背景:研究的目的是调查腰椎间盘突出症与Goutallier分类(GC)之间的关系,腰椎压痕值,和皮下脂肪组织厚度。
方法:102名连续腰背痛患者(59名女性和43名男性),麻木,刺痛,或下肢疼痛,表明神经根病接受过腰椎磁共振成像(MRI),并在L4-5级椎间盘突出,包括在研究中。选择同期行腰椎MRI且无椎间盘突出症的102例患者作为对照组,并选择性别和年龄与突出组相匹配。所有这些患者的扫描都被重新解释为椎旁肌肉萎缩(使用GC),腰椎压痕值,和L4-5水平的皮下脂肪组织厚度。
结果:突出组的Goutallier评分更高,与非疝组相比(p<0.001)。突出组和非突出组之间的腰椎压痕值(LIV)和皮下脂肪组织厚度(SATT)没有统计学差异。根据统计结果,Goutallier评分为1.5提供了最高的灵敏度x特异性值,以指示椎间盘突出。Goutallier评分为2、3和4的个体的MRI发生椎间盘突出的可能性是评分为0和1的个体的2.87倍。
结论:椎旁肌萎缩似乎与椎间盘突出的存在有关。在这项研究中,指示椎间盘突出的GC的临界值可能有助于预测Goutallier评分的椎间盘突出的风险。磁共振图像中测量的LIV和SATT随机分布在有疝和非疝的个体之间,和统计,在这些参数方面,没有观察到这些组之间的关系.
结论:本研究中研究的参数对椎间盘突出症的影响有望为文献增加价值。对椎间盘突出症危险因素的认识可用于预防医学,以预测风险并了解个体未来发生椎间盘突出症的趋势。需要进一步的研究来确定这些参数与椎间盘突出之间是否存在因果关系或相关性。
The aim of the
study was to investigate the relationship between lumbar disc herniation and Goutallier classification (GC), lumbar indentation value, and subcutaneous adipose tissue thickness.
102 consecutive patients (59 female and 43 male) with lumbar back pain, numbness, tingling, or pain in the lower extremity indicating radiculopathy who had undergone lumbar magnetic resonance imaging (MRI) and had an intervertebral disc herniation in the L4-5 level, were included in the
study. 102 patients who have undergone lumbar MRI in the same time period and have no disc herniation were chosen to be the control group and were selected so as to match the herniated group for sex and age. All these patients\' scans were re-interpreted regarding paraspinal muscle atrophy (using the GC), lumbar indentation value, and subcutaneous adipose tissue thickness in the L4-5 level.
The Goutallier score was higher in the herniated group, compared with the non-herniated group (p < 0.001). There was no statistical difference between herniated and non-herniated groups regarding lumbar indentation value (LIV) and subcutaneous adipose tissue thickness (SATT). A Goutallier score of 1.5 provided the highest sensitivity x specificity value to indicate the disc herniation according to the statistical results. The individuals with a Goutallier score of 2, 3, and 4 have 2.87 times more likely to have disc herniation in their MRIs than the ones with a score of 0 and 1.
Paraspinal muscle atrophy seems to be related to the presence of disc herniations. The cut-off value of GC to indicate the disc herniation in this
study might be useful to predict the risk for disc herniation regarding the Goutallier score. The LIV and SATT measured in magnetic resonance images were randomly distributed between individuals with herniated and non-herniated groups, and statistically, no relationship was observed between these groups regarding these parameters.
The effect of the parameters studied in this research on disc herniations are expected to be an added value to the literature. The awareness of risk factors for intervertebral disc herniations might be used in preventive medicine to predict the risk and understand the tendency of an individual for disc herniations to occur in the future. Further investigations are needed to establish whether there is a causal relationship or correlation between these parameters and disc herniation.