Takashima Hiroyuki, Takebayashi Tsuneo, Yoshimoto Mitsunori, Terashima Yoshinori, Ida Kazunori, Shishido Hiroki, Imamura Rui, Akatsuka Yoshihiro, Shirase Ryuji, Fujiwara Hiroyoshi, Kubo Toshikazu, Yamashita Toshihiko
Department of Orthopedic Surgery, School of Medicine, Sapporo Medical University; Division of Radiology and Nuclear Medicine, Sapporo Medical University Hospital, South-1, West-16, Chuo-ku, Sapporo, Hokkaido 060-8543, Japan.
Magn Reson Med Sci. 2014;13(4):261-6. doi: 10.2463/mrms.2013-0099. Epub 2014 Oct 27.
We measured T2 relaxation time of the intervertebral discs (IVD) and facet joints (FJ) in patients with degenerative spondylolisthesis (DS) and no spondylolisthesis (NS) and investigated the characteristics of these parts in DS.
In 40 patients with DS and 40 patients with NS, we measured T2 relaxation time of the IVD and FJ and compared them between groups. In the group with DS, we also examined the relationship between the degree of slippage using Meyerding grade and T2 relaxation of each part in the IVD and FJ.
T2 relaxation time of the IVD tended to be lower in the DS than NS group and differed significantly (P < 0.01) within the anterior annulus fibrosus. T2 relaxation time in the FJ was significantly higher in the DS than NS group. T2 relaxation time in the FJ was significantly higher for those assessed Meyerding Grade II than Grade I, although we observed no significant differences in T2 relaxation time in any area of the IVD.
T2 relaxation time decreased in the anterior annulus fibrosus of the IVD and increased in the FJ in patients with DS, suggesting an association of IVD and FJ degeneration with the development of lumbar DS.
我们测量了退行性腰椎滑脱(DS)患者和无腰椎滑脱(NS)患者椎间盘(IVD)和小关节(FJ)的T2弛豫时间,并研究了DS患者这些部位的特征。
对40例DS患者和40例NS患者,测量其IVD和FJ的T2弛豫时间,并进行组间比较。在DS组中,我们还使用Meyerding分级法研究了滑脱程度与IVD和FJ各部位T2弛豫之间的关系。
DS组IVD的T2弛豫时间往往低于NS组,在前侧纤维环内差异有统计学意义(P < 0.01)。DS组FJ的T2弛豫时间显著高于NS组。Meyerding分级为II级者FJ的T2弛豫时间显著高于I级者,尽管我们观察到IVD任何区域的T2弛豫时间均无显著差异。
DS患者IVD前侧纤维环的T2弛豫时间降低,FJ的T2弛豫时间升高,提示IVD和FJ退变与腰椎DS的发生有关。