青年人腰痛腰椎间盘退变的3T磁共振成像模式。

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2025-04-01 DOI:10.47391/JPMA.20613

Ramsha Saleem, Sara Khan, Atiq Ur Rehman Slehria, Hafsa Aquil, Aliya Halim

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引用次数: 0

摘要

目的：确定年轻成年腰痛患者腰椎间盘退变的频率和模式。方法：描述性横断面研究于2023年8月16日至2024年2月15日在巴基斯坦拉瓦尔品第的武装部队放射学和成像研究所进行，包括年龄在18-35岁之间的腰痛患者。采用3.0T核磁共振成像仪对受试者进行检查。注意腰椎间盘退变并评估其模式。采用Pfirmann分级法对腰椎间盘退变进行分级。数据采用SPSS 25进行分析。结果：146例患者平均年龄25.6±2.98岁，男性103例（70.5%），女性43例（29.5%）。85例（58.2%）患者出现腰椎间盘退变，45例（30.8%）患者出现多节段累及。最常见的受累是l3 - l412(8.2%)，其次是l4 - l511（7.5%）。最常见的腰椎间盘退变级别为III级39(26.7%)，其次是IV级25（17.1%）。结论：在一半以上的年轻腰痛患者中，腰椎间盘退变是由于单个或多个椎体受累而出现的。

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Pattern of lumbar disc degeneration in young adults with low back pain on 3T magnetic resonance imaging machine.

Objective: To determine the frequency and patterns of lumbar disc degeneration in young adults with low back pain.

Methods: The descriptive, cross-sectional study was conducted at the Armed Forces Institute of Radiology and Imaging, Rawalpindi, Pakistan, from August 16, 2023, to February 15, 2024, and comprised patients of either gender aged 18-35 years who presented with low back pain. The participants were subjected to examination using 3.0T magnetic resonance imaging machine. Lumbar disc degeneration was noted and its patterns were assessed. Lumbar disc degeneration was graded using Pfirmann grading. Data was analysed using SPSS 25.

Results: Of the 146 patients with mean age 25.6±2.98 years, 103(70.5%) were males and 43(29.5%) were females. Lumbar disc degeneration was present in 85(58.2%) patients, and multilevel involvement was seen in 45(30.8%). The most common involvement was of L3-L4 12(8.2%), followed by L4-L5 11(7.5%). The most common lumbar disc degeneration grade was grade III 39(26.7%), followed by grade IV 25(17.1%).

Conclusions: In more than half of the young adults with low back pain, lumbar disc degeneration was present because of either single or multiple level of vertebrae involvement.

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来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.