中国组织工程研究Issue(9)：1392-1397,6.DOI:10.3969/j.issn.2095-4344.2014.09.014
椎旁肌横截面积变化可导致退行性腰椎滑脱
Alterations in cross-sectional area of paraspinal muscle induce degenerative lumbar spondylolisthesis
朱康 1孙根文 1乔培柳 1塔依尔•阿不都哈德尔1
作者信息
- 1. 新疆医科大学第一附属医院急救中心创伤科，新疆维吾尔自治区乌鲁木齐市 830054
- 折叠
摘要
Abstract
BACKGROUND:Recently, the effects of lumbar facet joint morphology on the onset of degenerative lumbar spondylolisthesis have been a discussion point. However, the discussion mainly concerned CT manifestations of joint angle and osteoarthritis. Studies have shown that the changes in cross-sectional area of paraspinal muscle were considered as the essential marker for the pathological diagnosis of degenerative lumbar spondylolisthesis. However, previous studies limited the accuracy of the conclusion due to smal sample size, young age, and measurement. <br> OBJECTIVE:To observe changes in MRI images of bilateral paraspinal muscles after degenerative lumbar spondylolisthesis. <br> METHODS:This study adopted the method of retrospective study, selected 80 cases of degenerative lumbar spondylolisthesis as lumbar spondylolisthesis group, and 80 healthy persons as control group. Image J software was utilized to measure cross-sectional areas of bilateral erector spinae and psoas major muscle on the L 3-5 vertebral endplate levels using T2-weighted MRI in both groups. The ratio of relevant data was calculated. <br> RESULTS AND CONCLUSION:Compared with the control group, the ratio of cross-sectional area of paraspinal muscle was increased on the same side and the same level in the lumbar spondylolisthesis group (P<0.05), and the mean value of cross-sectional area of bilateral psoas major muscle was decreased on the same level (P<0.05). No significant difference in the mean value of cross-sectional area of left and right erector spinae was detected on the same level (P>0.05). Results indicated that the changes in cross-sectional area of paraspinal muscle could induce degenerative lumbar spondylolisthesis, and could be considered as a diagnostic standard for degenerative lumbar spondylolisthesis.关键词
植入物/脊柱植入物/横截面积/退行性/腰椎滑脱/椎旁肌/竖棘肌/腰大肌Key words
psoas muscles/spinal stenosis/radiculopathy/muscles/lumbar vertebrae分类
医药卫生引用本文复制引用
朱康,孙根文,乔培柳,塔依尔•阿不都哈德尔..椎旁肌横截面积变化可导致退行性腰椎滑脱[J].中国组织工程研究,2014,(9):1392-1397,6.
