Solomou Aikaterini, Kraniotis Pantelis, Rigopoulou Aspasia, Petsas Theodore
Department of Radiology, University Hospital of Patras, Patras, Greece.
Radiol Res Pract. 2018 Feb 8;2018:7638505. doi: 10.1155/2018/7638505. eCollection 2018.
Low back pain (LBP) is common in children and adolescents. There are many factors that cause LBP, including structural disorders, degenerative changes, Scheuermann's disease, fractures, inflammation, and tumors. Magnetic Resonance Imaging is the gold standard for diagnosing spinal abnormalities and is mandatory when neurological symptoms exist. The study focuses on common MRI findings in adolescents with persistent LBP, without history of acute trauma or evidence of either inflammatory or rheumatic disease.
Eleven adolescents were submitted to thoracic and/or lumbar spine MRI due to persistent LBP. The protocol consisted of T1 WI, T2 WI, and T2 WI with FS, in the axial, sagittal, and coronal plane.
MRI revealed structural abnormalities (scoliosis and kyphosis) in 4/11 (36.36%); disc abnormalities and endplate changes were found on 11/11 (100%). Typical Scheuermann's disease was found in 3/11 (27.27%). Endplate changes were severe in Scheuermann's patients and mild to moderate in the remaining 8/11 (72.72%). Kyphosis was in all cases secondary to Scheuermann's disease. Disk bulges and hernias were found in 8/11 (72.72%), all located in the lumbar spine.
In adolescents with LBP, structural spinal disorders, degenerative changes, and Scheuermann's disease are commonly found on MRI; however, degenerative changes prevail.
腰背痛（LBP）在儿童和青少年中很常见。导致腰背痛的因素有很多，包括结构紊乱、退行性改变、休门氏病、骨折、炎症和肿瘤。磁共振成像（MRI）是诊断脊柱异常的金标准，当存在神经症状时是必需的。本研究聚焦于持续性腰背痛的青少年的常见MRI表现，这些青少年无急性创伤史，也无炎症或风湿性疾病的证据。
11名因持续性腰背痛接受胸段和/或腰段脊柱MRI检查的青少年。检查方案包括在轴位、矢状位和冠状位进行T1加权成像（T1WI）、T2加权成像（T2WI）以及脂肪抑制T2加权成像（T2WI with FS）。
MRI显示4/11（36.36%）存在结构异常（脊柱侧凸和后凸）；11/11（100%）发现椎间盘异常和终板改变。3/11（27.27%）发现典型的休门氏病。休门氏病患者的终板改变严重，其余8/11（72.72%）为轻度至中度。所有病例的后凸均继发于休门氏病。8/11（72.72%）发现椎间盘膨出和突出，均位于腰椎。
在患有腰背痛的青少年中，MRI常见脊柱结构紊乱、退行性改变和休门氏病；然而，退行性改变更为普遍。
