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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(06): 941-946
DOI: 10.1055/s-0042-1742338
Artigo Original
Coluna

Tropismo/inclinação facetária e sua associação com hérnia de disco intervertebral na região lombar da coluna – Uma avaliação radiológica[*]

Article in several languages: português | English
Sanjay Yadav 
1   Departamento de Ortopedia, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, Índia
,
Rajkumar Arya 
1   Departamento de Ortopedia, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, Índia
,
Raghul Dakshinamoorthy 
1   Departamento de Ortopedia, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, Índia
,
Abhinav Anand Jha 
1   Departamento de Ortopedia, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, Índia
,
Shivi Jain 
2   Departamento de Radiodiagnóstico e Imagem, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, Índia
,
Ishan Kumar 
2   Departamento de Radiodiagnóstico e Imagem, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, Índia
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Resumo

Objetivo Avaliar o papel do tropismo facetário (TF) no prolapso discal intervertebral.

Métodos Um total de 98 pacientes com dor lombar foram incluídos no estudo. Exames de ressonância magnética foram realizados e analisados, e os ângulos das facetas direita e esquerda foram medidos na seção axial. Os pacientes sem prolapso discal nos níveis L3-L4, L4-L5 e L5-S1 atuam como controles para aqueles com prolapso nos mesmos níveis. Fez-se também uma análise estatística.

Resultados A incidência de TF no nível L3-L4 foi de 85,2% em pacientes com hérnia discal (n = 27), e de 56,3% no grupo controle, o que foi estatisticamente significativo (p = 0,008). Da mesma forma, a incidência de TF no nível L4-L5 entre casos e controles foi de 71,4% (n = 35) e 52,4%, respectivamente (p = 0,066). No nível L5-S1, a incidência foi de 66% e 51% nos caso e nos controles, respectivamente (p = 0,13).

Conclusão Encontramos associação positiva entre TF e hérnia de disco no nível L3-L4, mas nenhuma associação nos níveis L4-L5 e L5-S1.

Keywords

intervertebral disc degeneration - lumbar vertebrae - spondylolisthesis - magnetic resonance

Declaração de Contribuição dos Autores

Sanjay Yadav: Formulação (líder), rascunho original (igual), redação, revisão e edição (igual), e supervisão (líder);


Rajkumar Arya: curadoria de dados (líder), análise formal (igual), e redação, revisão e edição (igual);


Raghul Dakshinamoorthy: curadoria de dados (igual), redação, revisão e edição (igual), e análise formal (igual);


Abhinav Anand Jha: pesquisa (igual), redação, revisão e edição (igual), e administração do projeto (igual); e


Ishan Kumar: curadoria de dados, análise formal, e revisão e edição.


Suporte Financeiro

Os autores declaram que não receberam apoio financeiro de fontes públicas, comerciais ou sem fins lucrativos.




Publication History

Received: 31 July 2021

Accepted: 14 October 2021

Article published online:
19 April 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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