MR医学影像文献Lao-2016-Kinetic magnetic resonance imaging an.pdfVIP

Eur Spine J (2016) 25:222–229 DOI 10.1007/s00586-015-3977-z ORIGINAL ARTICLE Kinetic magnetic resonance imaging analysis of lumbar segmental motion at levels adjacent to disc herniation 1 2 2 2 Lifeng Lao • Michael D. Daubs • Shinji Takahashi • Elizabeth L. Lord • 2 1 3 Jeremiah R. Cohen • Guibin Zhong • Jeffrey C. Wang Received: 22 October 2014 / Revised: 19 April 2015 / Accepted: 19 April 2015 / Published online: 29 April 2015 Springer-Verlag Berlin Heidelberg 2015 Abstract height at adjacent levels, although there was a significant Purpose A retrospective radiographic study was carried relationship between gender and adjacent segment disc out to analyze the effect of lumbar disc herniation on the height. kinetic motion of adjacent segments. Conclusions Although disc height, translational motion, Methods A total of 162 patients with low back pain or and angular variation are significantly affected at the level radicular pain in the lower limbs without a prior history of of a disc herniation, no significant changes are apparent in surgery were evaluated using kinetic magnetic resonance adjacent segments. Our results indicate that herniated discs imaging. Translational motion, angular variation, and disc have no effect on range of motion at adjacent levels re- height were measured at each segment from L1–L2 to L5– gardless of the degree of disc degeneration or the size of S1. Other factors including the degree of disc degeneration, disc herniation, suggesting that the natural progression of age, gender, and v