在印度人群中对症状的上腰椎间盘的前性临床和放射学研究
Shiv Kumar Bali1, Sandesh Subhash Agrawal2,3,4,5, Bharat R Dave4
1Orthopedics, Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, IND.
Cureus
|February 27, 2026
概括
上腰椎间盘痕显示出基于椎间盘水平 (L1-L2,L2-L3,L3-L4) 的明显模式. 较年轻的患者会出现L1-L2,而L2-L3和L3-L4会出现更严重的神经症状.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
背景情况:
- 腰椎上部的解剖学使其倾向于进行神经压缩.
- 上腰椎间盘可以引起各种症状,使诊断和手术决策复杂化.
研究的目的:
- 评估椎盘上部水平 (L1-L2,L2-L3,L3-L4) 和神经/功能表现之间的关联.
- 将这些发现与放射性特征和人口统计相关联.
主要方法:
- 在一年内对50名患者进行前性观察性研究.
- 临床评估包括病史,体检,VAS,ODI,疼痛映射和放射性评估.
主要成果:
- L1-L2发生在较年轻的患者 (平均年龄42.13) 中,大多数是MSU型1B.
- L2-L3和L3-L4与老年患者 (平均年龄54.45岁),更大的体型 (MSU类型2B/3B) 和更频繁的神经缺陷有关.
- 神经症状,如步行失衡,运动软弱和肠/膀问题在L2-L3和L3-L4中更为常见.
结论:
- 上腰椎间盘瘤表现出特定水平的人口统计学和临床放射学模式.
- 在患者年龄,型和神经表现方面,L1-L2与L2-L3/L3-L4有所不同.
- 识别这些依赖水平的模式对于准确的诊断和手术规划至关重要.
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