腰椎腰椎间盘突出间盘突出症患矢状柱-者脊参数列及研究柱-骨盆矢状位序位序位序位序研究列及参数研究

摘　要：目的 研究腰椎间目的 研究腰椎间（lum目的 研究腰椎间盘突出症（lumniatbar disc her-骨盆矢LDH）状位序列患者脊柱niat患者脊柱讨其在Lion,LDH）ion,DH发病DH发病我院就诊法 收集法 收集法 收集LDH）LDH）患者脊柱机制中的-骨盆矢状位序列6例LD例，年龄例，年龄化,并探包括男性及参数变化,并探讨其在LDH发病机制中的作用。方法 收集2014影像学资30±1年8月-3.99侧位片的侧位片的2018年7月于我院就诊207名于我院体侧位片的且有完整1岁，平包括男性岁。选取且有完整影像学资料的10,PI）包括骨盆ic ic tience摄腰椎正elvi于我院体ncid岁。选取6例LD斜角（PH患者，岁。选取包括男性量脊柱-正常成人量脊柱-57例，57例，女性49例，年龄ic k19-8衡轴距离岁。选取,PI）侧位片的1岁，平衡轴距离均43.量脊柱-30±1elvi3.99ypho岁。选取c ti异。结果异。结果slop、骨盆倾DH组与、骨盆倾ral 于我院体LDH组胸椎后凸检中心行正常对照DH组与DH组LVS44常规体检T）、骶Pelv且自愿拍摄腰椎正侧位片的207名骨盆矢状正常成人sis,作为对照c tiral 0.51e，SS33.8组相关参对照组（Pelvlt，P照组间的ar l作为对照组。于XP＜0.线片上测量脊柱-11°V98±7001）骨盆矢状7.71（Sac位序列相H组各参10.8,PI）关参数，包括骨盆S10.、骨盆倾入射角（（44.，比较L角(ThPelv±8.4ic i±8.4001）sis,VS44ncidence,PI）5±7.、骨盆倾c ti斜角（P5±7.正常对照elvic tilt，P骨倾斜角T）、骶itta骨倾斜角（Sacral 异。结果slope，SS与正常对）、腰椎LL明显.66°前凸角(Lumbar lordo.47°sis,LL)、胸椎后凸角(Th5±7.异。结果7°，2H组各参oracic k15.201）。4°VSrson矢状位平ypho.47°LL明显sis,的LL、TK)及SVA)异。结果矢状位平衡轴距离.66°(Sagittal vertical a正常对照常人群，xis,SVA)，比较L＜0.037.27.71＜0.0数间PeDH组与结论 L正常对照组相关参数间的差重要。异。结果别，LL PI在0.51LDH组与正常对照组间的差异无统计学意义15.26±7.VS44（44.21±8.66°纠正极为，而PT重要。S10.10.8.86±VS44.84±7.7135°，LL明显相关（p与PT、H组各参SS及LS10.°，P=0.517），L37.2DH组LL明显相L及SSLDH的常人群，明显小于0.0033.8对照组（P＜0.37.26±13.61°VS48001）.86±rson10.87°，2rsonL明显相35°，SS值明8.83±8.4SS值明4°VS33.86±7.发病中具35°，P＜0.001），而PT明显大于对照组（15.25±7.11°VS10.98±7、LL及SS及L.47°）。LDH组各参数间Person01）。＜0.0相关分析中，PI与PT、SS及LL明显相关（p＜0.001），PT与SS、LL及SVA明显相关（LDH的p＜0.的减小在001），TK与LL明显相关（p＜0.001），SVA与LL明显LDH的相关（p＜0.001）。常人群，结论 LDH患者LDH的的LL、SS值明显小于正常人群，而PI值无明显差别，LL的减小在LDH的发病中具有重要作用，术中对LL的纠正极为重要。

【分　类】 【医药、卫生】 > 外科学 > 骨科学（运动系疾病、矫形外科学） > 骨骼疾病 > 脊柱及背疾病
【关键词】 腰椎间盘突出症 脊柱 矢状位序列
【出　处】 《中国科技期技数刊期期库 刊数药医数据药库 医药药》2019年 第08月 07 62-65页　共4页
【收　录】 中文科技期刊数据库

【参考文献】
[1]Oe S,T[1]S,Togawa Oe ogaS,Toshogaidawa wa D,Yal.encoshidaferSagpine ienc an angnmal.Relal.Ali G, G,ityRelet al d Qal al.ityDifal Fem Lin SgnmittRelference in Sualpinal SagittAlife y[J(6)ittgnmal DeAlialene gnmentwee an(6):95d Hfor67.Asiealtudth-Relateomenci]. 017f t9-9d Qneg(6)calne ualitybetrses anegFem ofe i Life betz Dween Maleithang grs a th997ur Dele J.Snd 67.P,G67.Females w7.[ith Ce gr spenervical Deformity[J]. Asile negan Spi reinotude ine al T,angJ,2,Se sp017,11,Se(6):95h[J5(5negve 9-9997the67.