[1]刘少强 叶小伟 梁珪清△ 陈伟 刘伯龄 王华锋 陈齐勇.脊柱骨盆矢状面形态与青少年腰椎间盘突出症的关系研究[J].中国中医骨伤科杂志,2018,26(05):44-48.
　LIU Shaoqiang YE Xiaowei LIANG Guiqing CHEN Wei LIU Boling WANG Huafeng CHEN Qiyong.Influence of Sagittal Spino-pelvic Alignment on Adolescent Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(05):44-48.
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脊柱骨盆矢状面形态与青少年腰椎间盘突出症的关系研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年05期
页码:
44-48
栏目:
临床论著
出版日期:
2018-05-02

文章信息/Info

Title:
Influence of Sagittal Spino-pelvic Alignment on Adolescent Lumbar Disc Herniation
文章编号:
1005-0205(2018)05-0044-05
作者:
刘少强1 叶小伟2 梁珪清1△ 陈伟1 刘伯龄1 王华锋1 陈齐勇1
1厦门大学附属福州第二医院脊柱外科(福州,350007) 2福建中医药大学
Author(s):
LIU Shaoqiang1 YE Xiaowei2 LIANG Guiqing1△ CHEN Wei1 LIU Boling1 WANG Huafeng1 CHEN Qiyong1
1Department of spine surgery,Fuzhou Second Hospital of Xiamen University,Fuzhou 350007,China; 2 Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China.
关键词:
Roussouly分型;  脊柱骨盆矢状面形态;  青少年;  腰椎间盘突出症
Keywords:
Keywords: Roussouly classification;  sagittal spino-pelvic alignment;  adolescent;  lumbar disc herniation
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨导致青少年腰椎间盘突出症(Adolescent Lumbar Disc Herniation,ALDH)的脊柱骨盆矢状面关键参数,明确不同腰椎Roussouly分型与腰椎间盘突出症的关系。 方法:回顾性研究2014年1月至2017年6月在本院骨科诊治ALDH患者32例(ALDH组),同时选择中老年腰椎间盘突出症患者(中老年组)、年龄和性别匹配的正常青少年志愿者(对照组)各32例。在站立位全脊柱侧位X 线片上统计腰椎Roussouly分型,并测量腰椎前凸角(Lumbar Lordosis,LL)、骨盆投射角(Pelvic Incidence,PI)、骨盆倾斜角(Pelvic Tilt,PT)和骶骨倾斜角(Sacral Slope,SS),对ALDH组、中老年组和对照组三组间的影像学指标和Roussouly分型进行比较。 结果:ALDH组PI为52.0°±13.3°和PT为25.3°±14.5°均显著大于对照组45.2°±8.0°和15.1°±9.3°,差异有统计学意义(P<0.05)。ALDH组SS为26.8°±9.0°和LL为33.9°±18.7°)均显著小于中老年组34.8°±8.2°和44.7°±12.2°,差异有统计学意义(P<0.05),而PT为25.3°±14.5°显著大于中老年组15.5°±7.8°,差异有统计学意义(P<0.05)。ALDH组中1型、2型、3型和4型所占比例分别为34.4%,31.2%,25.0%和9.4%,中老年组中分别为15.6%,6.3%,40.6%和37.5%,对照组中分别为56.2%,12.5%,18.8%和12.5%.其中:2型在ALDH组所占比例明显高于中老年组,差异有统计学意义(P<0.05),4型在ALDH组所占比例明显低于中老年组,差异有统计学意义(P<0.05),其余1型和3型在ALDH组和中老年两组间差异无统计学意义(P>0.05); Roussouly分型在ALDH组和对照组间差异无统计学意义(P>0.05)。 结论:较大的PI更易导致青少年腰椎间盘突出症的发生。与中老年腰椎间盘突出症患者相比,ALDH患者腰椎前凸角更小,骶骨终板更加水平,Roussouly分型以2型居多,而4型较少。
Abstract:
Abstract Objective:To investigate the crucial sagittal spino-pelvic parameters which lead to adolescent lumbar disc herniation(ALDH),and the relationship between Roussouly classification and lumbar disc herniation.Methods:From January 2014 to June 2017,32 adolescents with lumbar disc herniation in our hospital(ALDH group)were retrospectively reviewed,at the same time 32 cases of elderly patients with lumbar disc herniation(elderly group)and 32 cases of asymptomatic adolescents(control group)were selected respectively.On the full-spine standing lateral radiographs,the Roussouly classification was recorded and the parameters including lumbar lordosis(LL),pelvic incidence(PI),pelvic tilt(PT)and sacral slope(SS)were measured.Roussouly classification and the imaging parameters were analyzed between ALDH group,elderly group and control group.Results:PI(52.0°±13.3°)and PT(25.3°±14.5°)were significantly higher in ALDH group than those in control group(45.2°±8.0°、15.1°±9.3°)(P<0.05).SS(26.8°±9.0°)and LL(33.9°±18.7°)were significantly lower in ALDH group than those in elderly group(34.8°±8.2°、44.7°±12.2°)(P<0.05),while PT(25.3°±14.5°)were higher in ALDH group than that in elderly group(15.5°±7.8°)(P<0.05).As for Roussouly classification,the proportions of Type 1,2,3 and 4 were 34.4%,31.2%,25.0% and 9.4%respectively in ALDH group,while 5.6%,6.3%,40.6% and 37.5% respectively in elderly group,56.2%,12.5%,18.8% and 12.5% respectively in control group.The proportion of Type 2 of ALDH group was obviously higher than that of elderly group,while Type 4 was lower than that of elderly group(P< 0.05).No significant difference was found in the proportions of Type 1 and 3 between ALDH group and elderly group.No significant difference was found in the proportions of all Type of Roussouly classification between ALDH and control group.Conclusion:Larger PI is more likely to lead to the occurrence of ALDH.Compared with elderly patients with lumbar disc herniation,LL was smaller and the sacrum endplate was more horizontal in patients with ALDH,and there were more Type 2 and less Type 4 patients with ALDH.

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备注/Memo

备注/Memo:
基金项目:福建省自然科学基金(2018J01362) 福州市科技计划项目(2016-S-123-17) △通信作者 E-mail:lgq1962@sina.com
更新日期/Last Update: 2018-05-02