Hartwig E, Hoellen I, Liener U, Kramer M, Wickstroem M, Kinzl L
Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Universität Ulm.
Unfallchirurg. 1997 Nov;100(11):888-94. doi: 10.1007/s001130050209.
The addition of vertebral disc degeneration to the job-related disease register raises the question of vertebral disc degeneration patterns according to loading strain. The readings of the lumbar vertebra of construction workers and nurses were compared with those of a group without workload. In the groups examined, aged 35 to 50, monosegmental damage was found in only 17% of the patients with high workload, as opposed to 29% of those with no workload, mostly with monosegmental damage at level L5/S1. Damage to the upper segments of the lumbar spine with intact discs in between was found exclusively in patients with high workload. Multiple segment damage in the age range examined was found in subjects with activities that add to the load of the spinal column. The value of MRI in assessing and evaluating illness originating from the vertebral discs is currently being discussed.
将椎间盘退变列入职业病登记册引发了根据负荷应变确定椎间盘退变模式的问题。将建筑工人和护士的腰椎读数与无工作负荷组的读数进行了比较。在接受检查的35至50岁人群中，高工作负荷患者中仅17%发现单节段损伤，而无工作负荷者中这一比例为29%，损伤大多位于L5/S1节段。腰椎上段损伤且其间椎间盘完整的情况仅在高工作负荷患者中发现。在所检查的年龄范围内，在脊柱负荷增加的活动人群中发现了多节段损伤。目前正在讨论MRI在评估和诊断椎间盘源性疾病方面的价值。
