先天性腰椎管狭窄症的磁共振成像表现谱
Spectrum of magnetic resonance imaging findings in congenital lumbar spinal stenosis.
作者信息
Soldatos Theodoros, Chalian Majid, Thawait Shrey, Belzberg Alan J, Eng John, Carrino John A, Chhabra Avneesh
机构信息
Theodoros Soldatos, Majid Chalian, Shrey Thawait, John Eng, John A Carrino, Avneesh Chhabra, Russell H Morgan Department of Radiology and Radiological Science, the Johns Hopkins Hospital, Baltimore, MD 21287, United States.
出版信息
World J Clin Cases. 2014 Dec 16;2(12):883-7. doi: 10.12998/wjcc.v2.i12.883.
AIM
To investigate whether congenital lumbar spinal stenosis (CLSS) is associated with a specific degenerative changes of the lumbar spine.
METHODS
The lumbar spine magnetic resonance imaging studies of 52 subjects with CLSS and 48 control subjects were retrospectively evaluated. In each examination, the five lumbar levels were assessed for the presence or absence of circumferential or shallow annular bulges, annular tears, anterior or posterior disc herniations, epidural lipomatosis, Schmorl's nodes, spondylolisthesis, pars defects, and stress reactions of the posterior vertebral elements.
RESULTS
Compared to control individuals, subjects with CLSS exhibited increased incidence of circumferential and shallow annular bulges, annular tears, disc herniations and spondylolisthesis (P < 0.05).
CONCLUSION
CLSS is associated with increased incidence of degenerative changes in specific osseous and soft-tissue elements of the lumbar spine.
目的
探讨先天性腰椎管狭窄症（CLSS）是否与腰椎特定的退行性改变相关。
方法
回顾性评估52例CLSS患者和48例对照者的腰椎磁共振成像研究。在每次检查中，对五个腰椎节段评估是否存在环形或浅环形膨出、椎间盘撕裂、椎间盘前后突出、硬膜外脂肪增多症、施莫尔氏结节、椎体滑脱、椎弓峡部裂以及椎体后部结构的应力反应。
结果
与对照组相比，CLSS患者环形和浅环形膨出、椎间盘撕裂、椎间盘突出和椎体滑脱的发生率增加（P < 0.05）。
结论
CLSS与腰椎特定骨和软组织成分退行性改变的发生率增加相关。
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