Morphological observation and clinical significance of the intervertebral disc in patients with thoracolumbar vertebrae compression fracture
10.3760/cma.j.jssn.1673-4904.2017.01.015
- VernacularTitle:胸腰椎压缩性骨折椎间盘形态学观察及临床意义
- Author:
Yunxiang XIAO
;
Haidan CHEN
;
Yang LIU
- Keywords:
Fractures,compression;
Thoracic vertebrae;
Lumbar vertebrae;
Intervertebral disk;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(1):53-55
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of the intervertebral disc morphous in patients with thoracolumbar vertebral compression fracture. Methods The MRI, X-ray and CT data of 75 patients with thoracolumbar vertebral compression fracture were retrospectively analyzed. The intervertebral disc damage degree was observed, and its correlation with vertebral fracture degree and endplate damage degree was studied. The vertebral body leading edge height, intervertebral space height and back convex Cobb angle in patients with different intervertebral disc damage degree were measured. Results The intervertebral disc damage degree height was positively correlated with endplate damage degree (P<0.01), and the intervertebral disc damage degree was positively correlated with fracture degree (P<0.01). With the increase of the intervertebral disc damage degree in patients with Ⅰ - Ⅳtype intervertebral disc damage, the vertebral body leading edge height and intervertebral space height gradually became smaller: (0.68 ± 0.05), (0.61 ± 0.03), (0.58 ± 0.03), (0.42 ± 0.05) mm, and (0.31 ± 0.06), (0.29 ± 0.03), (0.24 ± 0.06), (0.22 ± 0.02) mm, and there were statistical differences (P<0.05). There was no statistical difference in back convex Cobb angle in patients with different intervertebral disc damage degree (P>0.05). Conclusions It is more important to observe the morphological changes of the intervertebral disc in patients with thoracolumbar vertebral compression fracture, and the damage degree is closely related with the vertebral fracture degree and endplate damage degree.
