日本語フィールド
著者：Masatsugu Tsukamoto, Tadatsugu Morimoto, Takaomi Kobayashi, Kazuki Muranaka, Tomohito Yoshihara, Kazumasa Maeda, Motoki Sonohata, Yuichi Kasai, Koji Otani, Masaaki Mawatari題名：The relationship between traction spurs, Modic change, vacuum phenomenon, and segmental instability of the lumbar spine発表情報：Sci Rep 巻: 12 号: 1 ページ: 9939キーワード：概要：A thorough understanding of lumbar segmental motion is valuable to treat patients with degenerative lumbar disease, but kinematics associated with indicators of lumbar intervertebral instability [traction spur, Modic changes (MCs) and vacuum phenomenon (VP)] in the lumbar spine have not been well understood. The purpose of this study is to evaluate the relationships between traction spur, MCs and VP to radiographic measurements in the lumbar spine. A total of 525 lumbar discs from L1-2 to L5-S1 of 105 patients were evaluated. The sagittal translation (ST) and sagittal angulation were measured from the radiographs taken flexion-extension. The anterior disc height (ADH) was measured from the lateral radiographs, and ΔADH was measured as the difference from supine to sitting position. Logistic regression analyses were used to detect the association between the existence of traction spur, MCs and VP and related factors. Multivariate analysis showed that the traction spur was significantly related to translational motion (ST > 2 mm, OR 4.74) and the VP was significantly related to vertical motion (ΔADH > 3 mm, OR 1.94). These results suggest that the segments with traction spur and VP should be evaluated carefully because these may be a sign of lumbar intervertebral instability. 抄録：英語フィールド
Author：Masatsugu Tsukamoto, Tadatsugu Morimoto, Takaomi Kobayashi, Kazuki Muranaka, Tomohito Yoshihara, Kazumasa Maeda, Motoki Sonohata, Yuichi Kasai, Koji Otani, Masaaki MawatariTitle：The relationship between traction spurs, Modic change, vacuum phenomenon, and segmental instability of the lumbar spineAnnouncement information:Sci Rep Vol: 12 Issue: 1 Page: 9939An abstract：A thorough understanding of lumbar segmental motion is valuable to treat patients with degenerative lumbar disease, but kinematics associated with indicators of lumbar intervertebral instability [traction spur, Modic changes (MCs) and vacuum phenomenon (VP)] in the lumbar spine have not been well understood. The purpose of this study is to evaluate the relationships between traction spur, MCs and VP to radiographic measurements in the lumbar spine. A total of 525 lumbar discs from L1-2 to L5-S1 of 105 patients were evaluated. The sagittal translation (ST) and sagittal angulation were measured from the radiographs taken flexion-extension. The anterior disc height (ADH) was measured from the lateral radiographs, and ΔADH was measured as the difference from supine to sitting position. Logistic regression analyses were used to detect the association between the existence of traction spur, MCs and VP and related factors. Multivariate analysis showed that the traction spur was significantly related to translational motion (ST > 2 mm, OR 4.74) and the VP was significantly related to vertical motion (ΔADH > 3 mm, OR 1.94). These results suggest that the segments with traction spur and VP should be evaluated carefully because these may be a sign of lumbar intervertebral instability. 