Krupski Witold, Majcher Piotr, Tatara Marcin, Fatyga Marek
II Zakład Radiologii Lekarskiej Akademii Medycznej im. Prof. Feliksa Subiszewskiego, Lublin.
Ortop Traumatol Rehabil. 2004 Apr 30;6(2):160-5.
Background. The aim of the work is problem of computed tomography diagnostic of the intervertebral disc degeneration and degenerative changes of the lumbo-sacral spine.
Authors present result of computed tomography examinations performed in 60 patients at the age from 18 to 69 years, suffering from chronic low back pain for 6 months at least.
Material and methods. Degenerative changes of the vertebra-disc junction on the levels of L3-L4, L4-L5 and L5-S1 were evaluated. The analysis of intervertebral disc changes and osteophytes presence on all of the investigated levels was chose as the assessment criterion.
Results. The pathological changes of the vertebra-disc junction on L5-S1, L4-L5 and L3-L4 levels were stated in 58 (96.6%), 55 (91.6%) and 47 (78.8%) patients, whereas the degeneration of the intervertebral disc was diagnosed in 50, 45 and 15 cases, respectively. Moreover, the vacuum phenomenon was present in connection with the degeneration of the intervertebral disc on L5-S1, L5-L4, L3-L4 levels in 29, 11 and 1 cases, respectively. The osteophytes' presence, as a single proof of the degenerative changes was diagnosed in 8 patients on L5-S1 level, whereas on L4-L5 level in 10 patients. In 32 cases osteophytes were localised on L3-L4 level.
Conclusions. In conclusion, the differences in morphology of the pathological changes are the result of different loading and various mechanisms generating these changes on particular levels.
背景。这项工作的目的是研究腰椎间盘退变及腰骶椎退行性变的计算机断层扫描诊断问题。
作者展示了对60例年龄在18至69岁、患有慢性下腰痛至少6个月的患者进行计算机断层扫描检查的结果。
材料与方法。评估了L3 - L4、L4 - L5和L5 - S1水平的椎间盘连接部的退行性变。选择分析所有研究水平的椎间盘变化及骨赘的存在情况作为评估标准。
结果。L5 - S1、L4 - L5和L3 - L4水平的椎间盘连接部病理变化分别在58例（96.6%）、55例（91.6%）和47例（78.8%）患者中被发现，而椎间盘退变分别在50例、45例和15例中被诊断出来。此外，L5 - S1、L4 - L5、L3 - L4水平与椎间盘退变相关的真空现象分别在29例、11例和1例中出现。作为退行性变单一证据的骨赘存在情况，在L5 - S1水平有8例患者被诊断出，在L4 - L5水平有10例患者被诊断出。在32例中骨赘位于L3 - L4水平。
结论。总之，病理变化形态的差异是不同负荷以及特定水平产生这些变化的各种机制导致的结果。