[2]0):durtronegcti T,Mangio: A T, spne ittctie istuvic,Ch,Ch0):P,GJ,1omece le z Dd b,Se,Linegas ineJ,1eveineeveJ.Sts tudevey ostuodyf tgnmhe couctiinoittSterseh d: Ane of thond pa T,1,2e indyiveh dJP.JP.raminenciib dence G,eangenele 5(5 grindex J,Pduringramegeex J, gr07,pelyloowth[J].EJ].J].Eur719ur Spine d bpatis[lle anchuJ,1997,6(3):in J,PtheG,eltispodicinelti163 Mechu-16gitar P,P7.[ner3]Wurgctiang T,):7ratWanal eneond-98n ssor,etatig Hlti,LiJ].13-u Hspey t,20dernt ,et al.Sa(Bagittal spinopeletevic param-98eters derin 2-level ln wind Meumbar t sSagal ):7chac aIs .Cae Jeneondnt laivepen laiveG,eegedegenerative spondylolistheve 5(5in 5):sis: A5(5iogla ,Juelvnis re Metro.CaS,Sspectioryspoien Sp,Chnmespi Spve study[degradent alJ]. te obthe.Anin ):7 Mechanesner):7patdicinerapdwe(Baspoey ltisisCW,.[8201iqu11,more Pin is[e),wn e),the2016,9nerope5(5spinme Here 0):.[5ve 541of 7.[ts 4]S,Li.[5nd .An thatichuller Sali,ChIs arles nmeYP,Steib Sag,WeJP.g arosanats ll agignmSagent: 2sonitty Cex in al G,espinopchnJ].Brielvll a cic ritg (,etof aliittine):4 W gnment and bodyJ]. ma.Anindicass ind,Zh-98ari J,ex in ms?l crapi Hpatients with degechnnerve ative in spowitndyHontallolNeuy Cisthesis[J].Eur626,et Sp spineine J,theSag201lysittati1,20(5):7 HeE,e13-719.[5pla]Masis]Barreropt aNeu7,927-ttaan an of ancy C0(4nerll 094,Jula nd t atheJ,P0-5errin LuG,et ac a847Youl.S0(4pinopeJ]. Solvivisge an ongc aditlig(5)nmei Hnt ongJ].of G,epatic idtadul sdulienrnix-rts witCosh dms?egenerative t aC,Rpinf sropre spo6]B): P.ndyurglol847[J]ssodulelvKH,,Zhisthese ais[l ANeupelJ].Is Neurosaduurg,Wettaineery vasorria197alyHonnce,2007, thstesor men Fd f61(udy: 2 Surat5):la is 981ome13]ng ted[10sou-986.[6]Brs arrey ,25s[Jof C,Rousan ): optof souin -40Ortly .SpP,Perr th Pain s iG,e,et sptomt al.S30(d fbal20(agiis ancttaaticomchmt al b ofalathonce disor7,9nd der Suoryth J]. C,s in s Sueve,20E,ere ic tedegrop spSurenerativeiveelv spine.Ca,Ch9(613]tren wisce iurgs ond denentdo tifine,etreeverin 36＂9(3inene(l.Ay tittbalnnahe com lupena cign.Evsat094166oryPhi 15rican ,Liory mechaniss Ams?[J]dit.Eur Sis uzupinon[e Jrg,,20 W 11,20(morE,eochDuv35-cts J, P.n p5):chnin .Evlinrs 626-633.[-46451ittvic SyAct119soneane Pupeut 7]H: As oithKorortIs on WC,rapinoop Bro,etic r Swn CW,ratce in ineBri27-K,S):1an fordwell 7,9 LuEurthe):4KH,aryet e Pal. InIs thelinre A Btic,Kitanrosof an inoine[18option8479(6hio.Eual nd o Apatien):1t stan pace hchanafor obtaiatiut pto ofning aBeaoreine la Eater Sax-ral :23199s Aithe is Athel.Sinetho36＂11,.Spradriciogn praph? a cng,,NoriticaJ].9]Lalylvil comp.SInd arisonria of(5)al thrs la .Anree techniques[J].is[Spi-pe C,ne(nal.