Lomber intervertebral disklerdeki yüksek yoğunluklu lezyonların prevalansı ve dejeneratif süreçlerle ilişkisi

Year 2024, Volume: 49 Issue: 1, 113 - 120, 29.03.2024

Zafer Soydan , Emru Bayramoğlu

https://doi.org/10.17826/cumj.1415779

Abstract

Amaç: Bu toplum tabanlı kesitsel çalışmanın amacı lomber omurgada yüksek yoğunluklu bölgelerin (YYA) yaygınlığını incelemek ve YYA ile yaş, cinsiyet ve disk dejenerasyonu, disk yer değiştirmesi (bulging veya herniasyon) ve faset eklem dejenerasyonu gibi diğer dejeneratif süreçler arasındaki korelatif ilişkileri araştırmaktır.
Gereç ve Yöntem: Subakut-kronik bel ağrısı (LBP) ile hastaneye başvuran ve polikliniklerde aksiyel yayılan (muskulojenik-diskojenik-mekanik) ağrısı olan 800 hastanın (4000 disk) MRG çalışmaları üzerinde retrospektif bir analiz yapıldı. YYA sıklığı, on yıllar içinde toplam yedi dekad içinde dikkate alınarak belirlendi. YYA ile diğer değişkenler arasında korelasyon analizleri yapıld.
Bulgular: YYA prevalansı %30 olup, >70 yaş grubunda en yüksek ve <20 yaş grubunda en düşüktür. Bu lezyonlar ile L2-3-4-5 seviyesinde disk dejenerasyonu, L3-L4 seviyesinde disk deplasmanı ve L1-2-3 seviyesinde faset eklem dejenerasyonu arasında anlamlı korelasyonlar bulunmuştur. YYA ile yaş arasında anlamlı bir korelasyon vardı, ancak cinsiyet ile yoktu. Bu lezyonlar en sık Evre 3 disk dejenerasyonu ile ilişkiliydi.
Sonuç: YYA muhtemelen diskojenik LBP gelişimine katkıda bulunmaktadır. YYA prevalansı yaşa bağlı önemli farklılıklar göstermekle birlikte yaklaşık %30'dur. LBP'li hastalarda YYA ile disk dejenerasyonu, disk deplasmanı ve faset eklem dejenerasyonu arasında seviyeye dayalı bir ilişki olduğu ortaya çıkarılmıştır.

Keywords

Yüksek yoğunluk alanları, YYA, disk dejenerasyonu, disk bulging, disk herniasyonu, faset eklem dejenerasyonu, MRG.

Prevalence and association of high-intensity lesions with degenerative processes in lumbar intervertebral discs

Abstract

Purpose: This population-based cross-sectional study examined the prevalence of high-intensity zones (HIZ) in the lumbar spine and their relationship to age, gender, disc degeneration, disc displacement (bulging or herniation), and facet joint degeneration.
Materials and Methods: A retrospective analysis was conducted on MRI studies of 800 patients (4000 discs) who were admitted to the hospital with subacute-chronic low back pain (LBP) and presented with axial pain (musculogenic-discogenic-mechanic) at outpatient clinics. The frequency of speed was determined by considering a total of seven age categories in decades. Correlation analyses were performed between HIZ and other variables.
Results: The prevalence of HIZ was 30%, highest in the >70 years age group and lowest in the <20 years age group. Significant correlations were found between these lesions and L2-3-4-5 level disc degeneration, L3-L4 level disc displacement, and L1-2-3 level facet joint degeneration. There was a significant correlation between HIZ and age, but not with gender. These lesions were most commonly associated with Grade 3 disc degeneration.
Conclusions: HIZ likely contributes to the development of discogenic LBP. The prevalence of HIZ was approximately 30%, with substantial age-related variations. A level-based association was observed between HIZ and disc degeneration, disc displacement, and facet joint degeneration in patients with LBP.

Keywords

High-intensity zones, HIZ, Disc degeneration, Disc bulging, Disc herniation, Facet Joint degeneration, MRI

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