The effect of lumbosacral transitional vertebra on lumbar spine degeneration and spondylolisthesis among patients with low back pain

医学 腰骶关节 脊椎滑脱 腰痛 Modic变化 变性(医学) 椎间盘 椎骨 腰椎 磁共振成像 坐骨神经痛 腰椎 椎间盘突出 解剖 外科 放射科 病理 替代医学
作者
İlke Coşkun Benlidayı,Emre Tirasci
出处
期刊:Pain Practice [Wiley]
卷期号:24 (1): 52-61 被引量:3
标识
DOI:10.1111/papr.13280
摘要

Abstract Aim To examine the impact of lumbosacral transitional vertebra (LSTV) on lumbar spine degeneration, disc protrusion, and spondylolisthesis among patients with low back pain. Methods The records of the patients who had undergone anterioposterior lumbar radiographs and lumbar magnetic resonance imaging (MRI) for low back pain between November 2014 and September 2021 were extracted retrospectively and assessed for eligibility. Of the remaining patients, those with LSTV were assigned as “case group.” Age‐ and sex‐matched patients without LSTV were assigned as “control group.” On digitalized lumbar MRIs, Modic degeneration (type I–III) and Pfirrman's disc degeneration (grade I–V) immediately cephalad to the transitional level were evaluated; intervertebral disc height (mm), disc protrusion (mm), and percentage of vertebral slippage (%) were measured. Results Of the 501 patients with low back pain, 128 ineligible patients were excluded; 113 patients with LSTV and 117 age‐ and sex‐matched controls were included in the study. LSTV group revealed decreased intervertebral disc height, increased vertebral endplate degeneration, and slippage, as well as increased disc degeneration and protrusion when compared with controls ( p < 0.001). Patients with type III LSTV had greater disc protrusion and higher percentage of slippage compared to those with type I LSTV ( p = 0.008 and p = 0.009, respectively). Vertebral endplate degeneration, disc height, and disc degeneration did not differ across categories of LSTV type. Conclusion Lumbosacral transitional vertebra malformation is related to decreased intervertebral disc height, increased disc degeneration, vertebral endplate degeneration, disc protrusion, and slippage above the level of transition. Patients with type III LSTV revealed the highest percentage of slippage and disc protrusion.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
高分子完成签到,获得积分10
刚刚
yian发布了新的文献求助10
1秒前
yar应助体贴凌柏采纳,获得10
2秒前
自由的雪一完成签到,获得积分10
2秒前
Ava应助李振博采纳,获得200
2秒前
JW发布了新的文献求助10
3秒前
无限的千凝完成签到 ,获得积分10
4秒前
CipherSage应助YeeYee采纳,获得10
4秒前
4秒前
Ander完成签到 ,获得积分10
5秒前
化白完成签到,获得积分10
6秒前
H.完成签到,获得积分10
6秒前
chuzihang完成签到 ,获得积分10
6秒前
科研小狗完成签到,获得积分10
12秒前
11完成签到,获得积分10
13秒前
柏林寒冬应助QAQ采纳,获得10
15秒前
Flynn完成签到 ,获得积分10
17秒前
18秒前
18秒前
BZPL完成签到,获得积分10
19秒前
LANER完成签到 ,获得积分10
19秒前
19秒前
ww完成签到 ,获得积分10
19秒前
拉布拉多多不多完成签到,获得积分10
20秒前
多肉丸子完成签到,获得积分10
21秒前
yian完成签到,获得积分10
21秒前
HJJHJH发布了新的文献求助30
22秒前
正直无极完成签到,获得积分10
22秒前
认真的一刀完成签到,获得积分10
22秒前
杨天天完成签到,获得积分0
22秒前
yukiseto发布了新的文献求助30
23秒前
小熊爱吃糖完成签到,获得积分10
24秒前
李振博发布了新的文献求助200
25秒前
realityjunky完成签到,获得积分10
25秒前
peekaboo完成签到,获得积分10
25秒前
高贵的迎蕾完成签到 ,获得积分10
27秒前
wqc2060完成签到,获得积分10
27秒前
曾经小伙完成签到 ,获得积分10
27秒前
赘婿应助realityjunky采纳,获得10
30秒前
温柔的蛋挞完成签到,获得积分10
30秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038303
求助须知:如何正确求助?哪些是违规求助? 3576013
关于积分的说明 11374210
捐赠科研通 3305780
什么是DOI,文献DOI怎么找? 1819322
邀请新用户注册赠送积分活动 892672
科研通“疑难数据库(出版商)”最低求助积分说明 815029