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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Lee, Jae Meen (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) Nam, Kyoung Hyup (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) Lee, In Sook (Department of Radiology, Medical Research Institute, Pusan National University Hospital) Park, Se Kyung (Department of Radiology, Medical Research Institute, Pusan National University Hospital) Choi, Byung Kwan (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital) Han, In Ho (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제54권 제1호
발행연도
2013.1
수록면
34 - 37 (4page)

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Objective : The purposes of this study were to evaluate the prevalence, types, and locations of Modic changes (MCs) in the thoracic spine in a large number of subjects, and to investigate the relation between the distributions of MCs and disc herniations (DHs) in the thoracic spine. Methods : Two experienced musculoskeletal radiologists assessed the presence of MCs and DHs by consensus in the thoracic MRIs of 144 patients with non-specific back pain. Patient ages ranged from 22 to 88 years (mean=$53.3{\pm}14.66$ years), and 72 were female (50%). The prevalence, distribution, relation of MCs and DHs was recorded. Results : MC was observed in 8 of the 144 patients (5.6%) and 10 of 1728 segments (0.58%). The most common MC was type II. Of the 8 patients exhibiting MC, 6 had type II (75.0%), and 2 had mixed MCs (type I/II or type II/III). MCs were distributed mainly at the mid-thoracic level (from T5/6 to T9/10). DH was detected in 18 patients (12.5%), 36 of 1728 segments (2.1%). Of the 10 segments exhibiting MC, 5 had DHs at the same level (50.0%). Accordingly, DH was strongly associated with MC (p=0.000). Conclusion : A low prevalence of MC was observed in the thoracic spine, and type II MC predominated. The low prevalence of MC in the thoracic spine suggests that it was caused by a relative lack of mobility as compared with the cervical and lumbar spines. And DHs were found to be strongly associated with MCs even in the thoracic spine.
#Prevalence #Modic change #Thoracic spine #Disc herniation

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참고문헌 (20)

참고문헌 신청
Albert HB / 2007 / Modic changes following lumbar disc hernia- tion / Eur Spine J 16:977~982 google schola Braithwaite I / 1998 / Vertebral end- plate (Modic) changes on lumbar spine MRI : correlation with pain re- production at lumbar discography / Eur Spine J 7:363~368 google schola Fujimori T / 2012 / Kinematics of the thoracic spine in trunk rotation : in vivo 3-dimen- sional analysis / Spine 37:E1318~E1328 google schola Girard CJ / 2004 / Thoracic spine disc-related abnormalities : longitudinal MR imaging as-sessment / Skeletal Radiol 33:216~222 google schola Jensen RK / 2012 / Is the development of Modic changes associated with clinical symptoms? A 14-month cohort study with MRI / Eur Spine J 21:2271~2279 google schola

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