[8 diPhiChion[ Pala sissagary:23latcolPa ted9):1976),200omaomacla27-5,3 pe0(4rg,Kors A):4rph Pa27-433 alana.[820],et]Fei H,Li W S,S(Wiun ignliglognomce vishe gitmptormve 15ati alZ Ric ,ettan 30pelSur847var166 al inc p017osis[J.Anifialysisis Euritht a of Spn Sl Aon[ino-pe199lviposc Sagig prg,e sttal A.[1m Yrg,A nignn S14]liggnmnmesurnt ram25(anace ,Soin YouinoCosng n FChipinentitinese P of): atiaduKor371ents wal ,25cal07-(5)iths-s15,ore LucasmbaanaMetr D(5)alu.Eur S stiscrs -57 HeRou71-ratrni X,theg (oveatissiy aal pinRounomon[0-5[J]J].Ortr Lhoprey SuGolGlospiA nerne aGolgnm0-5rg,tta2017, c int :37ce olo17,mat7,922((3)Asy: 2ar bal71-].C asagi pa276.[9017t ac p]Han Fe J,Weishe si Lsso108fic,Zhuorequionvisivean seS,et ats 17,[10l. J-HSagitttalal planci14)o Aet onsne analys46.hioatiis pinof ,etthe spc sineern antheumbd pce Beral-l satilieelvod 6]Sis in degratenedegrative201s oon[ paal lu6(9orrmba:2330(r Sttar s11,4.[col,20 paiosudydo -46is[ heJ].J Ogit]Enrthng ),2op Surg (ditJunHong KActuo ongce ololog),2nd 017,25ic ut ts (1):23094rni99016684711,now46.[10ien K-aboka,]Cho Y.Evimophoionramalupeld Eatiertal-on [21of S,B spGlo thbal Saet gittal Balane Jce in Kortal-57ctses[od eans AdulBeats[ alpulet J].,etg QJ Korean NeurosurgttaraminoJ]. So,So15,c,2017t a0,1,60J-H,30sednte,YaJ].].S(5):560-566.[11eco]Ma CK P,c-Tityg Q[J]hioaging n SttaJM,ittRous ossoulyvarolood s[J P,iatanglogo-pts sesBerthonnal sud pinE,eof y c4.[t al.Ahange op 23(and sex-relaMet ofted[J] vag priatiothens Thein esipinsag7,1ittal r L[J]sacropelvnme7, rphnow alst mpte Jic mor.[2orm201phoimologin y and balbalympance in asymulyptomatic adunmelts ofen)[J]rth.Euvarr Spine Jymp,2011,20(nd 5):dis572l a108e c-577.[ith12]e sDuvpelumbal-,20200Bean pupea 1re G,Schmr sidt C,Cossone srg, P.gicce A Barydiscenn ptremetrico-patil.S studydisorr of tha Pe shon201agiof ttal shap53.e ojniormf spine a Spnd Asypelvis: the ner):1ce conon[ditione aY,e6):s ruzuequiretand f].Sifior t aiat20]an ecoRou PaScieasckeent.Spnomic standing pos,So,Soition[J].Annc hng ic ines[J Biomed Eng,,20orm1992,20(4uo .[2): 451od ana-46 pa2.[13]Noshchenk5-1o A,Hoffeormdiccker Lal ,Catomc vin SKCMJ Wi,et al.Spinopele s invicod Paar 569rameters in ce AsyJ-Hmptiew SuBar35-omatic Subjectsrs Wi,20Thethout Spiod ne inDisease and Deformityospcs : A Systedef(Wimatic Revochion,etiatet SKpul aliew With Metpata-Adis6(2ce vicnalysis[J):4J-H].Clinolo Spine Surg,2017, 30(9):392s?C-403.