医学
变性(医学)
腰痛
磁共振成像
腰椎
背痛
椎间盘
椎间盘突出
坐骨神经痛
外科
解剖
放射科
病理
替代医学
作者
Katariina Luoma,Hilkka Riihimäki,Ritva Luukkonen,Raili Raininko,Eira Viikari‐Juntura,Antti Lamminen
出处
期刊:Spine
[Ovid Technologies (Wolters Kluwer)]
日期:2000-02-01
卷期号:25 (4): 487-492
被引量:979
标识
DOI:10.1097/00007632-200002150-00016
摘要
Cross-sectional magnetic resonance imaging (MRI) study.To study the relation of low back pain (LBP) to disc degeneration in the lumbar spine.Controversy still prevails about the relationship between disc degeneration and LBP. Classification of disc degeneration and symptoms varies, hampering comparison of study results.Subjects comprised 164 men aged 40-45 years-53 machine drivers, 51 construction carpenters, and 60 office workers. The data of different types of LBP, individual characteristics, and lifestyle factors were obtained from a questionnaire and a structured interview. Degeneration of discs L2/L3-L5/S1 (dark nucleus pulposus and posterior and anterior bulge) was assessed with MRI.An increased risk of LBP (including all types) was found in relation to all signs of disc degeneration. An increased risk of sciatic pain was found in relation to posterior bulges, but local LBP was not related to disc degeneration. The risks of LBP and sciatic pain were strongly affected by occupation.Low back pain is associated with signs of disc degeneration and sciatic pain with posterior disc bulges. Low back pain is strongly associated with occupation.
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