Author/Editor     Turk, Zmago; Čelan, Dušan; Jesenšek-Papež, Breda
Title     Merjenje velikosti medvretenčne ploščice s pomočjo antropometrijske metode
Translated title     Intervertebral size measurement with anthropometric method
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 73, št. 4
Publication year     2004
Volume     str. 303-8
Language     slo
Abstract     Background. There is a positive correlation between the size of intervertebral disc (IVD) and the incidence of Low Back Pain (LBP). Columbini evaluated the size of IVD anthropometricaly but how this measurement correlates with radiologic measurements of IVD square size is steel unknown. Objective. The aim of the study was to search for non-invasive method and cheap and fast evaluation of ND size with the modification of Columbini's antropometric formula. Materials and methods. The measurements (anthropometrics, X-ray, CT with range of interest measurement (ROI)) were done on 40 bus-drivers. The realibility test was done on 65 bus-drivers. Results. CT measurement of the size of the intervertebral disc was done using ROI (Range of Interest). Using the statistical analysis based on linear regression, correlation, curve fitting and realibility the author made the modification of Columbini's formula. The incidence of Low Back Pain was statistically significantly higher in people with smaller IVD, particularly in men. Conclusions. With the Columbini š method of anthropometric measurement of the size of IVD modified by Turk it is possible to make the right measurement prognosis in 89% of cases. Consequently, there is no need to use invasive and costly diagnostic radiologic methods.
Summary     Izhodišča. Obstaja pozitivna korelacija med velikostjo površine intervertebralnega diska in pojavnostjo bolečine v križu. Columbini je ocenjeval velikost površine diska antropometrično, vendar ni znano, kako ta meritev korelira z radiološkimi načini meritve. Namen. Poiskati neinvazivno, ceneno in hitro metodo za oceno površine intervertebralnega diska z modificiranjem Columbinijeve antropometrične metode oz obrazca. Material in metode. Antropometrične, rentgenske in računalniškotomografske (CT) preiskave, vključno z oceno področja zanimanja (ROI - Region of Interest) meritve so bile sprva opravljene na 40 voznikih avtobusov z bolečino v križu. Preizkus veljavnosti antropometrične meritve velikosti površine vretenčne ploščice je bil opravljen na 65 voznikih. Rezultati. Avtor je ugotovil, da ocenitev s CT skupaj z oceno področja zanimanja (ROI) zadostuje za ocenitev površine medvretenčne ploščice. Na osnovi statistične obdelave, ki je vključevala linearno regresijo, korelacijo, krivu jo in zanesljivost, je avtor modificiral Columbinijev antropometrični obrazec (modifikacija po Turku). Pojavnost bolečine v križu je bila statistično pomembno višja pri osebah z manjšo površino medvretenčne ploščice, izraziteje pri moških. Zaključki. Z uporabo modificiranega Columbinijevega obrazca (antropometrična metoda) je možno v 89% pravilno napovedati velikost medvretenčne ploščice, zato invazivne in drage radiološke metode niso potrebne.
Descriptors     LOW BACK PAIN
INTERVERTEBRAL DISK
ANTHROPOMETRY
TOMOGRAPHY, X-RAY COMPUTED
BODY HEIGHT
WRIST
ANKLE
KNEE
ELBOW