MRI-biochemical follow up measurements of lumbar intervertebral disc in patients with leg length discrepancy: Is it possible to alter cartilage damage with conservative therapy?

Objective: Effect of conservative therapy on intervertebral discs (IVD) in patients with leg-length-discrepancy (LLD). M&M: Seventy lumbar IVDs of 14 participants (five with LLD 10-20 mm) were examined using a 3T-MRI-scanner. Morphological (Pfirrmann) and molecular (glycosaminoglycan-chemical-exchan...

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Publicado en:Journal of Orthopaedics Vol. 16; no. 6; pp. 473 - 478
Autores principales: Frenken, Miriam, Latz, David, Schiffner, Erik, Quante, Wolfgang Alois, Knautz, Maxime, Abrar, Daniel Benjamin, Schaarschmidt, Benedikt, Schleich, Christoph
Formato: diagnostic images research tables/charts Journal Article
Publicado: Professor PK Surendran Memorial Education Foundation Nov/Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2019
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      pub: Professor PK Surendran Memorial Education Foundation
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        10.1016/j.jor.2019.06.006
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        atl: MRI-biochemical follow up measurements of lumbar intervertebral disc in patients with leg length discrepancy: Is it possible to alter cartilage damage with conservative therapy?
      aug:
        au:
          Frenken, Miriam
          Latz, David
          Schiffner, Erik
          Quante, Wolfgang Alois
          Knautz, Maxime
          Abrar, Daniel Benjamin
          Schaarschmidt, Benedikt
          Schleich, Christoph
        affil: Department for Diagnostic and Interventional Radiology and University Hospital Dusseldorf, Heinrich-Heine-University, Dusseldorf, Germany
      sug:
        subj:
          Leg Length Inequality Therapy
          Magnetic Resonance Imaging Methods
          Glycosaminoglycans Metabolism
          Molecular Imaging Methods
          Lumbar Vertebrae Pathology
          Intervertebral Disk Pathology
          Spinal Diseases Risk Factors
          Leg Length Inequality Complications
          Risk Assessment
          Human
          Physical Therapy
          Orthopedic Footwear
          Prospective Studies
      ab: Objective: Effect of conservative therapy on intervertebral discs (IVD) in patients with leg-length-discrepancy (LLD). M&M: Seventy lumbar IVDs of 14 participants (five with LLD 10-20 mm) were examined using a 3T-MRI-scanner. Morphological (Pfirrmann) and molecular (glycosaminoglycan-chemical-exchange-saturation-transfer, gagCEST) grading was assessed before and after a four-month therapy (physiotherapy and shoe inlays). Results: Significantly lower GAG values in patients with LLD were found (L5/S1, p=0.02). After therapy, a trend towards higher gagCEST values in patients with LLD was observed (2.48 ± 1.77% vs. 1.79 ± 0.79%; p > 0.05). Conclusion: LLD represents a risk factor for molecular alterations of lumbar IVDs. Only minor effects of conservative therapy on these alterations could be found.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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