Abstract:
STUDY DESIGN:A preliminary study of magnetic resonance features of the interspinous ligament in degenerative lumbar spine. OBJECTIVES:To classify the magnetic resonance imaging features of the interspinous ligaments in relation to the patient's age, disc degeneration, and radiographic instability. Magnetic resonance imaging also was correlated with the histologic findings of the interspinous ligaments. SUMMARY OF BACKGROUND DATA:As reported, rupture of the interspinous ligament frequently is found in the degenerative lumbar spine. However, little information is available in the literature on imaging assessment of the interspinous ligament in degenerative lumbar disorders. METHODS:In this study, 24 interspinous ligaments at L1-L2 or L2-L3 from 15 patients with nondegenerated discs were selected to represent normal magnetic resonance features of the interspinous ligament, and 38 patients with the mean age of 49 years underwent functional radiography and magnetic resonance imaging. The magnetic resonance features of the interspinous ligament were classified into five categories according to their signal intensities: Type 1A (low intensity on T1- and T2-weighted images without hypertrophy of the spinal process); Type 1B (same signal pattern as in Type 1A with hypertrophy of spinal process); Type 2 (low intensity on T1- and high intensity on T2-weighted images); Type 3 (high intensity on T1-weighted images); and Type 4 (others). Seven patients with variable patterns of the interspinous ligament were selected to undergo histologic examinations. RESULTS:Of the interspinous ligaments considered normal, 80% were classified as Type 1A. There were 14 Type 1A, 30 Type 1B, 19 Type 2, 16 Type 3, and 20 Type 4 ligaments. The mean age and disc degeneration grade of the patients with the Type 1B ligaments was significantly higher. Instability was found to be associated with Type 2 interspinous ligaments (7 of 19), whereas instability rarely was noted in Types 1A (1 of 14) and 1B (1 of 30) ligaments. The histologic examination revealed that chondrometaplasia and necrotization of fiber bundle predominated in Type 1B, proliferation of cells and vascular invasion in Type 2, fatty degeneration in Type 3 ligaments. CONCLUSIONS:The magnetic resonance imaging characteristics may be helpful in assessing normal or pathologic changes in the interspinous ligaments.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Fujiwara A,Tamai K,An HS,Shimizu K,Yoshida H,Saotome Kdoi
10.1097/00007632-200002010-00017keywords:
subject
Has Abstractpub_date
2000-02-01 00:00:00pages
358-63issue
3eissn
0362-2436issn
1528-1159journal_volume
25pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Radiographic review. OBJECTIVE:To determine whether dense cancellous allografts (DCAs) are associated with graft resorption when used in anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA:The ideal graft material for ACDF remains to be identified. Purported advantages of DCA inclu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31815cd464
更新日期:2007-12-15 00:00:00
abstract:STUDY DESIGN:A case report is presented. OBJECTIVE:To describe a case of severe symptomatic lumbar stenosis in an adult gorilla successfully treated with decompressive surgery. SUMMARY OF BACKGROUND DATA:Although spinal degenerative disease is thought to be less common in apes than in humans, gorillas and bonobos are...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000112075.03500.5b
更新日期:2004-03-01 00:00:00
abstract:STUDY DESIGN:Case report and review of relevant literature. OBJECTIVE:To report a rare complication of esophageal perforation in cervical fracture patient with progressive ankylosing spondylitis (AS) and review of relevant literature. SUMMARY OF BACKGROUND DATA:Esophageal perforation in cervical fracture is extremely...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000001885
更新日期:2016-11-15 00:00:00
abstract:STUDY DESIGN:A survey of pain intensity and psychological symptoms in patients with chronic neck pain after whiplash injury. OBJECTIVES:To describe the pain and psychological profiles of patients with chronic whiplash. SUMMARY OF BACKGROUND DATA:Reports in the literature mention a constellation of symptoms associated...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199604010-00006
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVES:The purposes of this study were to evaluate the nature of the paraspinal soft tissue mass and the location of the lesion involved using magnetic resonance imaging and to correlate these observations with surgical findings. SUMMARY OF BACKGROUND DATA:In the past, tuberculous spondylitis was diagnosed by plai...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199411000-00016
更新日期:1994-11-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional comparison of vertebral morphology and lumbar lordosis (LL) in adolescents with and without spondylolysis. OBJECTIVE:To test the hypothesis that in addition to LL, vertebral cross-sectional area (CSA) is also associated with spondylolysis. SUMMARY OF BACKGROUND DATA:Recent data indicate...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002480
