腰痛患者关节突向性与腰椎间盘突出的关系

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
S. arzpeyma, Parisa Hajir, Pooya Bahari Khorram
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引用次数: 1

摘要

椎间盘突出症是一种腰椎退行性疾病,是骨骼系统的常见病理。目前,大多数专家认为关节突向性可能影响腰椎退行性疾病。然而,关于小关节突向性和腰椎间盘突出之间关系的报道是不一致的。目的:比较关节突向斜与腰椎间盘突出症的关系。材料与方法:本横断面研究纳入2017-2018年在Poursina医院放射科就诊的腰痛患者,腰椎间盘突出仅发生在一个椎间节段(L3-L4、L4-L5或L5-S1)。采用渐进式抽样,将患者分为病例组和对照组。对所有患者进行腰椎MRI检查,结果仅由一名专业放射科医生研究。用检查表收集研究变量,并使用SPSS软件(版本21)进行分析。定量变量比较采用t检验,定性(分类)变量比较采用列联表、卡方检验和/或费雪提取。P < 0.05为差异有统计学意义。结果:我们比较了76例腰椎间盘突出患者的关节突向性表现。对L4-L5椎间盘突向性的调查显示,L4-L5椎间盘突出患者的突向性发生率为37% (n = 10),对照组为10.2%;卡方检验差异有统计学意义(P = 0.005)。在L3-L4水平,病例组和对照组的小关节突向性发生率分别为43.8% (n = 7)和18.3%。根据Fisher精确检验,这25%的差异具有统计学意义(P = 0.041)。L5-S1椎间盘的检查结果无显著相关性。讨论:鉴于先前关于小关节突向性与腰椎间盘突出症之间关系的研究结果不一致,本研究证实了这种关系的存在。这一发现可以帮助专家通过支持和预防措施在一定程度上预防椎间盘突出。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The relationship between facet tropism and lumbar disc herniation in patients with low back pain
Introduction: Intervertebral disc herniation is a degenerative lumbar disease and a common pathology of skeletal system. Currently, most experts assume that facet tropism may affect lumbar degenerative diseases. However, the reports on relationship between facet tropism and lumbar disc herniation are inconsistent. Objective: To compare the relationship between facet tropism and lumbar disc herniation. Materials and Methods: In this cross-sectional study, patients with low back pain referring to Radiology Department of Poursina Hospital in 2017–2018 with lumbar disc herniation in only one intervertebral level (L3–L4, L4–L5 or L5–S1) were included. Using gradual sampling, patients were categorized into two case and control groups. Lumbar MRI was performed on all patients and the results were studied by only one professional radiologist. Studied variables were collected with a checklist and analyzed using SPSS software (version 21). Quantitative variables were compared using T-test and qualitative (categorical) variables were compared using Contingency Tables and Chi-Square test and/or Fisher’s Extract. P < 0.05 was identified statistically significant. Findings: Seventy-six patients with lumbar disc herniation were compared in terms of facet tropism presence. Investigating facet tropism in L4–L5 disc showed that percentage of facet tropism incidence in this level was 37% for patients with herniation (n = 10), while it was 10.2% in control group; the difference was statistically significant according to Chi-square test (P = 0.005). In L3-L4 level, percentage of facet tropism incidence in case and control groups were 43.8% (n = 7) and 18.3%, respectively. This 25% difference was statistically significant based on Fisher’s Exact test (P = 0.041). Findings for L5-S1 disc showed no significant relationship. Discussion: Given the inconsistent findings in previous studies on the relationship between facet tropism and lumbar disc herniation, the current study demonstrated the presence of this relationship. This findings can help experts prevent disc herniation to some extents through supportive and preventive measures.
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来源期刊
AIMS Medical Science
AIMS Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
14.30%
发文量
20
审稿时长
12 weeks
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