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Magnetic Resonance Imaging Evaluation of L5-S1 Intervertebral Disc Degeneration in Japanese Women
Asian Spine Journal ; : 581-590, 2014.
Artículo en Inglés | WPRIM | ID: wpr-23808
ABSTRACT
STUDY

DESIGN:

Retrospective case series.

PURPOSE:

To calculate the prevalence of L5-S1 intervertebral disc degeneration (IDD) by evaluating gynecological disease findings, obtained by pelvic magnetic resonance imaging (MRI), and reveal the risk factors for IDD by analyzing its relationship with age, sacral structure, body mass index (BMI), number of deliveries, and intrapelvic space-occupying lesions. OVERVIEW OF LITERATURE Age, obesity, height, smoking history, occupation, and lumbosacral structure are reportedly the main factors of lumbar IDD. However, in women, the relationship of IDD with obstetric and gynecological history is unclear.

METHODS:

The presence of L5-S1 IDD was evaluated on sagittal T2-weighted pelvic MRI during gynecological evaluations in 660 Japanese women. We measured the sacral table angle (STA), sacral kyphosis angle (SKA), and intrapelvic space-occupying lesion size. Age, height, weight, BMI, number of deliveries, lumbosacral structure, size of space-occupying lesions, and presence of uterine leiomyoma based on medical records were compared between the IDD-positive and IDD-negative groups.

RESULTS:

Lumbosacral IDD was observed in 405 cases (61.4%), and its prevalence increased with age. Differences in age, height, weight, BMI, and number of deliveries between the IDD-positive and -negative groups were significant, but differences in STA, SKA, and presence of uterine leiomyoma and space-occupying lesion size were not. Logistic regression analysis indicated that age, BMI, and STA were risk factors for lumbosacral IDD.

CONCLUSIONS:

Age is the biggest risk factor for lumbosacral IDD in Japanese women, with BMI and STA also contributing to its development. However, SKA and obstetric and gynecological history were not significantly involved.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Humo / Imagen por Resonancia Magnética / Fumar / Índice de Masa Corporal / Modelos Logísticos / Registros Médicos / Prevalencia / Estudios Retrospectivos / Factores de Riesgo / Historia Reproductiva Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos Idioma: Inglés Revista: Asian Spine Journal Año: 2014 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Humo / Imagen por Resonancia Magnética / Fumar / Índice de Masa Corporal / Modelos Logísticos / Registros Médicos / Prevalencia / Estudios Retrospectivos / Factores de Riesgo / Historia Reproductiva Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos Idioma: Inglés Revista: Asian Spine Journal Año: 2014 Tipo del documento: Artículo