更新日期:2018-06-15 00:00:00
abstract:STUDY DESIGN:Behavior, mRNA and immunohistochemical assessment of the expression of fractalkine (CX3CL1) and its receptor (CX3CR1) in a rat model of disc herniation by autologous nucleus pulposus (NP) implantation. OBJECTIVE:To evaluate the changes in expression of fractalkine and its receptor in the spinal cord and t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181ef610b
更新日期:2011-05-20 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the effectiveness and safety of cervical laminoplasty versus laminectomy and fusion for the treatment of cervical myelopathy, and to identify any patient subgroups for whom one treatment may result in better outcomes than the other. SUMMARY OF BACKGROUND DATA:Cer...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3182a7eb7c
更新日期:2013-10-15 00:00:00
abstract:STUDY DESIGN:Cost-effectiveness analysis. OBJECTIVE:To examine the cost-effectiveness of operative versus non-operative treatment of type-II odontoid fractures in patients older than 64 years old. SUMMARY OF BACKGROUND DATA:Significant controversy exists regarding the optimum treatment of geriatric patients with type...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001275
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:A retrospective clinical study. OBJECTIVE:To evaluate the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) as the primary graft material for the surgical treatment of vertebral osteomyelitis. SUMMARY OF BACKGROUND DATA:The clinical and radiographic results using allograft, autograft, and v...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181657ee3
更新日期:2008-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective multi-center study. OBJECTIVE:To identify the morphological features of costovertebral joints and ribs in surgically managed cervical injury patients with diffuse idiopathic skeletal hyperostosis (DISH) and to examine its impact on their vital prognosis. SUMMARY OF BACKGROUND DATA:Several r...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003252
更新日期:2020-03-01 00:00:00
abstract:STUDY DESIGN:Multicenter case-control study. OBJECTIVE:To investigate the prevalence of back problems in adults with idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:Information on the prevalence of back problems in adults with idiopathic scoliosis is scarce, especially in untreated individuals, males, and individual...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000312
更新日期:2014-05-15 00:00:00
abstract:STUDY DESIGN:In vitro biotribological investigation. OBJECTIVE:To evaluate the wear resistance and long-term biodurability of NUBAC, a PEEK-on-PEEK articulating nucleus replacement device, using a series of wear tests with different motion profiles, test frequencies, and environmental conditions. SUMMARY OF BACKGROUN...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181d59e45
更新日期:2010-07-15 00:00:00
abstract:STUDY DESIGN:Analysis of spine-related patient education materials (PEMs) from subspecialty websites. OBJECTIVE:The aim of this study was to assess the readability of spine-related PEMs and compare to readability data from 2008. SUMMARY OF BACKGROUND DATA:Many spine patients use the Internet for health information. S...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001446
更新日期:2016-06-01 00:00:00
abstract::A 27-year-old woman presented with nontraumatic atlantoaxial dislocation that required a C1-C2 fusion. A comprehensive investigation initially failed to reveal any evidence of infectious or rheumatologic disease and she remained well for 3 1/2 years, at which time a diagnosis of ankylosing spondylitis was established....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199311000-00037
更新日期:1993-11-01 00:00:00
abstract:STUDY DESIGN:A retrospective case control analysis of 48 cases of postoperative infection following spinal procedures. OBJECTIVES:Spinal procedures that became infected after surgery were analyzed to identify the significance of preoperative and intraoperative risk factors. Characterization of the nature and timing of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000166532.58227.4f
更新日期:2005-06-15 00:00:00
abstract:STUDY DESIGN:An investigation of mechanical destabilization of the lumbar ovine intervertebral disc (IVD) inducing IVD degeneration (IVDD) as determined by multiparameter outcome measures (magnetic resonance imaging [MRI], IVD composition, biomechanical testing, gene profiling, immunohistochemistry, and immunoblotting)...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31820cd8d5
更新日期:2012-01-01 00:00:00
abstract:STUDY DESIGN:Questionnaire-based survey. OBJECTIVES:To poll the members of the Scoliosis Research Society regarding their opinions and experience with athletic activity after spine surgery performed on children and adolescents. SUMMARY OF BACKGROUND DATA:Athletic activity is increasingly important in society. Patient...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200202150-00019
