中国组织工程研究Issue(22)：3527-3531,5.DOI:10.3969/j.issn.2095-4344
影像学分析髂腰韧带与L5/S1椎间盘突出及L5滑脱的力学强度关系
Relationship of mechanical strength of iliolumbar ligament with L5/S1 disc herniation and L5 spondylolisthesis：an imaging analysis
车纯庆 1陈亮 1顾勇 1冯煜 1张驰 1单中书 1汪凌骏 1杨惠林1
作者信息
- 1. 苏州大学附属第一医院骨科，江苏省苏州市 215006
- 折叠
摘要
Abstract
BACKGROUND:Studies have shown that morphological characteristics of iliolumbar ligament are controversial. Few Chinese studies concerned anatomical structure and biomechanical features of Chinese iliolumbar ligament, and no detail statistical data were found. <br> OBJECTIVE: To study the relationship of L5/S1 disc herniation and the L5 spondylolisthesis with iliolumbar ligament. <br> METHODS: A total of 28 cases receiving health examination, 26 patients with L5/S1 disc herniation and 26 patients with L5 spondylolisthesis were recruited from First Affiliated Hospital of Soochow University in China in 2013. Normal group contained 9 males and 19 females. L5/S1 disc herniation group contained 14 males and 12 females. L5 spondylolisthesis group contained 7 males and 19 females. Of them, there were 13 cases of spondylolysis and 13 cases degenerative spondylolisthesis; as wel as 24 cases with degree I spondylolisthesis and 2 cases of degree II spondylolisthesis. The relative widths of the L5 transverse process (RT value) on the X-ray of the lumbar vertebra of each case were measured and calculated. <br> RESULTS AND CONCLUSION: No significant difference in age and gender was detected in the normal group, L5/S1 disc herniation group and L5 spondylolisthesis group. RT value was higher in the normal group than in the L5/S1 disc herniation and L5 spondylolisthesis groups (alP=0.000). RT value was greater in the L5/S1 disc herniation group than in the L5 spondylolisthesis group (P=0.000). No significant difference in RT value was detectable between males and females. No significant difference in RT values was visible between the left and right sides. In patients with L5 spondylolisthesis, RT values were lower in the degenerative spondylolisthesis patients than in spondylolysis patients (P=0.004). Results indicated that the strength of iliolumbar ligament in normal person was higher than that with L5/S1 disc herniation and L5 spondylolisthesis. The strength of iliolumbar ligament in L5/S1 disc herniation patients was higher than that with L5 spondylolisthesis patients. The strength of iliolumbar ligament in spondylolysis patients was higher than that with L5 degenerative spondylolisthesis patients. The mechanical strength of iliolumbar ligament was possibly associated with L5/S1 disc herniation and L5 spondylolisthesis.关键词
植入物/脊柱植入物/L5/S1椎间盘突出/L5滑脱/髂腰韧带Key words
intervertebral disk displacement/spondylolysis/ligaments/X-rays分类
医药卫生引用本文复制引用
车纯庆,陈亮,顾勇,冯煜,张驰,单中书,汪凌骏,杨惠林..影像学分析髂腰韧带与L5/S1椎间盘突出及L5滑脱的力学强度关系[J].中国组织工程研究,2014,(22):3527-3531,5.
