Bone Marrow Edema and Low Back Pain in Elderly Degenerative Lumbar Scoliosis: A Cross-Sectional Study
| Autor: | Takashi Hashimoto, Toshio Nakamae, Teruaki Okuda, Takuro Shimbo, Kiyotaka Yamada, Mitsuo Ochi, Yoshinori Fujimoto, Nobuhiro Tanaka, Takeshi Hiramatsu, Toshikatsu Kanazawa, Kjell Olmarker, Haruhiko Takata |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Radiography Scoliosis Lumbar vertebrae 03 medical and health sciences 0302 clinical medicine Lumbar Bone Marrow Edema medicine Humans Orthopedics and Sports Medicine Aged Pain Measurement Aged 80 and over 030222 orthopedics Lumbar Vertebrae medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease Low back pain medicine.anatomical_structure Cross-Sectional Studies Physical therapy Female Neurology (clinical) Bone marrow Radiology medicine.symptom business human activities Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Spine. 41(10) |
| ISSN: | 1528-1159 |
| Popis: | STUDY DESIGN Cross-sectional study. OBJECTIVE To examine whether bone marrow edema is associated with low back pain in elderly patients with degenerative lumbar scoliosis. SUMMARY OF BACKGROUND DATA The cause of low back pain in degenerative lumbar scoliosis is unclear. METHODS A total of 120 degenerative lumbar scoliosis patients 65 years of age or older were evaluated. Radiography, computed tomography (CT), magnetic resonance imaging (MRI), and tender point examination in the lumbar spine were performed. On MRI, coronal gadolinium-contrasted T1- or T2-weighed fat-saturated images were used to score the size of bone marrow edema. The prevalence of bone marrow edema in patients with and without low back pain was compared; in patients with low back pain, we tested whether the locations of lumbar tender point were consistent with that of bone marrow edema. RESULTS Bone marrow edema was found in 62 of 64 (96.9%) patients with low back pain compared with 21 of 56 (37.5%) patients without it (P |
| Databáze: | OpenAIRE |
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