中国临床医学2017，Vol.24Issue(2)：194-198,5.DOI:10.12025/j.issn.1008-6358.2017.20170098
腰椎间盘退变与脊柱骨盆矢状面参数的相关性
Correlation between lumbar disc degeneration and sagittal parameters of spino-pelvic alignment
摘要
Abstract
Objective:To explore the correlation between the location, range and degree of lumbar disc degeneration (LDD) and sagittal parameters of spino-pelvic alignment.Methods:The clinical data of 76 patients with lumbar disc degeneration (lumbar disc herniation and degenerative lumbar instability) who underwent surgery from January 2013 to December 2015 were retrospectively analyzed.The general informationof patients was recorded, including name, sex, age, height and weight.Full-length radiographs of the spine were taken to evaluate thoracic kyphosis (TK), lumbar lordosis (LL), sacral slope (SS), pelvic incidence (PI), pelvic tilt (PT), and sagittal vertical axis (SVA).The correlational analysis was carried out between the location, range and degree of lumbar disc degeneration and spino-pelvic sagittal parameters.Results:Age was related to location (r=-0.358, P<0.01), range (r=0.329, P<0.01), degree (r=0.452, P<0.01).PI was related to degeneration location (r=-0.257, P<0.05).SVA was related to degeneration range (r=0.304, P<0.01) and degeneration degree (r=0.353, P<0.01).The value of degeneration location in patients with PI≤50° was 4.14±0.64, yet the value in patients with PI>50° was 3.57±1.08 (P<0.05).Conclusions:The location of lumbar disc degeneration are correlated with spino-pelvic sagittal parameters.PI is an important factor affecting the location of lumbar disc degeneration.The population with PI≤50° are more likely to develop lumbar disc degeneration in L4/5 and L5/S1 discs, while the population with PI>50° are more likely to develop lumbar disc degeneration in L3/4 and L4/5 discs.关键词
腰椎间盘退变/脊柱骨盆参数/矢状面平衡Key words
lumbadisc degeneration/spino-pelvic parameters/sagittal balance分类
医药卫生引用本文复制引用
李庚午,杨长伟,陈凯,朱晓东,李明..腰椎间盘退变与脊柱骨盆矢状面参数的相关性[J].中国临床医学,2017,24(2):194-198,5.基金项目
上海市自然科学基金(16ZR1449100).Supported by Natural Science Foundation of Shanghai (16ZR1449100). （16ZR1449100）
