論文

国際誌
2020年

Residual lumbar curvature that developed during adolescence accelerates intervertebral disc degeneration in adulthood

Spine Deformity
  • Suzuki S
  • Fujiwara H
  • Nori S
  • Tsuji O
  • Nagoshi N
  • Okada E
  • Fujita N
  • Yagi M
  • Nohara A
  • Kawakami N
  • Michikawa T
  • Nakamura M
  • Matsumoto M
  • Watanabe K
  • 全て表示

9
3
開始ページ
711
終了ページ
720
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s43390-020-00252-9
出版者・発行元
Spine Deformity

Purpose: To elucidate the influence of spinal deformity in adolescent idiopathic scoliosis (AIS) on lumbar intervertebral disc (IVD) degeneration in adulthood using magnetic resonance imaging (MRI). Methods: A total of 102 patients (8 men, 94 women; mean age, 31.4 years) who had developed idiopathic scoliosis at the age of 10–18 years and underwent preoperative lumbar spine MRI at the age of ≥ 20 were included in the study. Twenty volunteers (3 men, 17 women; mean age, 33.6 years) without scoliosis were assessed as controls. We divided the adult scoliosis patients into two groups: Group A consisted of patients with lumbar modifier A, and Group BC consisted of those with modifiers B and C. IVD degeneration from L1/2 to L5/S1 was assessed by MRI. The Scoliosis Research Society-22 (SRS-22) patient questionnaire was used in the patients’ clinical assessment. Results: There were 40 patients in the Group A and 62 in the Group BC. Compared to the control groups, significant IVD degeneration was observed at L2/3 and L3/4 in Group A, and at all levels except for L5/S1 in Group BC. The proportion of degenerated IVDs patients (Grades 1c and 2) was significantly higher in Group BC than those in Group A at L3/L4 and L4/L5. Furthermore, the severity of IVD degeneration was significantly greater in the group BC than in the group A at all levels, except for L5/S1, especially in patients aged > 30 years. The mean scores of all subdomains in the SRS-22 questionnaire were comparable between the two groups. Conclusion: Our study showed that the residual lumbar curvature from AIS may have accelerated IVD degeneration in adulthood, especially in patients aged > 30 years. Level of evidence: III.

リンク情報
DOI
https://doi.org/10.1007/s43390-020-00252-9
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33245504
URL
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85096763319&origin=inward
ID情報
  • DOI : 10.1007/s43390-020-00252-9
  • ISSN : 2212-134X
  • PubMed ID : 33245504

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