退变性腰椎侧凸椎体终板Modic退变分布及其相关因素

目的 探讨退变性腰椎侧凸椎体终板Modic退变情况及其相关因素.方法 选择2009年1月～2012年6月在我院进行诊断治疗的退变性腰椎侧凸患者97例,分析其影像学资料,并对患者腰痛进行评级,分析Modic改变与疼痛的关系,分析其与性别、体重指数之间的关系.结果 97例患者中54例出现终板Modic退变,占55.7%,终板Modic退变患者腰痛评分显著高于无终板Modic退变的患者（P ＜ 0.01）.女性的患病率显著高于男性,体重超重患者显著高于Ⅰ级和Ⅱ级（P ＜ 0.01）.超重的患者Modic退变Ⅲ型显著高于体重正常和超重的患者.结论 退变性腰椎侧凸椎体终板Modic退变以Ⅱ型最多,性别和体重均与退变的发生有关,而体重还与分型有关.

Relevant factors and its distribution of endplate Modic change in degenerative lumbar scoliosis

Objective To explore relevant factors and its distribution of endplate Modic change in degenerative lum- bar scoliosis. Methods Selected 97 cases with degenerative lumbar scoliosis from Jan 2009 to Jun 2012, which imag- ing results were analyzed. Lumbago was evaluated. The relationship between Modie change and lumbago were ana- lyzed. And relationship of gender, BMI and Modic change were analyzed. Results In 97 cases, Modic change was 54 cases, accounting for 55.7%. Type II was most （68.5%）. VAS score of Modic change cases was higher than non- Modic change cases（P 〈 0.01）. Female morbidity was more than male, and BIM Ⅲ was higer than I and Ⅱ （all of P 〈 0.01）. Type Ⅲ of BIMⅢ was more than BIM I and Ⅱ （P〈 0.01）. Conclusion Endplate Modie change in degenerative lumbar scoliosis, type Ⅱ was most. Gender and BMI are related to Modic change, and BMI is related to type too.