椎管尺寸影响青少年椎间盘突出症的治疗结果。
Spinal canal dimensions affect outcome of adolescent disc herniation.
作者信息
Linkoaho O, Kivisaari R, Ahonen M
机构信息
HUS Medical Imaging Center, Radiology and Department of Pediatric Orthopedics, Children's Hospital, University of Helsinki and Helsinki University Hospital, Finland.
HUS Medical Imaging Center, Radiology, Children's Hospital, University of Helsinki and Helsinki University Hospital, Finland.
出版信息
J Child Orthop. 2017 Oct 1;11(5):380-386. doi: 10.1302/1863-2548.11.170055.
PURPOSE
Small spinal canal dimensions play a role in symptomatic adult disc herniation, but its role in adolescent disc herniation has not been investigated with MRI. The goal of this study was to examine retrospectively if there is a correlation with dimensions of osseous spinal canal and need of discectomy in an adolescent population suffering from disc herniation.
METHODS
A retrospective review of child and adolescent patients who were treated in our institution for back or back--related leg pain was conducted. Patients were divided in three groups; group 1: lumbar disc herniation requiring operative treatment; group 2: lumbar disc herniation treated with observation; and group 3: back pain and no disc herniation on MRI. MRI images and radiographs were studied for spinal canal dimensions and compared between groups.
RESULTS
The discectomy group presented considerably smaller spinal canal dimensions measured from the MRI images than the two other groups.
CONCLUSION
Adolescent patients requiring operative treatment for symptomatic disc herniation have smaller osseous spinal canals than patients who are managed non-operatively.
目的
小椎管尺寸在有症状的成人椎间盘突出症中起作用，但在青少年椎间盘突出症中的作用尚未通过磁共振成像（MRI）进行研究。本研究的目的是回顾性研究患有椎间盘突出症的青少年人群中，骨性椎管尺寸与椎间盘切除术需求之间是否存在相关性。
方法
对在我们机构接受背部或背部相关腿痛治疗的儿童和青少年患者进行回顾性研究。患者分为三组；第1组：需要手术治疗的腰椎间盘突出症；第2组：采用观察治疗的腰椎间盘突出症；第3组：MRI显示背痛且无椎间盘突出症。研究MRI图像和X线片的椎管尺寸并在组间进行比较。
结果
与其他两组相比，椎间盘切除术组从MRI图像测量的椎管尺寸明显更小。
结论
因有症状的椎间盘突出症需要手术治疗的青少年患者，其骨性椎管比非手术治疗的患者更小。
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