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学科主题: 临床医学
题名:
The relationship of symptomatic thoracolumbar disc herniation and Scheuermann′s disease
作者: Liu, Ning1; Chen, Zhongqiang1; Qi, Qiang1; Shi, Zefeng2
关键词: Thoracolumbar disc herniation ; Scheuermann&prime ; s disease
刊名: EUROPEAN SPINE JOURNAL
发表日期: 2014-05-01
DOI: 10.1007/s00586-013-3108-7
卷: 23, 期:5, 页:1059-1066
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Orthopedics
研究领域[WOS]: Neurosciences & Neurology ; Orthopedics
关键词[WOS]: LUMBAR SCHEUERMANN ; JUVENILE KYPHOSIS ; DEGENERATION
英文摘要:

Symptomatic disc herniations in the thoracolumbar spine between T10/11 and L1/2 can be collectively called thoracolumbar disc herniation (TLDH). The etiology of this disorder is unclear. However, it is interesting that we have noted numerous TLDH patients have radiographic features of another spinal disorder which is Scheuermann′s disease (SD). The purpose of this study is to investigate the relationship between symptomatic TLDH and SD in a symptomatic TLDH cohort.

A cohort of 63 patients with symptomatic TLDH, who had surgery was investigated. Incidences of associated SD and four radiographic signs of SD that were Schmorl′s node, irregular vertebral end plate, posterior bony avulsion of the vertebra and wedge-shaped vertebra, average thoracolumbar kyphotic angle and incidences of disc herniation at segments with and without radiographic signs of SD were examined. Data from the TLDH group were compared with 57 patients undergoing surgery for lower lumbar disc herniation (LDH, L3/4-L5/S1) in the same period.

The incidences of the four radiographic signs of SD and the incidence of associated SD were all significantly higher in the TLDH group than in the LDH group. 95.2 % of the patients in the TLDH group were diagnosed with SD (either classical SD or its atypical form). The average thoracolumbar kyphotic angle of the TLDH group was 16.9A degrees, while that of the LDH group was 7.6A degrees (P = 0.000). In the TLDH group, the incidences of disc herniation at segments with radiographic signs of SD were all significantly higher than at segments where no sign of SD was found.

The high proportion of associated SD and the tendency of SD′s signs to promote disc herniation in symptomatic TLDH patients suggest a close relationship between these two disorders. Symptomatic TLDH should be seen as a truly different surgical entity, that is, a special form of SD rather than just an indicator of a failing back.

语种: 英语
WOS记录号: WOS:000335507600011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/60365
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

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作者单位: 1.Peking Univ, Hosp 3, Dept Orthopaed, Beijing 100191, Peoples R China
2.Peoples Hosp Guangxi Zhuang Autonomous Reg, Dept Orthopaed, Nanning, Peoples R China

Recommended Citation:
Liu, Ning,Chen, Zhongqiang,Qi, Qiang,et al. The relationship of symptomatic thoracolumbar disc herniation and Scheuermann′s disease[J]. EUROPEAN SPINE JOURNAL,2014,23(5):1059-1066.
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