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Evaluating the characteristics of spondylolisthesis in low back pain by radiography

机译:通过射线照相评估低腰痛中脊柱肌细胞的特征

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Background/Aim: In physical therapy and rehabilitation practices, it is important to diagnose radiographic spondylolisthesis for correct choice of exercise in patients with low back pain. There are different results about the rates and the characteristics of spondylolisthesis. The aims of this study were to compare the radiographical findings, and evaluate the frequency and the radiographic characteristics of spondylolisthesis according to gender. Methods: Nine hundred and four patients with low back pain, who were over 18 years of age with records of age, gender, and lumbar spine radiographs (both anterior and lateral) were included in this retrospective cross sectional study. Three hundred and forty-eight patients (245 females, 103 males) who met our criteria were included in the study and reviewed for age, gender, and anterior/lateral-lumbar spine radiographies. Spine radiographies were assessed for the presence of spondylosis, scoliosis, fracture, flattening of the lordosis, hyperlordosis, sacralization, lumbarization and spondylolisthesis. The spondylolisthesis measurements were made according to the Meyerding Grading Scale. The levels and the pattern of anterior or posterior listhesis, and co-existing radiological findings such as osteophyte, sclerosis, intervertebral disk space narrowing and scoliosis, were noted. Results: The rate of hyperlordosis (P=0.003) and spondylolisthesis (P=0.012) were significantly higher in females compared to males. The rate of spondylolisthesis among all patients was 11.4% (female/male ratio:2.95/1). All male patients and 91.5% of female patients with spondylolisthesis had it at the L5-S1 level only. Among all, 90.6% of spondylolisthesis patients had anterolisthesis and 79.1% had grade 1 spondylolisthesis according to Meyerding. The most common radiological findings were sclerosis (95%), osteophytes (62.5%), intervertebral disk narrowing (62.5%), scoliosis (37.5%) in spondylolisthesis patients. Conclusion: The results of our study showed that hyperlordosis and spondylolisthesis were more common in females. The characteristics of spondylolisthesis include occurring mostly at one level only, being Meyerding grade 1 and showing anterolisthesis pattern. The most frequent coexisting radiological findings were sclerosis, osteophytes, and intervertebral disk narrowing. These result support the idea that the pathogenesis of spondylolisthesis is associated with spondylosis. The rate of spondylolisthesis was higher compared to many previous studies. Before deciding on an exercise, it is important to see the direct radiography of the patient with low back pain.
机译:背景/目的:在物理治疗和康复实践中,重要的是诊断射线照相脊柱晶体障碍,以正确选择患者患者低疼痛。关于脊柱杆菌的速度和特征不同的结果。本研究的目的是比较射线照相调查结果,并根据性别评估脊椎细胞间的频率和射线照相特征。方法:在此回顾性横截面研究中,九百六年患有18岁的患者,年龄超过18岁,年龄超过18岁,患有年龄,性别和腰椎X型射线照片(两端和横向)。符合我们标准的三百四十八名患者(245名女性,103名男性)包括在研究中,并审查年龄,性别和前腰椎脊柱射线图。评估脊柱病,脊柱侧凸,骨折,脊髓源性,高相环症,骶骨化,腰椎和椎间盘的扁平化的存在评估脊柱射线照片。根据梅内立分级规模进行脊柱晶体细节测量。注意到前后或后颌的水平和模式,以及共同存在的放射学发现,如骨赘,硬化,椎间盘空间缩小和脊柱侧凸。结果:与雄性相比,女性在女性中高相环化率(p = 0.003)和脊柱杆菌菌株(p = 0.012)显着较高。所有患者中的纺锤率率为11.4%(女性/雄性比例:2.95 / 1)。所有男性患者和91.5%的女性患者患者患者只在L5-S1级别。其中,90.6%的辛迪奈睾丸区患者患有蝶窦,79.1%的含有1级椎间盘,根据Meyerding。最常见的放射发现是硬化症(95%),骨折(62.5%),椎间盘狭窄(62.5%),脊椎凋亡患者的脊柱侧凸(37.5%)。结论:我们的研究结果表明,在女性中更常见的高环毒素和辛蒙皮细胞。脊椎肌细胞的特征包括仅在一个级别发生,是Meyerding级1和显示anterolisthays模式。最常用的共存放射发现是硬化症,骨赘和椎间盘缩小。这些结果支持了脊柱岩肌细胞的发病机制与脊柱术有关。与以前的许多研究相比,脊椎凝块的速率较高。在决定锻炼之前,重要的是要看到患者的直接射线照相,腰痛。

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