黄韧带肥大在腰痛中的作用

Akarsh YG, Ramkumar RR, Niban GM
{"title":"黄韧带肥大在腰痛中的作用","authors":"Akarsh YG, Ramkumar RR, Niban GM","doi":"10.33545/surgery.2023.v7.i4a.1024","DOIUrl":null,"url":null,"abstract":"Background: Lumbar canal stenosis is a significant cause of pain and disability. Compression of the neural elements occurs with changes in the local anatomy. The degenerative changes include disc deterioration and facet joint arthrosis and ligamentum flavum hypertrophy. Even though many studies have shown the significance of ligamentum flavum hypertrophy in patients with spinal canal stenosis, very few studies have examined ligamentum flavum thickness and its relation age and lumbar level.Methods: Study was conducted at Kanyakumari government medical college for a period of 12 months from November 2021 to November 2022. Total of 50 patients were included in the study presenting with complaints of lower back pain, radiculopathy and neurogenic claudication.Results: Using MR imaging we measured ligamentum flavum of a total 50 patients. Thickness of ligamentum flavum was increased – older patients, lower lumbar level and symptomatic. Lateral recess stenosis, which is a frequent finding with patients with lumbar radiculopathy – close proximity of ligamentum flavum with facet joint where motion and degenerative changes are more appreciated.Conclusions: Our study confirmed increase in ligamentum flavum thickness as age increased and lumbar level in symptomatic patients. This finding may represent the degenerative process in the ligamentum flavum that occurs with age and also supports the reactive nature of the ligamentum flavum to increased mechanical forces at lower lumbar level.","PeriodicalId":14421,"journal":{"name":"International Journal of Surgery Science","volume":"79 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Role of Ligamentum Flavum Hypertrophy in Low Back Pain\",\"authors\":\"Akarsh YG, Ramkumar RR, Niban GM\",\"doi\":\"10.33545/surgery.2023.v7.i4a.1024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Lumbar canal stenosis is a significant cause of pain and disability. Compression of the neural elements occurs with changes in the local anatomy. The degenerative changes include disc deterioration and facet joint arthrosis and ligamentum flavum hypertrophy. Even though many studies have shown the significance of ligamentum flavum hypertrophy in patients with spinal canal stenosis, very few studies have examined ligamentum flavum thickness and its relation age and lumbar level.Methods: Study was conducted at Kanyakumari government medical college for a period of 12 months from November 2021 to November 2022. Total of 50 patients were included in the study presenting with complaints of lower back pain, radiculopathy and neurogenic claudication.Results: Using MR imaging we measured ligamentum flavum of a total 50 patients. Thickness of ligamentum flavum was increased – older patients, lower lumbar level and symptomatic. Lateral recess stenosis, which is a frequent finding with patients with lumbar radiculopathy – close proximity of ligamentum flavum with facet joint where motion and degenerative changes are more appreciated.Conclusions: Our study confirmed increase in ligamentum flavum thickness as age increased and lumbar level in symptomatic patients. This finding may represent the degenerative process in the ligamentum flavum that occurs with age and also supports the reactive nature of the ligamentum flavum to increased mechanical forces at lower lumbar level.\",\"PeriodicalId\":14421,\"journal\":{\"name\":\"International Journal of Surgery Science\",\"volume\":\"79 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Surgery Science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33545/surgery.2023.v7.i4a.1024\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Surgery Science","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33545/surgery.2023.v7.i4a.1024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:腰椎管狭窄是引起疼痛和残疾的重要原因。局部解剖结构的改变导致神经元件受压。退行性改变包括椎间盘退化、关节突关节病和黄韧带肥大。尽管许多研究表明黄韧带肥大在椎管狭窄患者中的意义,但很少有研究检查黄韧带厚度及其与年龄和腰椎水平的关系。方法:研究于2021年11月至2022年11月在Kanyakumari政府医学院进行,为期12个月。共有50名患者被纳入研究,他们的主诉包括腰痛、神经根病和神经源性跛行。结果:利用磁共振成像技术对50例患者的黄韧带进行了测量。黄韧带厚度随年龄增大、腰椎水平降低、症状加重而增加。侧隐窝狭窄,这是腰椎神经根病患者的常见发现——靠近黄韧带与小关节,运动和退行性变化更明显。结论:我们的研究证实,在有症状的患者中,黄韧带厚度随着年龄和腰椎水平的增加而增加。这一发现可能代表黄韧带的退行性过程,随着年龄的增长而发生,也支持黄韧带对下腰椎水平机械力增加的反应性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Role of Ligamentum Flavum Hypertrophy in Low Back Pain
Background: Lumbar canal stenosis is a significant cause of pain and disability. Compression of the neural elements occurs with changes in the local anatomy. The degenerative changes include disc deterioration and facet joint arthrosis and ligamentum flavum hypertrophy. Even though many studies have shown the significance of ligamentum flavum hypertrophy in patients with spinal canal stenosis, very few studies have examined ligamentum flavum thickness and its relation age and lumbar level.Methods: Study was conducted at Kanyakumari government medical college for a period of 12 months from November 2021 to November 2022. Total of 50 patients were included in the study presenting with complaints of lower back pain, radiculopathy and neurogenic claudication.Results: Using MR imaging we measured ligamentum flavum of a total 50 patients. Thickness of ligamentum flavum was increased – older patients, lower lumbar level and symptomatic. Lateral recess stenosis, which is a frequent finding with patients with lumbar radiculopathy – close proximity of ligamentum flavum with facet joint where motion and degenerative changes are more appreciated.Conclusions: Our study confirmed increase in ligamentum flavum thickness as age increased and lumbar level in symptomatic patients. This finding may represent the degenerative process in the ligamentum flavum that occurs with age and also supports the reactive nature of the ligamentum flavum to increased mechanical forces at lower lumbar level.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Comparison between FNAC and TRU cut biopsy in patients with breast lump Clinical study of mesh repair in Sventral hernia with co-morbidities (diabetes mellitus and/or obesity) in a Tertiary care hospital A comparative study of inguinal hernia repair by open versus laparoscopic technique in paediatric age group Liga Clips vs Bipolar Diathermy for cystic artery sealing in laparoscopic cholecystectomy: A comparative study A comparative study on primary hypospadias repair using dartos fascia flap versus tunica vaginalis flap in paediatric age group
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1