Ahmet Payas , Emre Bal , Duygu Ekinci , Sabri Batın
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引用次数: 0
摘要
研究设计：横断面研究 目的：脊柱侧弯症患者的疼痛通常通过姿势分析或问卷调查进行评估。在这项研究中，我们对接受脊柱矫正手术的脊柱侧弯患者的疼痛进行了牵引成像评估，并与未接受脊柱矫正手术的脊柱侧弯患者和健康人进行了比较：研究对象包括 15 名健康人、15 名未接受脊柱侧弯矫正手术的患者和 15 名接受脊柱侧弯矫正手术的患者：在这项前瞻性计划研究中，所有女性参与者均以右手为主导手。使用 DSI Studio 软件，利用参与者的脑磁共振成像（MRI）对疼痛通路进行双侧束流分析。研究使用 IBM SPSS 23.0 和 pResults 进行统计分析：据观察，脊柱侧弯手术组的束流成像值与对照组相似（p˃0.05）。在非手术脊柱侧弯组中，与神经传导速度相关的束描结果，如纤维数、纤维比率和轴向弥散度（AD），均高于其他两组（p结论：在非手术脊柱侧弯组中，与神经传导速度相关的束描结果，如纤维数、纤维比率和轴向弥散度（AD），均高于其他两组（p结论）：接受手术治疗的脊柱侧弯患者的疼痛路径束描值与健康人相似，这可能是大脑痛觉减弱的证据。手术可能是治疗脊柱侧弯患者疼痛的一个不错选择。
The effect of spinal correction surgery on the tractography data of the pain pathway in scoliosis patients: a preliminary report
Study design
Cross-sectional study.
Objective
Pain in individuals with opered scoliosis is usually evaluated with a postural analysis or questionnaire. In this study, we evaluated pain in individuals with scoliosis who underwent spinal correction surgery by tractography and compared it with individuals with non-opered scoliosis and healthy individuals.
Design
Fifteen healthy individuals, 15 non-operated scoliosis patients and 15 operated scoliosis patients were included in the study.
Methods
All female participants in this prospectively planned study used their right hand as the dominant hand. Bilateral tractography analysis of the pain pathways was performed with DSI Studio software using brain magnetic resonance images (MRI) of the participants. Statistical analysis of the study was performed with IBM SPSS 23.0 and p<0.05 values were considered significant.
Results
It was observed that the tractography values of the operated scoliosis group were similar to the control group (p˃0.05). In the non-operated scoliosis group, tractography findings related to nerve conduction velocity such as fiber count, fiber ratio and axial diffusivity (AD) were found to be higher than the other two groups (p<0.05). Fractional anisotropy (FA) values of the unoperated scoliosis group were significantly different between the pain pathways projected from the right/left side of the body (p<0.05).
Conclusion
The fact that the pain path tractography values of patients with scoliosis who underwent surgery were similar to those of healthy individuals may be evidence of decreased pain sensation reaching the brain. Surgery may be a good choice in the treatment of pain in patients with scoliosis.
期刊介绍：
The Journal of Chemical Neuroanatomy publishes scientific reports relating the functional and biochemical aspects of the nervous system with its microanatomical organization. The scope of the journal concentrates on reports which combine microanatomical, biochemical, pharmacological and behavioural approaches.
Papers should offer original data correlating the morphology of the nervous system (the brain and spinal cord in particular) with its biochemistry. The Journal of Chemical Neuroanatomy is particularly interested in publishing important studies performed with up-to-date methodology utilizing sensitive chemical microassays, hybridoma technology, immunocytochemistry, in situ hybridization and receptor radioautography, to name a few examples.
The Journal of Chemical Neuroanatomy is the natural vehicle for integrated studies utilizing these approaches. The articles will be selected by the editorial board and invited reviewers on the basis of their excellence and potential contribution to this field of neurosciences. Both in vivo and in vitro integrated studies in chemical neuroanatomy are appropriate subjects of interest to the journal. These studies should relate only to vertebrate species with particular emphasis on the mammalian and primate nervous systems.
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