临床骨科杂志2024,Vol.27Issue(4) :496-499.DOI:10.3969/j.issn.1008-0287.2024.04.015

腰椎间盘突出症伴功能性脊柱侧凸患者的腰骶部影像学形态分析

Analysis of lumbosacral region imaging morphology in patients with lumbar disc herniation and functional scoliosis

芦银江 景易彪 许汉荣 余春华
临床骨科杂志2024,Vol.27Issue(4) :496-499.DOI:10.3969/j.issn.1008-0287.2024.04.015

腰椎间盘突出症伴功能性脊柱侧凸患者的腰骶部影像学形态分析

Analysis of lumbosacral region imaging morphology in patients with lumbar disc herniation and functional scoliosis

芦银江 1景易彪 1许汉荣 1余春华1
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作者信息

  • 1. 绍兴市上虞人民医院骨科,浙江绍兴 312300
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摘要

目的 分析腰椎间盘突出症(LDH)伴功能性脊柱侧凸患者的腰骶部影像学形态.方法 比较27例LDH伴功能性脊柱侧凸患者(LDH侧凸组)与27例单纯LDH患者(LDH组)、27例正常人群(对照组)的腰骶部影像学参数差异,其中包括腰椎前凸角(LL)、腰骶前凸角(LSL)、腰骶角(LS)、骶骨倾斜角(ST).结果 LDH侧凸组与对照组比较:LL、LS、ST参数LDH侧凸组均小于对照组(P<0.05),LSL参数LDH侧凸组大于对照组(P<0.05).LDH侧凸组与LDH组比较:LL参数LDH侧凸组小于LDH组(P<0.05),LSL参数LDH侧凸组大于LDH组(P<0.05),LS及ST参数两组比较差异均无统计学意义(P>0.05).结论 LDH伴功能性脊柱侧凸患者存在明显的腰椎LL丢失及骶骨水平化加大的现象,这是患者为减轻疼痛而采取的一种保护性体位,其矢状面形态垂直化主要是因为腰椎前凸的丢失.

Abstract

Objective To analyze the imaging morphology of lumbosacral region in patients with lumbar disc hernia-tion(LDH)and functional scoliosis.Methods The lumbosacral region imaging parameters difference of 27 patients of LDH with functional scoliosis(LDH scoliosis group),27 patients of simple LDH(LDH group)and 27 normal popu-lation(control group)were compared,including lumbar lordosis angle(LL),lumbosacral lordosis angle(LSL),lumbo-sacral angle(LS)and sacral tilt angle(ST).Results The comparison of LDH scoliosis group and control group:LL,LS and ST parameters of LDH scoliosis group were all smaller than those of the control group(P<0.05),and the LSL parameter of LDH scoliosis group was larger than that of the control group(P<0.05).The comparison of LDH scolio-sis group and LDH group:LL parameter of LDH scoliosis group was smaller than LDH group(P<0.05),LSL parame-ter of LDH scoliosis group was larger than LDH group(P<0.05),there were no statistical significance in LS and ST parameters between the two groups(P>0.05).Conclusions LDH patients with functional scoliosis have significant loss of lumbar LL and increased sacral horizontialization,which is a protective posture to relieve pain.The verticaliza-tion of sagittal plane is mainly due to the loss of lumbar lordosis.

关键词

腰椎间盘突出症/功能性脊柱侧凸/腰骶部形态/腰椎前凸

Key words

lumbar disc herniation/functional scoliosis/lumbosacral morphology/lumbar lordosis

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出版年

2024
临床骨科杂志
安徽医科大学,安徽省医学会

临床骨科杂志

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影响因子:1.438
ISSN:1008-0287
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