摘要
背景:有研究报道,在间盘退变的过程中,可造成椎体终板的重塑。目前终板形态和椎间盘退变的关系仍不非常清楚。目的:观察分析椎体终板形态与腰椎间盘突出症的之间的关系。方法:纳入40例无腰椎疾病的正常人和62例腰椎间盘突出症患者,进行螺旋CT扫描,扫描范围从L4到S2,扫描条件:140kV,345mA,FOV160mm,层厚1mm,间距1.0。原始图像通过O2的三维重建图像工作站进行三维重建,W300,C80,ZOOM=1.5,Expand1。在平面重建术(CPR)基础上测量椎间盘最大前后,横径,圆形,面积和形状。结果与结论:终板形态和椎间盘突出症密切相关(P均<0.01)。终板面积和男性L4/5、男性和女性的L5/S1椎间盘突出关联差异无显著性意义(P<0.05)。提示椎体终板的边缘形状是腰椎的椎间盘突出症(L4/5、L5/S1)进展的重要因素之一。
BACKGROUND:Studies demonstrated that vertebral endplate can be remodeled during intervertebral disc degeneration.However,the relationship between morphology of the vertebral endplate and intervertebral disc degeneration remains poorly understood.OBJECTIVE:To explore the relationship between the morphology of the vertebral endplate and the lumbar disc herniation.METHODS:Forty cases without previous spine disorder and sixty-two cases symptomatic lumbar disc herinations lumbar vertebral were scanned by using spiral CT.Scan range was from superior L4 to superior S2.Scan protocols as below:140 kV,345 mAs,FOV 160 mm,layer of thick 1 mm,pitch 1.0.Original images were carried through three-dimensional reconstructions using O2 image work station,W300,C80,ZOOM=1.5,Expand 1.Intervertebral disc maximum anteroposterior,transverse diameter,circumference,area and shape were measured based on curve planar reconstruction.RESULTS AND CONCLUSION:Endplate shape was strongly related to disc herniation(all the P value 0.01).Endplate area was a less significant factor L4/5 in men and L5/S1 in men and females(P 0.05).The shape of the intervertebral body endplate margin is an important factor contributing to the development of disc herniation at L4/5 and L5/S1.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2010年第50期9497-9500,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research