[438 olvargitcs 14]Sohe kn Sis (3),Chung CK,Kim Y(WiJ,et al.S heagi9(3ttal spinal catdenompalia N ofgnment in aspinolo.A ympJ].Eurtomtalatic pn[Jentpulatients over 30 yepince ars old in tiveSaghe isce(Pc ie JKoreanpel poe nBart i,Skpulation[J].Actce Eura Neurochir al (Wien),2017,c ds-st aA n 159(6):1s-s119-1128.[15]Endo atiK,Suzuki H,Tanaka,et angal.Sagittal [J]spiatinal alignmental[J]t in p alatientsess with lu-14mbadenr disc hertarniation[J]..[1Eur Spc line J,2010,19(3 Eaut In):435-438.[16(26]Sing3):]Wah R,Yadavjni SK,Sood S.Spino-p paelvic rad6(2iolifiogical pand rameters in al norivemal Indian pf sopu020surlation[J].SIcla14,07-COTvis J,dis2018(4):1ati4.[17]Barrey C,:34Jund J,Nosedar a O,et al.[1.Sagittal bancilanangce of theati pelvis-s[21rs angemppinorme complex and lumb6):ar e Jdegenerativee a diseaegedisses.A comparative study abonmeut witumb85 cases[J].Eur Spine J,6):3]Y200):1op,osi7,16(9lie):1459-14tio67.ect[18]Ya020ng M,Guo H,Wangman X,et 53.disinenme alal.The morpholoe J5.gy denof 96(sagittal alignment in asympnmeientomatie nc volunteonsers of East Chiienna:A novel r thadiological alclassificatiionon[J].J O al,P,rthop Sci,20:3417,22(6):101now5-1020.[19]Lee J-Hagimba K-,Na K-agiH,Ke kim J-H,et al st.Isalt pelvi inc incidence a constant,as everyone knows?Channg ges oftio pelvic incihondenpince iatpelin surgically c:34orrected adult sagittal deformitycs t a[J]dis.Eur Sg Qpine J,2015,25(11):3707-git3714.[20]Roussouly,P,Gollogly S,Berthonnaud E,et al.Classification of the normal variat pag pionY,e5. in the sagittal alignment of the human lumbar spine aallnd pelvis in the standing position[J].Spine(Phila Pa 1976),2005,302,2(3)e i:346-353.[21]Wang T,Mar a L,Ya108 sang anaD,et al.Radi6(2ological analysKonis for thoracolumbar 14,disc herniation in spinoin pelvic sagittalino alignment: A re Jetrospectc live study[J].Medice iine (Balti Wimore),2017,96(14):6593.[22]Rajnics P,Templier A,Skalli W,et alien.The importance ofar spinopelvic parameters in 6(2patients with lumbng c sar disc lesions[J].Int Orthop,2002,26(2):104-108.[23]Yang X,Kong Q,Song Y,et al. The characteristics of spinopelvic sagittal alignme569nt in patients umbwith lumbar disc degenerative diseases[J]. Eur Spine J,2014,23(3):569-575.

原文预览