腰椎间盘切除术后与Modic改变相关的下腰痛迟发
Late appearance of low back pain relating to Modic change after lumbar discectomy.
作者信息
Mostofi Keyvan, Moghaddam Babak Gharaei, Peyravi Morad
机构信息
Department of Neurosurgery, Centre Clinical, Chirurgie De Rachis, Soyaux, France.
Department of Neurosurgery, Neurosurgical Clinic of Dr Gharaei, Tehran, Iran.
出版信息
J Craniovertebr Junction Spine. 2018 Apr-Jun;9(2):93-95. doi: 10.4103/jcvjs.JCVJS_25_18.
BACKGROUND
In practice of neurosurgery, we find that a wide number of patients referred for refractory low back pain have a history of lumbar discectomy. In a large number of them, magnetic resonance imaging (MRI) studies detect Modic changes (MCs). The aim of this study is to determine the relationship between emergence of MC and low back after lumbar discectomy.
MATERIALS AND METHODS
Three hundred and fifty-eight patients with a medical history of discectomy had a MC at the level of the operated disc without any other discopathy. They have been selected from among the 1154 patients operated for lumbar disc herniation over 5 years.
RESULTS
Two hundred and fourteen patients (67.30%) had not presented MCs on preoperative MRI.
CONCLUSION
Our study awakens a strong presumption about the relationship between emergence of MC after lumbar discectomy.
背景
在神经外科实践中，我们发现大量因顽固性腰痛前来就诊的患者有腰椎间盘切除术史。其中许多患者的磁共振成像（MRI）研究检测到Modic改变（MCs）。本研究的目的是确定腰椎间盘切除术后MCs的出现与腰痛之间的关系。
材料与方法
358例有椎间盘切除术病史的患者在手术节段出现MCs，且无其他椎间盘病变。他们是从5年期间接受腰椎间盘突出症手术的1154例患者中挑选出来的。
结果
214例患者（67.30%）术前MRI未出现MCs。
结论
我们的研究引发了关于腰椎间盘切除术后MCs出现之间关系的强烈推测。
Zotero 插件