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[1]賀振年,康信勇,徐洪偉,等.骨盆矢狀位參數對退行性腰椎滑脫癥的影響[J].中醫(yī)正骨,2015,27(06):19-22.
　HE Zhennian,KANG Xinyong,XU Hongwei,et al.Effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):19-22.
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骨盆矢狀位參數對退行性腰椎滑脫癥的影響()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數:
2015年06期
頁碼:
19-22
欄目:
臨床研究
出版日期:
2015-06-30

文章信息/Info

Title:
Effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis
作者:
賀振年1; 康信勇1; 徐洪偉1; 顧杰1; 郭劍1; 徐榮明2
1.浙江省寧波市北侖區(qū)人民醫(yī)院,浙江 寧波 315800;
2.浙江省寧波市第六醫(yī)院,浙江 寧波 315400
Author(s):
HE Zhennian1; KANG Xinyong1; XU Hongwei1; GU Jie1; GUO Jian1; XU Rongming2
1.The First Affiliated Hospital of Zhejiang University,Beilun branch,Ningbo 315800,Zhejiang,China 2.The sixth hospital of Ningbo city,Ningbo 315400,Zhejiang,China
關鍵詞:
脊椎滑脫;  腰椎;  骨盆
Keywords:
spondylolysis;  lumbar vertebrae;  pelvis
摘要:
目的:探討骨盆矢狀位參數對退行性腰椎滑脫癥的影響。方法:回顧性分析72例退行性腰椎滑脫癥患者的影像學資料,男25 例,女47例。年齡45～78歲,中位數68歲。單節(jié)段滑脫65例,兩節(jié)段滑脫7例。MeyerdingⅠ度滑脫48例、Ⅱ度滑脫24例。50例健康 成人,男22例,女28例。年齡45～70歲,中位數55歲。對72例患者及50例健康成人脊柱全長側位X線片上的骨盆入射角、骨盆傾斜 角、骶骨傾斜角進行測量和比較分析,并對Ⅰ度與Ⅱ度腰椎滑脫患者的骨盆入射角進行比較。結果:退行性腰椎滑脫患者骨盆入 射角、骶骨傾斜角均大于健康成人組(54.90°±5.10°,50.46°±4.31°,t=2.770,P=0.007; 44.96°±4.87°,40.14°±4.06°,t=3.360,P=0.001); 退行性腰椎滑脫組骨盆傾斜角與健康成人組比較,差異無統(tǒng)計 學意義(9.94°±2.14°,10.54°±1.71°,t=-1.638,P=0.104)。Ⅱ度滑脫患者的骨盆入射角大于Ⅰ度滑脫患者的骨盆 入射角(58.14°±3.09°,53.06°±3.01°,t=-9.143,P=0.000)。結論:骨盆入射角、骶骨傾斜角增大,腰椎發(fā)生退行 性滑脫的風險會增加,同時骨盆入射角增大也會使腰椎滑脫的程度加重。
Abstract:
Objective:To explore the effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis.Methods:The imaging data of 72 patients with degenerative lumbar spondylolisthesis were analyzed retrospectively.The patients consisted of 25 males and 47 females,and ranged in age from 45 to 78 years(Mean=68 yrs).The lumbar spondylolisthesis located in single segment for 65 patients and two segments for 7 patients and belonged to Meyerding gradeⅠ(48)andⅡ(24).Fifty healthy adults(healthy adults group),consisted of 22 males and 28 females and ranged in age from 45 to 70 years(Mean=55 yrs),were also included.Pelvic incidence(PI),pelvic tilt(PT)and sacral slope(SS)on lateral X-ray film of total spine were measured and compared between 72 patients and 50 healthy adults.Meanwhile,the pelvic incidence(PI)was compared between grade Ⅰand gradeⅡlumbar spondylolisthesis.Results:PI and SS were larger in patients with degenerative lumbar spondylolisthesis compared to healthy adults(54.90+/-5.10 vs 50.46+/-4.31 degrees,t=2.770,P=0.007; 44.96+/-4.87 vs 40.14+/-4.06 degrees,t=3.360,P=0.001).There were no statistical differences in PI between the two groups (9.94+/-2.14 vs 10.54+/-1.71 degrees,t=-1.638,P=0.104).PI were larger in patients with gradeⅡdegenerative lumbar spondylolisthesis compared to those with gradeⅠdegenerative lumbar spondylolisthesis(58.14+/-3.09 vs 53.06+/-3.01 degrees,t=-9.143,P=0.000).Conclusion:The increament of PI and SS may increase the risk of degenerative lumbar spondylolisthesis,meanwhile,the increament of PI may also aggravate the degree of lumbar spondylolisthesis.

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備注/Memo

備注/Memo:
2014-10-31收稿 2015-01-02修回
更新日期/Last Update: 2015-06-30