Abstract：
OBJECTIVE: To propose a new lumbar degenerative staging system using the current radiological classification system.
METHODS: A cross-sectional analysis of retrospective databases between January 2018 and December 2022 was performed. Total of 410 patients for Modic changes, paravertebral muscle fat infiltration, disc degeneration, articular process degeneration, vertebral endplate degeneration and other structures, and disc displacement, Spondylolisthesis, and stenosis, and grouped patients according to stage were assessed. Visual analog scale, Japanese Orthopaedic Association, and Oswestry Disability Index scores were used to assess low back pain strength, neurological function, and quality of life, respectively.
RESULTS: The lumbar degeneration staging system consists of 8 variables, which can be divided into 3 steps: early, middle and late, and the correlation between each variable is strong (P < 0.05). The later the staging, the worse the Japanese Orthopaedic Association, visual analog scale, and Oswestry Disability Index scores.
CONCLUSIONS: Patients with later stages have worse clinical scores. This staging system recommends a uniform classification to assess lumbar degeneration.
METHODS: A cross-sectional analysis of retrospective databases between January 2018 and December 2022 was performed. Total of 410 patients for Modic changes, paravertebral muscle fat infiltration, disc degeneration, articular process degeneration, vertebral endplate degeneration and other structures, and disc displacement, Spondylolisthesis, and stenosis, and grouped patients according to stage were assessed. Visual analog scale, Japanese Orthopaedic Association, and Oswestry Disability Index scores were used to assess low back pain strength, neurological function, and quality of life, respectively.
RESULTS: The lumbar degeneration staging system consists of 8 variables, which can be divided into 3 steps: early, middle and late, and the correlation between each variable is strong (P < 0.05). The later the staging, the worse the Japanese Orthopaedic Association, visual analog scale, and Oswestry Disability Index scores.
CONCLUSIONS: Patients with later stages have worse clinical scores. This staging system recommends a uniform classification to assess lumbar degeneration.
摘要：
目的：使用当前的放射学分类系统提出一种新的腰椎退行性分期系统。
方法：对2018年1月至2022年12月的回顾性数据库进行了横断面分析。410例Modic变化患者，椎旁肌肉脂肪浸润，椎间盘退变,关节突变性,椎体终板退变和其他结构和椎间盘移位，脊椎前移,狭窄,并根据分期对患者进行分组评估。视觉模拟量表(VAS)日本骨科协会（JOA），Oswestry残疾指数(ODI)评分用于评估LBP强度，神经功能,和生活质量，分别。
结果：腰椎退变分期系统由8个变量组成，这可以分为三个步骤:早期，中后期,各变量之间的相关性较强(p<0.05)。越晚的舞台，JOA越差,VAS和ODI分数。
结论：晚期患者的临床评分较差。此分期系统建议采用统一的分类来评估腰椎退变。
方法：对2018年1月至2022年12月的回顾性数据库进行了横断面分析。410例Modic变化患者，椎旁肌肉脂肪浸润，椎间盘退变,关节突变性,椎体终板退变和其他结构和椎间盘移位，脊椎前移,狭窄,并根据分期对患者进行分组评估。视觉模拟量表(VAS)日本骨科协会（JOA），Oswestry残疾指数(ODI)评分用于评估LBP强度，神经功能,和生活质量，分别。
结果：腰椎退变分期系统由8个变量组成，这可以分为三个步骤:早期，中后期,各变量之间的相关性较强(p<0.05)。越晚的舞台，JOA越差,VAS和ODI分数。
结论：晚期患者的临床评分较差。此分期系统建议采用统一的分类来评估腰椎退变。
