中国组织工程研究2016，Vol.20Issue(48)：7245-7250,6.DOI:10.3969/j.issn.2095-4344.2016.48.015
磁共振测量腰骶椎矢状面参数与L5/S1椎间盘退变的关系
Lumbosacral sagittal parameters measured by magnetic resonance in association to L5/S1 intervertebral disc degeneration
摘要
Abstract
BACKGROUND:Many studies have investigated the relationship between lumbosacral sagittal parameters and the disc degeneration diseases. However, the objects of these studies were mainly the patients with disc herniation, and parameters were measured on CT or X-ray. There are few publications reporting the relationship between lumbosacral sagittal parameters, which were measured on MRI, and patients who underwent surgery with disc extrusion. <br> OBJECTIVE:To measure and compare the lumbosacral sagittal parameters in L5/S1 disc extrusion patients, and to investigate the relationship between the lumbosacral sagittal parameters and L5/S1 disc degeneration diseases. <br> METHODS:A total of 90 lumbago patients aged 18 to 35 years old were included from the Department of Orthopedics, Changhai Hospital Affiliated to The Second Military Medical University from September 2014 to April 2016 for retrospective analysis. According to with or without L5/S1 intervertebral disc protrusion, they were divided into intervertebral disc herniation group (69 cases) and disc extrusion group (21 cases received surgery). The intervertebral disc herniation group was subdivided into degeneration group (35 cases) and control group (34 cases) according to with or without L5/S1 degeneration. Angles of lumbar lordosis (LL), sacral table angle (STA) and lumbosacral angle (LSA) were measured. <br> RESULTS AND CONCLUSION:Compared to the control group, the difference of LL was not significant in the degeneration group (P>0.05), but STA and LSA were significantly reduced (P<0.05). Compared with the no-disc herniation group, LL, STA and LSA were al decreased significantly in the disc extrusion group (P<0.05). These results confirmed that LL in young adults with disc extrusion decreased significantly, however, in patients with disc degeneration, the decrease was not significant. The decrease in STA and LSA was strongly associated with disc degeneration diseases. STA and LSA are important parameters in the clinical evaluation of lumbosacral sagittal balance.关键词
骨科植入物/脊柱植入物/腰骶椎/矢状面参数/椎间盘退变/腰椎前凸角/磁共振成像/下腰痛/国家自然科学基金分类
医药卫生引用本文复制引用
丁慕晨,石志才,卢春闻,吴锦辉,王超,袁佳滨,周振..磁共振测量腰骶椎矢状面参数与L5/S1椎间盘退变的关系[J].中国组织工程研究,2016,20(48):7245-7250,6.基金项目
国家自然科学基金(81272026，81672204) （81272026，81672204）
