加纳腰背痛患者的磁共振成像结果：一项单中心研究。

Magnetic resonance imaging findings in Ghanaian patients presenting with low back pain: a single centre study.

作者信息

Acquah Godwill, Sule Derick Seyram, Fesi Lawrence, Kyei Kofi Adesi, Ago Jacob Leonard, Agala Dennison, Antwi William K

机构信息

Department of Radiography, University of Ghana, P.O. Box KB 143, Korle Bu, Accra, Ghana.

Discipline of Medical Radiations, RMIT University, Bundoora, Australia.

出版信息

BMC Med Imaging. 2025 Apr 25;25(1):135. doi: 10.1186/s12880-025-01680-7.

DOI:10.1186/s12880-025-01680-7

PMID:40281450

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12023586/

Abstract

BACKGROUND

Due to the high prevalence of low back pain which impacts the lives of those affected, several studies have explored findings associated with the lumbar spine (which is the affected anatomy) using magnetic resonance imaging (MRI). This provides a better understanding of the pathology in the study setting and adds to the literature on the subject, which is useful during intervention and has implications for policymaking. However, there is a paucity of literature in the Ghanaian context. This study therefore explored the patterns of MRI findings in Ghanaian patients with low back pain.

METHOD

A one-year retrospective cross-sectional design with a purposive sampling method was used to retrieve data from 59 MRI lumbar spine radiologist reports with a clinical history of low back pain. Data was analysed descriptively and inferentially. Inferentially, the Fisher's exact or chi-square (X) test was utilised to ascertain associations between variables where appropriate. Phi coefficient and Cramer's V were used to assess the strength of significant associations. Statistical significance was deduced at p < 0.05.

RESULTS

Among the reports identified, 57.6% (n = 34) were associated with females and 32.4% (n = 25) were associated with males. The mean age across reports was 44.7 ± 16.1 years. Disc degeneration (93.2%, n = 55) and lumbar spondylolysis (76.3%, n = 45) were the two main findings identified as the most prevalent across reports. The lordotic curvatures of patients with low back pain were predominantly normal (74.6% n = 44). Disc degeneration was strongly associated with L4/L5 (V = 0.644, p = 0.001).

CONCLUSION

The prevalent finding identified was disc degeneration frequently located at L4/L5. Several other abnormal findings were identified. Age was significantly associated with lumbar spondylosis. Disc degeneration and lumbar spondylosis were more frequent between ages 30 and 70 years.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

由于腰痛的高患病率影响了患者的生活，多项研究使用磁共振成像（MRI）探索了与腰椎（即受影响的解剖结构）相关的发现。这有助于更好地理解研究中的病理学情况，并丰富了该主题的文献，对干预措施的制定有帮助，也对政策制定有影响。然而，在加纳背景下相关文献较少。因此，本研究探讨了加纳腰痛患者的MRI检查结果模式。

方法

采用为期一年的回顾性横断面设计和目的抽样方法，从59份有腰痛临床病史的MRI腰椎放射科报告中检索数据。对数据进行描述性和推断性分析。在适当情况下，使用Fisher精确检验或卡方（X）检验来确定变量之间的关联。Phi系数和Cramer's V用于评估显著关联的强度。当p < 0.05时推断具有统计学意义。

结果

在确定的报告中，57.6%（n = 34）与女性相关，32.4%（n = 25）与男性相关。报告中的平均年龄为44.7±16.1岁。椎间盘退变（93.2%，n = 55）和腰椎峡部裂（76.3%，n = 45）是报告中最常见的两个主要发现。腰痛患者的脊柱前凸曲线主要正常（74.6%，n = 44）。椎间盘退变与L4/L5强烈相关（V = 0.644，p = 0.001）。