StudyonthedistributionoflumbarModicchangesinpatientswithlowbackpain
10.3969/j.issn.1002-1671.2019.05.026
- VernacularTitle:腰椎Modic改变在下腰痛人群中的分布特点
- Author:
Feng XU
1
;
Yilan ZHANG
;
Yuefen ZOU
;
Lei XU
Author Information
1. 江苏医药职业学院医学影像学院
- Keywords:
lumbarvertebraModicchange;
magneticresonanceimaging;
lowbackpain;
distributioncharacteristics
- From:
Journal of Practical Radiology
2019;35(5):791-793,845
- CountryChina
- Language:Chinese
-
Abstract:
Objective TostudythedistributioncharacteristicsofModicchanges(MCs)onlumbarvertebraeinthepatientswith lowbackpain.Methods LumbarvertebraeMRIresultsfrom276patients(male:104,female:172)wereanalyzedretrospetively.The MConlumbarvertebraewereclassifiedwithT1WI,T2WIandT2WI-FS,meanwhiletheincidence,predilectionsitesanddistribution characteristicsbyageandsexwerestatisticallyanalyzed.Results 139cases(50.4%)couldbeseenwith MC,including42malesand 97females;while137caseswerenormal(49.6%).Classifiedbygender,numbersofpatientswith MCinagegroup20－39 were7 (male)and11(female);inagegroup40－59,were15(male)and44(female);andinagegroup60－78,were20(male)and42(female). Amongatotalof2760vertebralendplates,2450 (88.8%)wereclassifiedasModicType0,65 (2.4%)asTypeⅠ,153 (5.5%)as TypeⅡ,3 (0.1%)asTypeⅢ,and89 (3.2%)as MixedType.ThenumbersofMCoccurringonendplatesofL5/S1,L4/5,L1/2 were108,103and15respectively.Conclusion MCTypeⅡoflumbarvertebraeisthemostprevalent,followedbythe MixedType and MCTypeⅠ.MCTypeⅢistheleast.Inallthreeagegroups,theincidencerateishigherinfemalepatientsthanthatinmales. Regardlessofthegender,theincidenceofMCislinearlypositivecorrelatedwithage.MCoccursmostlyonendplatesofL5/S1and L4/5,andrarelyonendplateofL1/2.
