摘要
目的：总结腰椎终板Modic改变的临床分布特点,探讨Modic改变的发生与腰椎退行性变的相关性。方法对腰腿痛就诊的348例患者根据Modic分级标准对患者腰椎矢状位 MRI资料进行评估,记录有无Modic改变、腰椎管狭窄、腰椎滑脱、椎间盘退变,并通过X线测定椎间隙高度。使用SPSS 18．0统计学软件对数据进行处理,探讨Modic改变的发生与性别、年龄、腰椎节段、间盘膨出、间盘突出、间盘脱出、椎间隙改变、椎管狭窄、腰椎滑脱的相关性。结果348例共1740个腰椎椎间盘中,89例（25．6%,包括手术患者7例）139个椎间盘（7．9%）邻近终板发生Modic改变,以Ⅱ型为多。按性别统计：男女差异无统计学意义；按不同年龄组统计：50∽59岁组最多,为34．31%；Modic改变在椎间盘突出或脱出者、椎间隙高度降低者、退行性腰椎管狭窄、腰椎Ⅰ度滑脱者的发生率较高。结论腰椎终板存在Modic改变,最常见的类型为Ⅱ型,Ⅰ型次之,Ⅲ型最为少见,其多发生于L5∽S1节段,其次为L4∽5。腰椎Modic的发生与年龄、腰椎节段、间盘膨出、间盘突出、间盘脱出、椎间隙改变、椎管狭窄、腰椎滑脱存在相关性。 Modic改变可能是腰椎间盘退变严重的表现。
Objective To summarize clinical distribution of the lumbar endplate Modic changes, and to explore the relevance of Modic changes occurring with lumbar degeneration. Methods Lumbar sagittal MRI data of 348 cases of lumbocrural pain were assessed according to the Modic grading standards to record if there was Modic change or not, lumbar spinal stenosis, spondylolisthesis, disc degeneration and the X-ray measurement of intervertebral height. Data was processed in SPSS 18. 0 statistical software, to explore the correlation between change of Modic and sex, age, lumbar spine, intervertebral disc bulging, protrusion of intervertebral disc, disc herniation of intervertebral space, spinal stenosis, spondylolisthesis. Results 348 cases of the 1 740 lumbar intervertebral disc, 89 cases （ including 7 cases of operation patients） （25. 6%） of 139 adjacent endplate of intervertebral disc （7. 9%） had the change of Modic, most of them were typeⅡ. Gender statistics：no statistical significance between men and women. When con-sider the different age groups, the group of 50∽59 years old was the most accounting for 34. 31%;There was a high incidence of Modic change in cases of intervertebral height decrease, degenerative lumbar spinal stenosis, degreeⅠlumbar spondylolisthesis. Conclusions The most common type of lumbar endplate Modic changes is typeⅡ, typeⅠis less than typeⅡand typeⅢis rare. It most often occurs in the L5 ∽S1 segment, followed by L4∽5 . Occurrence of lumbar spine Modic associate with lumbar spine, intervertebral disc bulging, protrusion of intervertebral disc, disc herniation of intervertebral space, spinal stenosis and spondylolisthesis. Modic change may be the signal of severe lumbar intervertebral disc degeneration.
出处
《临床骨科杂志》
2015年第4期394-397,共4页
Journal of Clinical Orthopaedics
关键词
腰椎
终板
椎间盘退变
MODIC改变
磁共振成像
lumbar vertebra
endplate
disc degeneration
Modic change
magnetic resonance imaging
