[Age changes in the lumbar spine: radiological follow-up studies over more than ten years].
[Age changes in the lumbar spine: radiological follow-up studies over more than ten years].
复制标题
腰椎的年龄变化：十余年的放射学随访研究。
DOI：
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发表时间：
1994
期刊：
影响因子：
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通讯作者：
Y. Yasukawa
中科院分区：
文献类型：
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作者：
Y. Yasukawa
为了确定由于腰椎和腰椎间盘的老化而引起的形态学变化，对245名受试者进行了超过10年的放射学随访研究。结果如下：1）椎间盘狭窄随年龄增长而增加，与性别、职业无关; 2）上下腰椎间盘狭窄的发生和进展不同。在L4/5椎间盘中观察到严重椎间盘退变。男性和体力劳动者腰椎骨赘的生长更明显，但与椎间盘狭窄无关。由于所有椎间盘并没有随着年龄的增长以恒定的速度变窄，因此椎间盘退变不应被视为纯粹的年龄变化，而应被视为与年龄有关。椎间盘退变的原因应进一步调查每个病例的遗传和环境方面。强直性脊柱骨质增生（ASH，Forestier）的发生与椎间盘狭窄无关。这项研究支持了这样一个概念，即ASH与椎间盘狭窄是不同的实体，尽管这两种变化有时会同时发生。
To determine the morphological changes due to aging in the lumbar spine and lumbar intervertebral disc, radiological follow-up studies were performed for 245 subjects over more than 10 years. The results were as follows: 1) Disc narrowing increased with age and was not related to sex or occupation, 2) the occurrence and progression of disc narrowing were different between the upper and the lower lumbar discs. Severe disc degeneration was noted in the L4/5 disc. The growth of osteophytes in the lumbar spine was more progressive in males and in physical laborers but was not related to disc narrowing. Since all discs did not become narrow at a constant rate with aging, then disc degeneration should not be considered as a purely aging change, but should be regarded as partly related to aging. Causal factors of disc degeneration should be further investigated on genetic and environmental aspects in each individual case. The occurrence of ankylosing spinal hyperostosis (ASH, Forestier) was not related to disc narrowing. This study supported the concept that ASH was a different entity from disc narrowing although both changes sometimes occurred in combination together.