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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(02): 334-340
DOI: 10.1055/s-0041-1735831
Artigo Original
Coluna

Existe alguma associação entre gravidade de degeneração discal e dor lombar?[*]

Article in several languages: português | English
Guilherme Augusto Foizer 
1   Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brasil
2   Ambulatório de Coluna Vertebral, Hospital Geral de Carapicuíba, São Paulo, SP, Brazil
,
Vagner Cleyton de Paiva 
3   Clínica Avançada de Ortopedia e Traumatologia (CAORT), São Paulo, SP, Brasil
,
Rodrigo Domingues do Nascimento 
2   Ambulatório de Coluna Vertebral, Hospital Geral de Carapicuíba, São Paulo, SP, Brazil
,
Carlos Gorios 
2   Ambulatório de Coluna Vertebral, Hospital Geral de Carapicuíba, São Paulo, SP, Brazil
,
Alberto Cliquet Júnior 
4   Departamento de Ortopedia, Reumatologia e Traumatologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brasil
,
João Batista de Miranda 
4   Departamento de Ortopedia, Reumatologia e Traumatologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brasil
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Resumo

Objetivo Avaliar a possibilidade de maiores graus de degeneração discal levarem a maiores dor e disfunção.

Métodos Exames de imagem por ressonância magnética (IRM) de 85 pacientes com lombalgia idiopática por mais de 12 semanas foram avaliados, sendo quantificado o grau de degeneração discal de acordo com a escala de Pfirrmann. O grau de Pfirrmann em cada espaço discal de L1-L2 a L5-S1, o grau máximo de Pfirrmann (Pfirrmann-max) entre os discos lombares, e a soma dos graus de Pfirrmann (Pfirrmann-soma) foram correlacionados (por meio do teste de Spearman) com o Índice de Incapacidade de Oswestry (IIO) e a escala visual analógica (EVA) de dor.

Resultados No total, 87% dos pacientes tinha degeneração discal moderada ou acentuada medida pelo Pfirrmann-max, sendo L4-L5 e L5-S1 os discos mais degenerados. Houve uma correlação de fraca a moderada entre o Pfirrmann-max (r = 0,330; p = 0.002) e a Pfirrmann-soma (r = 0,266; p = 0,037) e o IIO, e entre o grau de Pfirrmann em L1-L2 e o IIO e a EVA.

Conclusão A degeneração discal lombar moderada ou acentuada é frequente em indivíduos com lombalgia crônica idiopática, e tem um impacto negativo na qualidade de vida dos pacientes. Pequenos graus de degeneração discal em L1-L2 podem determinar maior grau de dor e maior incapacidade funcional.

Palavras-chave

coluna vertebral - qualidade de vida - imagem por ressonância magnética - lombalgia - disco intervertebral

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* Trabalho desenvolvido no Ambulatório de Coluna do Hospital Geral de Carapicuíba, Carapicuíba, SP, Brasil.




Publication History

Received: 06 November 2020

Accepted: 07 April 2021

Article published online:
25 October 2021

© 2021. 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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