加的双侧面面关节退行相关. 这种关联在L4/5脊柱段最明显.
科学领域:
- 脊柱成像和退行症的研究
- 腰椎间盘 (LDH) 发生
- 面向关节病理学 面向关节病理学
背景情况:
- 单侧腰椎间盘 (LDH) 可以导致脊柱结构的次要变化.
- 多筋肌肉在脊柱稳定中起着至关重要的作用.
- 多筋肌肉的脂肪透 (FI) 可能表明慢性变皮或变性.
研究的目的:
- 调查多体脂肪透 (FI) 度与双侧面面关节退化和形态学之间的关联.
- 在患有单边LDH的患者中,单独分析L4/5和L5/S1脊柱段的这些关联.
主要方法:
- 对172名单边LDH患者的回顾性分析.
- 使用MRI和CT.评估多体截面面积 (CSA) 和FI等级 (I-IV).
- 对面联合结果的评估,包括Pathria等级,CSA,不对称比率 (FAR) 和角度 (FJO,FJT).
- 使用GLM-ANCOVA和顺序逻辑回归进行统计分析,根据年龄和BMI进行调整.
主要成果:
- 较高的多体FI等级与同一脊柱段的ipsilateral面变性增加有显著的关联.
- 观察到面部变性明显线性增加,在L4/5.5时增加FI等级.
- 独立地预测FI等级在L4/5 (OR=1.42) 和L5/S1 (OR=1.26) 两种情况下都会有更高的Pathria等级.
- 多形CSA和面角没有显示与FI等级的显著独立关联.
结论:
- 在患有单侧腰椎间盘 (LDH) 的患者中,增加的多面体脂肪透 (FI) 与更严重的双侧面面关节退行有关.
- 这种关系在L4/5脊柱水平上尤其明显.
- 多体FI作为一个潜在的成像生物标志物用于LDH相关的面部关节病理.
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