ACDF 术后,Modic 变异 2 型与非融合节段的终板缺损密切相关。

IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
World neurosurgery Pub Date : 2025-01-01 Epub Date: 2024-11-14 DOI:10.1016/j.wneu.2024.10.079
Olga Leonova, Evgeniy Baykov, Aleksandr Krutko
{"title":"ACDF 术后,Modic 变异 2 型与非融合节段的终板缺损密切相关。","authors":"Olga Leonova, Evgeniy Baykov, Aleksandr Krutko","doi":"10.1016/j.wneu.2024.10.079","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>To determine the association between Modic changes (MCs) with other magnetic resonance imaging parameters and clinical symptoms of cervical degenerative disc disease.</p><p><strong>Methods: </strong>A retrospective analysis of data on patients with cervical degenerative disc disease who underwent single-level anterior cervical discectomy and fusion. Preoperative demographic data (age, sex, surgical data) were collected, cervical magnetic resonance imaging parameters (disc degeneration grade, MCs, and endplate defects, each determined at each cervical level), and clinical data (numerical pain rating scale [NPRS] neck and arm, the Neck Disability Index) were compared to preoperative data.</p><p><strong>Results: </strong>The study included 121 patients at Visit 1 and 83 patients at Visit 2. The median follow-up duration was 26.5 [18.9; 33.1] months. Patients with MC had more intense NPRS-based neck pain before surgery compared to patients without MC (P = 0.001). There were significant changes in MC rate at the C5-C6 levels due to a significant number of new MC type 1 and MC type 2 (P = 0.002 and P < 0.001, respectively). MC type 2 was associated with disc degeneration, endplate defects, patients' age, and clinical scales (Neck Disability Index, NPRS) (P < 0.05). The endplate defects score threshold for predicting MC type 2 at the C3-C7 cervical levels was 5.</p><p><strong>Conclusions: </strong>The factor predicting MC type 2 at the C3-C7 cervical levels is submaximal damage to the endplate. The MC rate is increased due to MC type 1 and MC type 2. MC types at the cervical levels may not represent consecutive stages of the same process.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"825-832"},"PeriodicalIF":1.9000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Strong Association Between Modic Changes Type 2 and Endplate Defects at Nonfused Segments After Anterior Cervical Decompression and Fusion.\",\"authors\":\"Olga Leonova, Evgeniy Baykov, Aleksandr Krutko\",\"doi\":\"10.1016/j.wneu.2024.10.079\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>To determine the association between Modic changes (MCs) with other magnetic resonance imaging parameters and clinical symptoms of cervical degenerative disc disease.</p><p><strong>Methods: </strong>A retrospective analysis of data on patients with cervical degenerative disc disease who underwent single-level anterior cervical discectomy and fusion. Preoperative demographic data (age, sex, surgical data) were collected, cervical magnetic resonance imaging parameters (disc degeneration grade, MCs, and endplate defects, each determined at each cervical level), and clinical data (numerical pain rating scale [NPRS] neck and arm, the Neck Disability Index) were compared to preoperative data.</p><p><strong>Results: </strong>The study included 121 patients at Visit 1 and 83 patients at Visit 2. The median follow-up duration was 26.5 [18.9; 33.1] months. Patients with MC had more intense NPRS-based neck pain before surgery compared to patients without MC (P = 0.001). There were significant changes in MC rate at the C5-C6 levels due to a significant number of new MC type 1 and MC type 2 (P = 0.002 and P < 0.001, respectively). MC type 2 was associated with disc degeneration, endplate defects, patients' age, and clinical scales (Neck Disability Index, NPRS) (P < 0.05). The endplate defects score threshold for predicting MC type 2 at the C3-C7 cervical levels was 5.</p><p><strong>Conclusions: </strong>The factor predicting MC type 2 at the C3-C7 cervical levels is submaximal damage to the endplate. The MC rate is increased due to MC type 1 and MC type 2. MC types at the cervical levels may not represent consecutive stages of the same process.</p>\",\"PeriodicalId\":23906,\"journal\":{\"name\":\"World neurosurgery\",\"volume\":\" \",\"pages\":\"825-832\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World neurosurgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.wneu.2024.10.079\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.wneu.2024.10.079","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

摘要

目的:确定颈椎间盘退行性病变(DDD)的莫迪克变化(MC)与其他 MRI 参数和临床症状之间的关联:对接受单层颈椎椎间盘前路切除术和融合术的颈椎退行性病变患者的数据进行回顾性分析。收集术前人口统计学数据(年龄、性别、手术数据)、颈椎磁共振成像参数(椎间盘退变等级、MC和终板缺损,分别在每个颈椎水平测定)以及临床数据(颈部和手臂疼痛评分量表(NPRS)、颈部残疾指数(NDI))与术前数据进行比较:研究结果:121名患者接受了访视1,83名患者接受了访视2。中位随访时间为 26.5 [18.9; 33.1] 个月。与无 MC 的患者相比,有 MC 的患者术前的 NPRS 颈部疼痛更剧烈(P=0.001)。C5-C6水平的MC率有明显变化,原因是新增了大量1型MC和2型MC(P=0.002和P结论:预测颈椎C3-C7水平MC 2型的因素是终板的亚极度损伤。MC1型和MC2型会增加MC率。颈椎水平的 MC 类型可能并不代表同一过程的连续阶段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Strong Association Between Modic Changes Type 2 and Endplate Defects at Nonfused Segments After Anterior Cervical Decompression and Fusion.

Background: To determine the association between Modic changes (MCs) with other magnetic resonance imaging parameters and clinical symptoms of cervical degenerative disc disease.

Methods: A retrospective analysis of data on patients with cervical degenerative disc disease who underwent single-level anterior cervical discectomy and fusion. Preoperative demographic data (age, sex, surgical data) were collected, cervical magnetic resonance imaging parameters (disc degeneration grade, MCs, and endplate defects, each determined at each cervical level), and clinical data (numerical pain rating scale [NPRS] neck and arm, the Neck Disability Index) were compared to preoperative data.

Results: The study included 121 patients at Visit 1 and 83 patients at Visit 2. The median follow-up duration was 26.5 [18.9; 33.1] months. Patients with MC had more intense NPRS-based neck pain before surgery compared to patients without MC (P = 0.001). There were significant changes in MC rate at the C5-C6 levels due to a significant number of new MC type 1 and MC type 2 (P = 0.002 and P < 0.001, respectively). MC type 2 was associated with disc degeneration, endplate defects, patients' age, and clinical scales (Neck Disability Index, NPRS) (P < 0.05). The endplate defects score threshold for predicting MC type 2 at the C3-C7 cervical levels was 5.

Conclusions: The factor predicting MC type 2 at the C3-C7 cervical levels is submaximal damage to the endplate. The MC rate is increased due to MC type 1 and MC type 2. MC types at the cervical levels may not represent consecutive stages of the same process.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
World neurosurgery
World neurosurgery CLINICAL NEUROLOGY-SURGERY
CiteScore
3.90
自引率
15.00%
发文量
1765
审稿时长
47 days
期刊介绍: World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信