胸椎椎间盘病变与胸胸部相关疼痛:范围界定综述

Lucia Ferrulli, Martina Zaninetti, Michele Margelli, Filippo Maselli, Giovanni Galeoto
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摘要

摘要背景:胸椎椎间盘病变是指胸椎的一个或多个椎间盘发生退变或突出,从而引起胸胸部相关疼痛。胸-胸相关疼痛的病因多种多样,包括肌肉骨骼、神经和内脏原因,因此诊断和治疗胸-胸相关疼痛极具挑战性。目的:本范围综述旨在通过研究现有的科学研究,概述当前有关胸椎椎间盘病变和胸-胸相关疼痛的科学文献,并找出现有的知识空白。资格标准:在 Medline、Cinahl、Cochrane、Prospero 等数据库中使用关键术语进行搜索:胸椎、胸部、背侧、椎间盘、疝气、根神经病、脊髓病和疼痛。我们还在 clinicaltrial.gov 和 google scholar 上搜索了灰色文献。排除标准:未指定的病理和症状(如非特异性背痛、腰痛)以及与胸椎间盘无关的特异性病理(如脊柱滑膜囊肿、脊柱蛛网膜、肺疝ecc)。
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Thoracic discopathy and thoracic-chest related pain: a scoping review
ABSTRACT Background: Thoracic discopathy refers to the degeneration or herniation of one or more discs in the thoracic spine, which can cause thoracic-chest related pain. Thoracic-chest related pain can be challenging to diagnose and treat, as it can have various causes, including musculoskeletal, neurological, and visceral. Objectives: This scoping review aims to provide an overview of the current scientific literature on the thoracic discopathy and the thoracic-chest related pain, by examining the available scientific research, as well as to identify any existing gaps in knowledge. Eligibility criteria: The databases of Medline, Cinahl, Cochrane, Prospero were searched using key terms: thoracic, chest, dorsal, disc, hernia, radiculopathy, myelopathy, and pain. We also have searched for Grey literature on clinicaltrial.gov and google scholar. Inclusion criteria: adult population (over 18 years old); thoracic discopathy or thoracic-chest related pain; Italian or English language; no context, geographical or temporal limits. Exclusion criteria: unspecified pathologies and symptoms (as non- specific back pain, low back pain) and specific pathologies without any interest of thoracic disc (as spinal synovial cysts, spinal arachnoid webs, lung herniation ecc).
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