[1]张猛,胡伟,刘向阳.退变性腰椎滑脱严重度与脊柱-骨盆矢状位参数的相关性研究[J].中国中医骨伤科杂志,2018,26(10):32-35.
　ZHANG Meng,HU Wei,LIU Xiangyang.Correlation between Severity of Degenerative Spondylolisthesis and Sagittal-Pelvic Sagittal Position Parameters[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(10):32-35.
点击复制

退变性腰椎滑脱严重度与脊柱-骨盆矢状位参数的相关性研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年10期
页码:
32-35
栏目:
临床研究
出版日期:
2018-10-10

文章信息/Info

Title:
Correlation between Severity of Degenerative Spondylolisthesis and Sagittal-Pelvic Sagittal Position Parameters
文章编号:
1005-0205(2018)10-0032-04
作者:
张猛1; 胡伟1; 刘向阳1
1安徽亳州市人民医院骨科(安徽 亳州,236800)
Author(s):
ZHANG Meng1; HU Wei1; LIU Xiangyang1
1Bozhou People's Hospital of Anhui,Bozhou 236800,Anhui China.
关键词:
单纯退变性腰椎滑脱;  严重程度;  脊柱-骨盆;  结构;  相关性
Keywords:
simple degenerative lumbar spondylolisthesis;  severity;  spine-pelvis;  structure;  correlation
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨单纯退变性腰椎滑脱(DLS)的严重程度与脊柱-骨盆结构变化的相关性。方法:前瞻性选择本院2017年2月至2018年2月收治的42例DLS患者作为试验组,同一时间段择取未发生腰椎滑脱的42例健康体检者为对照组。两组均实施胸腰椎影像学检查,组间比较脊柱-骨盆矢状位参数,并分析DLS病变严重程度与脊柱-骨盆结构变化的相关性。结果:与对照组比较,试验组TK,LL,PT及PI各参数明显升高,SS参数下降,差异有统计学意义(P<0.05); 且试验组关节突关节中重度退变率76.19%高于对照组59.52%,差异有统计学意义(χ2=8.54,P=0.04); 相关性分析结果显示,试验组DLS患者的腰椎滑脱程度与脊柱-骨盆中LL,PT及PI呈明显相关(r=0.635,0.503,0.438,P<0.05); 腰椎滑脱率、椎间隙高度与LL和PT呈明显相关(P<0.05)。结论:DLS的程度越严重,脊柱-骨盆矢状位失衡也越严重。测量脊柱-骨盆参数对该病的手术治疗及预后评估能起到有效的参考作用。
Abstract:
Objective:To detect the correlation between the severity of degenerative lumbar spondylolisthesis(DLS)and sagittal-pelvic sagittal position parameters.Methods:Forty-two DLS patients admitted to our hospital from February 2017 to February 2018 were prospectively selected as the experimental group.Forty-two healthy people without spondylolisthesis were selected as the control group at the same time.Both groups underwent thoracolumbar imaging examination.Spinal-pelvic sagittal parameters were compared between the two groups,and the correlation between the severity of DLS lesions and the changes of spinal-pelvic structure was analyzed.Results:Compared with the control group,the parameters of TK,LL,PT and PI in the experimental group increased significantly,while SS decreased significantly(P<0.05),and the rate of moderate and severe degeneration in the experimental group was 76.19% higher than 59.52% in the control group(χ2=8.54,P=0.04).Correlation analysis showed that the degree of lumbar spondylolisthesis in the experimental group was significantly related with LL,PT,and PI in the sagittal-pelvis(r=0.635,0.503,0.438,P<0.05).Lumbar spondylolisthesis and intervertebral height were significantly correlated with LL and PT(P<0.05).Conclusion:The more severe the DLS is,the more serious the sagittal imbalance of the spine pelvis is.The measurement of spinal pelvic parameters can provide an effective reference for surgical treatment and prognosis evaluation of this disease.

参考文献/References:

[1] 杨北仁.年龄因素及滑脱程度对退变性腰椎滑脱患者骨盆参数的影响[J].中国医师进修杂志,2015,38(12):870-873.
[2] Schöller K,Alimi M,Cong GT,et al.Lumbar spinal stenosis associated with degenerative lumbar spondylolisthesis:a systematic review and meta-analysis of secondary fusion rates following open vs minimally invasive decompression[J].Neurosurgery,2017,80(3):355-367.
[3] 王辉,马雷,丁文元,等.退变性腰椎滑脱症伴发滑脱椎体骨折的手术治疗[J].中国骨与关节杂志,2014,1(1):5-9.
[4] 王亮,卢旭华,王海滨,等.退变性腰椎侧凸脊柱-骨盆参数测量及临床意义[J].脊柱外科杂志,2016,1(1):39-43.
[5] Lim JK,Kim SM.Comparison of sagittal spinopelvic alignment between lumbar degenerative spondylolisthesis and degenerative spinal stenosis[J].J Korean Neurosur,2014,55(6):331-336.
[6] Risbud MV,Shapiro IM.Role of cytokines in intervertebral disc degeneration:pain and disc content[J].Nat Rev Rheumatol,2014,10(1):44-56.
[7] 吕振超,曹向阳,郭艳幸,等.脊柱-骨盆参数与腰椎滑脱程度的相关性分析[J].山东医药,2017,57(48):54-56.
[8] 任杭岭,耿伟,马金柱,等.腰椎滑脱症患者手术前后脊柱-骨盆矢状位参数变化与临床疗效的相关性分析[J].中国修复重建外科杂志,2015,29(10):1269-1274.
[9] 杜超群,安士信,刘忠诚,等.腰椎滑脱患者术后复位程度对脊柱矢状面形态及治疗效果的影响[J].山东医药,2015,55(48):41-43.
[10] Funao H,Tsuji T,Hosogane N,et al.Comparative study of spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis[J].Eur Spine J,2012,21(11):2181-2187.
[11] Kim JY,Park JY,Kim KH,et al.Minimally invasive transforaminal lumbar interbody fusion for spondylolisthesis:comparison between Isthmic and degenerative spondylolisthesis[J].World Neurosurgery,2015,84(5):1284-1291.
[12] 苏锴,郭营,汤嘉军,等.微创经椎间孔腰椎体间融合术与传统开放手术对退变性腰椎滑脱症腰椎-骨盆矢状位参数的不同影响[J].中国脊柱脊髓杂志,2014,24(3):204-209.
[13] 邓红平.腰椎退变性疾病骨盆脊柱矢状位参数特点及其临床意义[D].杭州:浙江大学,2013.
[14] 张文志,丁英胜,段丽群,等.退变性腰椎滑脱的关节突关节形态学分析[J].中华骨科杂志,2015,17(8):865-870.
[15] 王兆宁,郑立峰,陈岩,等.退变性腰椎滑脱患者脊柱-骨盆矢状位参数及小关节的研究[J].现代生物医学进展,2017,35(35):6882-6886.
[16] 孙永进,李文志,李旭,等.关节突关节角变化与退变性腰椎滑脱间关系的研究[J].颈腰痛杂志,2016,37(6):465-469.

更新日期/Last Update: 2018-10-10