尼日利亚中北部慢性下腰痛成年人的Modic改变
MODIC CHANGES IN ADULTS WITH CHRONIC LOW BACK PAIN IN NORTH CENTRAL NIGERIA.
作者信息
Oyinloye O I, Bamidele J O, Popoola G O
机构信息
Department Of Radiology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Department of Epidemiology and Community Medicine, University Of Ilorin.
出版信息
J West Afr Coll Surg. 2017 Apr-Jun;7(2):77-92.
BACKGROUND
Modic changes in the endplates of the vertebral bodies have been associated with low back pain. There is however paucity of information on the pattern of Modic changes in the lumbosacral spine in Nigerians with low back pain.
AIM
To determine the prevalence of Modic changes in patients with chronic low back pain in our environment.
DESIGN OF STUDY
Cross-sectional longitudinal study.
SETTINGS
University of Ilorin Teaching Hospital, Ilorin, Nigeria.
METHODOLOGY
A total of 147 consecutive adults who had MRI of the lumbosacral spine for chronic low back pain were examined for the presence of Modic changes.
RESULTS
35(23.8%) individuals had Modic changes present out of I47 patients with low back pain evaluated.Out of the 735 lumbar vertebral endplates evaluated, 90(12.2%) had Modic changes present. Among the endplates with Modic changes, 36(40%) were type I, been the most common in our sample, while 27(30%) were type II and type III each.
CONCLUSION
This study has shown that Modic changes occurred more frequently at the end plates of lower lumbar vertebrae(L4/L5, and L5/S1) and Type I was the most common while Type II and III had equal prevalence; the changes occurred more frequently with increasing age suggesting these changes are degenerative in nature.
背景
椎体终板的Modic改变与腰痛有关。然而，关于尼日利亚腰痛患者腰骶椎Modic改变模式的信息却很少。
目的
确定我们研究环境中慢性腰痛患者Modic改变的患病率。
研究设计
横断面纵向研究。
研究地点
尼日利亚伊洛林大学教学医院。
方法
对147名因慢性腰痛接受腰骶椎MRI检查的连续成年患者进行Modic改变检查。
结果
在147名接受评估的腰痛患者中，35名（23.8%）存在Modic改变。在评估的735个腰椎终板中，90个（12.2%）存在Modic改变。在有Modic改变的终板中，36个（40%）为I型，是我们样本中最常见的类型，而II型和III型各有27个（30%）。
结论
本研究表明，Modic改变在下腰椎（L4/L5和L5/S1）终板更为常见，I型最常见，II型和III型患病率相同；随着年龄增长，这些改变更频繁出现，提示这些改变本质上是退行性的。
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