Nevalainen Mika T, McCarthy Eoghan, Morrison William B, Zoga Adam C, Roedl Johannes B
Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Thomas Jefferson University Hospital, Sidney Kimmel Medical College at Thomas Jefferson University, 132 South 10th Street, Philadelphia, PA, 19107, USA.
Department of Diagnostic Radiology, Oulu University Hospital, PO Box 50, 90029, Oulu, Finland.
Skeletal Radiol. 2018 Aug;47(8):1145-1149. doi: 10.1007/s00256-018-2900-1. Epub 2018 Feb 16.
To evaluate the association between low back pain and bone marrow edema in lumbosacral transitional vertebra (LSTV) transverse processes, and to assess the prevalence of LSTV in a physically active population.
Individuals with LSTV on coronal MRI studies were identified in a retrospective review by keyword search from PACS. In total, 140 cases were reviewed by two fellowship-trained musculoskeletal radiologists. Data on associated low back pain were collected from patient records at the time of the imaging.
Bone marrow edema was observed in 44% of the cases, but no correlation with low back pain was found. On coronal MRI, the prevalence of LSTV was 2.6%, with type II LSTV being the most common subtype.
No correlation with bone marrow edema at the transverse processes of the LSTV and low back pain was observed. In our selected study population, the prevalence of LSTV was low.
评估腰骶部移行椎（LSTV）横突骨髓水肿与腰痛之间的关联，并评估体力活动人群中LSTV的患病率。
通过从PACS中进行关键词搜索，在一项回顾性研究中识别出在冠状位MRI检查中有LSTV的个体。共有140例病例由两名接受过专科培训的肌肉骨骼放射科医生进行了评估。关于相关腰痛的数据是在成像时从患者记录中收集的。
44%的病例中观察到骨髓水肿，但未发现与腰痛相关。在冠状位MRI上，LSTV的患病率为2.6%，其中II型LSTV是最常见的亚型。
未观察到LSTV横突骨髓水肿与腰痛之间的相关性。在我们选定的研究人群中，LSTV的患病率较低。