更新日期:2002-02-15 00:00:00
abstract:STUDY DESIGN:Infection of rhesus monkeys (Macaca mulatta) with simian immunodeficiency virus (SIV, HIV-II) was used to study disease transmission in allograft bone. Four allograft bone processing techniques--fresh, fresh frozen, double freeze-thaw, and double freeze-thaw with chemical decontamination--were evaluated. ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1995-06-15 00:00:00
abstract::The relation between improvement of myelopathy achieved by surgery and postoperative spinal cord morphologic changes was investigated by magnetic resonance imaging in 51 patients with cervical myelopathy. In 22 patients, the cord indentation disappeared completely (Type I), in 23 it partially disappeared (Type II), an...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199211000-00003
更新日期:1992-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVES:To report the results and the technique of posterior vertebral column resection (PVCR) in fixed lumbosacral deformity. SUMMARY OF BACKGROUND DATA:Fixed lumbosacral deformity has gross imbalance as well as progressive compensatory thoracolumbar deformity because of the abse...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000188190.90034.be
更新日期:2005-12-01 00:00:00
abstract:STUDY DESIGN:Linear and angular measurements were performed on 128 vertebrae (16 spines) from C5 to T5. OBJECTIVES:Vertebrae were studied to characterize vertebral shape and size changes in the cervico-thoracic region. SUMMARY OF BACKGROUND DATA:Analysis of vertebral anatomy has been extensive and well characterized....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409150-00014
更新日期:1994-09-15 00:00:00
abstract:STUDY DESIGN:A retrospective, follow-up cohort study. OBJECTIVE:To evaluate the 25-year (or longer) outcome of discectomy for lumbar disc herniation by validated instruments. SUMMARY OF BACKGROUND DATA:A comprehensive patient-oriented evaluation should include measurements of pain and disability along with a reliable...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000240726.26096.be
更新日期:2006-10-15 00:00:00
abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:A population-based database was analyzed to identify the incidence, risk factors, and mortality associated with thromboembolic events after lumbar spine surgery. SUMMARY OF BACKGROUND DATA:Pulmonary embolism (PE) and deep vein thrombosis (DVT) are potential comp...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318286b7c0
更新日期:2013-06-01 00:00:00
abstract:STUDY DESIGN:In vitro experimental study. OBJECTIVE:To investigate the effect of low-intensity pulsed ultrasound (LIPUS) on the extracellular matrix (ECM) synthesis of degenerative human nucleus pulposus cells and explore the molecular mechanism. SUMMARY OF BACKGROUND DATA:LIPUS has been used successfully for bone fr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001220
更新日期:2016-03-01 00:00:00
abstract:STUDY DESIGN:Prospective study. OBJECTIVE:To identify the impact of laminoplasty on range of motion (ROM) and sagittal alignment of the cervical spine. SUMMARY OF BACKGROUND DATA:Cervical laminoplasty is an effective procedure decompressing multilevel spinal cord compression. Preoperative lordosis of the cervical spi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318158c573
更新日期:2007-11-01 00:00:00
abstract:STUDY DESIGN:Independent retrospective review of prospectively collected data, comparative cohort study. OBJECTIVE:The objective of this study was to compare the clinical, radiographical, and cost/value of the addition of an interbody arthrodesis (IBA) to a posterolateral arthrodesis (PLA) in the surgical treatment of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000856
更新日期:2015-06-15 00:00:00
abstract:STUDY DESIGN:Prospective field study of work exposure and changes in back function. OBJECTIVE:Quantify dynamic physical exposures in the workplace and their association with decreases in kinematic back function (indicative of low back pain [LBP]). SUMMARY OF BACKGROUND DATA:Previous epidemiologic studies of work have...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181ce1201
更新日期:2010-04-15 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To determine the incidence and risk factors of proximal junctional kyphosis (PJK) in young children who underwent posterior instrumented spinal fusion. SUMMARY OF BACKGROUND DATA:PJK is a well-recognized postoperative complication in adults and adolescents. However, there...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002109
更新日期:2017-10-15 00:00:00
abstract::A retrospective review of the treatment of chronic back and extremity pain is presented. Laminectomy is most effective for pain secondary to direct compression of the neural elements. Treatment of pseudoradicular pain requires identification of the source of pain input. Facet rhizotomy is specific for pain arising fro...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197903000-00009
更新日期:1979-03-01 00:00:00