Study of lesions of the lumbar endplate based on the stage of maturation of the lumbar vertebral body: the relationship between skeletal maturity and chronological age
Study of lesions of the lumbar endplate based on the stage of maturation of the lumbar vertebral body: the relationship between skeletal maturity and chronological age
复制标题
基于腰椎椎体成熟阶段的腰椎终板病变研究：骨骼成熟度与实际年龄的关系
DOI：
10.1007/s00590-017-2032-7
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发表时间：
2018
影响因子：
1.7
通讯作者：
K. Sairyo
中科院分区：
文献类型：
--
作者：
Hideyuki Uraoka;Kosaku Higashino;Masatoshi Morimoto;Kazuta Yamashita;Fumitake Tezuka;Y. Takata;T. Sakai;A. Nagamachi;M. Murase;K. Sairyo
腰椎终板的病变有时在儿童和青少年的椎骨中发现。本研究的目的是比较骨骼成熟度和实际年龄。本研究的第二个目的是根据腰椎椎体的成熟程度来阐明腰椎终板的病变。纳入了632例（485例男性和147例女性）连续患者。第一次体检的平均年龄为13.8岁。根据L3次级骨化中心的外观评价其骨骼成熟度。终板病变的面积分为五种类型。10 ~ 18岁为骨突期，14岁为骨突期高峰。在女性患者中观察到骨突环的出现早于男性患者。凹型以高位椎病变多见。上节段病变以前、中型多见。后型以L4下缘病变和L5下缘病变多见。这项研究是在比较了基于腰椎椎体成熟度的骨骼成熟度与大量患者的实际年龄，并根据腰椎椎体成熟度的阶段检查了腰椎终板的病变后进行的。
The lesion of the lumbar endplate is sometimes identified in the vertebrae of children and adolescents. The purpose of this study is to compare between skeletal maturity and chronological age. The second purpose of this study is to clarify the lesions of the lumbar endplate based on the maturation of the lumbar vertebral body. Six hundred and thirty-two (485 men and 147 women) consecutive patients were included. The mean age at the first medical examination was 13.8 years. Their skeletal maturity was evaluated based on the appearances of the secondary ossification center of L3. The area of the endplate lesions was classified into five types. The apophyseal stage was observed from 10 years old to 18 years old, and the apophyseal stage was shown the peak at 14 years old. The appearance of the apophyseal ring was observed earlier in female patients than in male patients. For the concave type, the lesion at upper level vertebra was more prevalent. The anterior and middle type of the lesion at upper level vertebra was more prevalent. For the posterior type, the lesion of the inferior rim of L4 and the lesion of the rim of L5 were more prevalent. This study emerged after comparing skeletal maturity based on the maturation of the lumbar vertebral body with the chronological age of a large number of patients and examining the lesions of the lumbar endplate based on the stage of maturation of the lumbar vertebral body.
儿童脊椎滑脱引起的椎体变圆畸形是由于生长板软骨内骨化失败而发生的。
DOI：
--
发表时间：
2007
期刊：
Spine 32(25)
影响因子：
--
作者：
藤井隆史;藤木昭宏;綾野克紀;Yukata K;Nakano S;Abbaspour A;Higashino K
通讯作者：
Higashino K