骨质疏松性腰椎压缩性骨折的椎间盘和椎旁肌肉MRI变化及意义

孙海平; 孙栋

doi:10.11659/jjssx.10E022119

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骨质疏松性腰椎压缩性骨折的椎间盘和椎旁肌肉MRI变化及意义

临床研究 | 更新时间：2023-05-26

- 骨质疏松性腰椎压缩性骨折的椎间盘和椎旁肌肉MRI变化及意义
- MRI changes of intervertebral disc and paravertebral muscle in osteoporotic lumbar vertebral compression fracture and its significance
- 局解手术学杂志 2023年32卷第5期页码：424-427
- 作者机构：
  
  山西白求恩医院放射科，山西太原 030032
- 作者简介：
  
  孙海平，E-mail：pingeraaaaa_ok@126.com
- 基金信息：
  
  山西省应用基础研究项目(201801D121200)
- DOI：10.11659/jjssx.10E022119
  中图分类号： R445.2;R693.2
- 纸质出版日期：2023-05-25，
  
  收稿日期：2022-10-21，
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孙海平,孙栋.骨质疏松性腰椎压缩性骨折的椎间盘和椎旁肌肉MRI变化及意义[J].局解手术学杂志,2023,32(05):424-427.

SUN Hai-ping,SUN Dong.MRI changes of intervertebral disc and paravertebral muscle in osteoporotic lumbar vertebral compression fracture and its significance[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(05):424-427.
孙海平,孙栋.骨质疏松性腰椎压缩性骨折的椎间盘和椎旁肌肉MRI变化及意义[J].局解手术学杂志,2023,32(05):424-427. DOI： 10.11659/jjssx.10E022119.

SUN Hai-ping,SUN Dong.MRI changes of intervertebral disc and paravertebral muscle in osteoporotic lumbar vertebral compression fracture and its significance[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(05):424-427. DOI： 10.11659/jjssx.10E022119.

摘要

目的

研究骨质疏松性腰椎压缩性骨折的椎间盘、椎旁肌肉磁共振成像(MRI)变化及意义。

方法

回顾性分析我院85例腰椎压缩性骨折患者的临床资料，将45例存在骨质疏松的患者纳入观察组，40例无骨质疏松的患者纳入对照组。比较2组患者的Pfirrmann分级、L

椎旁肌肉的相关指标，包括双侧多裂肌横截面积、双侧竖脊肌横截面积、椎体横截面积、脂肪变性比例。

结果

2组Pfirrmann 分级比较，差异有统计学意义(

0.05)。对照组L

双侧多裂肌横截面积、双侧竖脊肌横截面积显著大于观察组，L

脂肪变性比例显著低于观察组，差异均有统计学意义(

0.05)；2组L

椎体横截面积比较，差异无统计学意义(

0.05)。

结论

骨质疏松性腰椎压缩性骨折患者的腰椎间盘退变程度明显高于单纯腰椎压缩性骨折患者，其椎旁肌肉MRI变化主要表现为双侧多裂肌、竖脊肌横截面积减小和脂肪变性比例升高。

Abstract

Objective

To study the changes and significance of magnetic resonance imaging (MRI) of intervertebral disc and paravertebral muscle in osteoporotic lumbar vertebral compression fracture.

Methods

The clinical data of 85 patients with lumbar compression fracture in our hospital were retrospectively reviewed.A total of 45 patients combined with osteoporosis were included in the observation group

and 40 patients without osteoporosis were included in the control group.The Pfirrmann grading and related indexes of paravertebral muscles from L

to L

including cross-sectional area of bilateral multifidus muscle

cross-sectional area of bilateral erector spinae

cross-sectional area of vertebral body and steatosis ratio were compared between the two groups.

Results

There was significant difference in the Pfirrmann grading between the two groups (

0.05).The cross-sectional areas of bilateral multifidus muscle and bilateral erector spinae from L

to L

in the control group were significantly greater than those in the observation group

and the steatosis ratios from L

to L

were significantly lower than those in the observation group

with statistically significant differences (

0.05).There was no significant difference in the cross-sectional area of vertebral bodies from L

to L

between the two groups (

0.05).

Conclusion

Compared with patients with simple lumbar compression fracture

patients with osteoporotic vertebral compression fracture have significantly higher degenerative degree of lumbar intervertebral disc

whose MRI changes of paraspinal muscles are mainly manifested as the decrease of cross-sectional areas of bilateral multifidus muscle and bilateral erector spinae and the increase of steatosis ratio.

关键词

骨质疏松腰椎压缩性骨折椎旁肌肉Pfirrmann分级MRI非对称回波最小二乘估算法迭代水脂分离序列

Keywords

osteoporosislumbar vertebral compression fractureparaspinal musclesPfirrmann gradingMRIIDEAL-IQ

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