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Association between facet joint osteoarthritis and the Oswestry Disability Index

World Journal of Radiology 2014年第11期6卷 881-885页

作者： Adel Maataoui Thomas J Vogl Marcus Middendorp konstantinos kafchitsas M Fawad Khan Institute for Diagnostic and Interventional Radiology Goethe University60590 Frankfurt/MainGermany Department of Nuclear Medicine Goethe University60590 Frankfurt/MainGermany Spine Surgery Asklepios Clinic Lindenlohe92421 SchwandorfGermany

AIM:To investigate the correlation of facet joint osteoarthritis(FJOA) at lumbar levels L4/L5 and L5/S1 and the Oswestry Disability Index(ODI).METHODS:The study involved lumbar MRIs of 591 patients with a mean age of 47.3 *** MRIs of the lumbar spine were performed on a 1.5 Tesla scanner(Magnetom Avanto,Siemens AG,Erlangen,Germany) using a dedicated receive only spine *** initial blinding,each dataset was evaluated by 2 board certified radiologist with more than 5 years experience in musculoskeletal *** total 2364 facet joints were *** changes of the facet joints were evaluated according to the 4-point scale as proposed by Weishaupt et al Functional status was assessed using the *** index is scored from 0 to 100 and interpreted as follows:0%-20%,minimaldisability; 20%-40%,moderate disability; 40%-60%,severe disability; 60%-80%,crippled; 80%-100%,patients are ***’s coefficient of rank correlation was used for statistical analysis,with significance set at P < ***:In total 2364 facet joints at lumbar levels L4/5 and L5/S1 were analysed in 591 *** was present in 97%(L4/L5) and 98%(L5/S1).At level L4/5(left/right) 17/15(2.9%/2.5%) were described as grade 0,146/147(24.7%/24.9%) as grade 1,290/302(49.1%/51.1%) as grade 2 and 138/127(23.4%/21.5%) as grade *** level L5/S1(left/right) 10/11(1.7%/1.9%) were described as grade 0,136/136(23.0%/23.0%) as grade 1,318/325(53.8%/55.0%) as grade 2 and 127/119(21.5%/20.1%) as grade *** the ODI scores,patients’ disability had a minimum of 0% and a maximum of 91.11% with an arithmetic mean of 32.77% ± 17.02%.The majority of patients(48.39%) had moderate functional disability(21%-40%).There was no significant correlation between FJOA and ODI on both sides of lumbar level L4/5 and on the left side of lumbar level L5/S1.A weak positive correlation was evaluated between ODI and FJOA on the right side of lumbar level L5/***:The missing correlat

关键词： Spine Facet joint osteoarthritis Magnetic resonance imaging Low back pain Oswestry Disability Index

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