Comparison of modic changes in the lumbar and cervical spine, in 3167 patients with and without spinal pain.
Comparison of modic changes in the lumbar and cervical spine, in 3167 patients with and without spinal pain.
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DOI：
10.1371/journal.pone.0114993
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Zhao F
中科院分区：
文献类型：
--
作者：
Sheng-yun L;Letu S;Jian C;Mamuti M;Jun-hui L;Zhi S;Chong-yan W;Shunwu F;Zhao F
腰椎和颈椎的Modic改变（MCs）的比较很少。比较腰椎和颈椎的MC患病率，确定MC患病率与脊柱疼痛、年龄、椎间盘退变、脊柱水平和是否存在后凸有关。回顾性临床调查。比较五组患者的磁共振图像（mri）： 1。仅腰痛/神经根病1223例；2. 仅颈部疼痛/神经根病1023例；3. 497例伴有腰颈部并发症状；4. 304例无症状腰椎mri患者；和5。120名无症状的颈椎mri患者。腰痛患者的MCs患病率高于无腰痛患者，无论是腰椎（21.0% vs 10.5%）还是颈椎（8.8% vs 3.3%）。所有组中II型mc最常见，III型mc最不常见。腰痛患者腰椎MCs的患病率几乎不受颈部疼痛的影响，颈椎MCs的患病率在伴有或不伴有腰痛的颈部疼痛患者中也是如此。当有症状的患者被重新分为两组（背部疼痛，颈部疼痛）时，腰痛患者腰椎MCs的患病率高于颈部疼痛患者颈椎MCs的患病率。腰椎和颈椎mc的患病率随着年龄、椎间盘退变、脊柱水平下降和脊柱后凸增加而增加。背部和颈部疼痛的患者中MCs的患病率明显更高。报道的与后凸（平背）增加的关联是新颖的。
There are few comparisons of Modic changes (MCs) in the lumbar and cervical spine. Compare the prevalence of MCs in the lumbar and cervical spine, and determine how MC prevalence depends on spinal pain, age, disc degeneration, spinal level, and the presence or absence of kyphosis. Retrospective clinical survey. Magnetic resonance images (MRIs) were compared from five patient groups: 1. 1223 patients with low-back pain/radiculopathy only; 2. 1023 patients with neck pain/radiculopathy only; 3. 497 patients with concurrent low-back and neck symptoms; 4. 304 asymptomatic subjects with lumbar MRIs; and 5. 120 asymptomatic subjects with cervical MRIs. The prevalence of MCs was higher in those with spinal pain than in those without, both in the lumbar spine (21.0% vs 10.5%) and cervical spine (8.8% vs 3.3%). Type II MCs were most common and Type III were least common in all groups. The prevalence of lumbar MCs in people with back pain was little affected by the presence of concurrent neck pain, and the same was true for the prevalence of cervical MCs in people with neck pain with or without concurrent back pain. When symptomatic patients were reclassified into two groups (back pain, neck pain), the prevalence of lumbar MCs in people with back pain was greater than that of cervical MCs in people with neck pain. The prevalence of lumbar and cervical MCs increased with age, disc degeneration, (descending) spinal level, and increased kyphosis. There is a significantly higher prevalence of MCs in patients with back and neck pain. The reported association with increased kyphosis (flat back) is novel.
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影响因子：
3
作者：
Hutton, Michael J.;Bayer, Jens H.;Sharp, David J.
通讯作者：
Sharp, David J.
影响因子：
3
作者：
Wang, Yue;Videman, Tapio;Battie, Michele C.
通讯作者：
Battie, Michele C.
影响因子：
4.7
作者：
Wang, Yi-Xiang J.;Griffith, James F.
通讯作者：
Griffith, James F.
影响因子：
3
作者：
Mann, Eugen;Peterson, Cynthia K.;Hodler, Juerg
通讯作者：
Hodler, Juerg
影响因子：
19.7
作者：
MODIC, MT;STEINBERG, PM;CARTER, JR
通讯作者：
CARTER, JR