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成人腰椎间盘突出症与腰椎管狭窄症患者脊柱骨盆矢状面差异

谢峰 边俊 王智伟 陈维善

中国骨伤2018,Vol.31Issue(1):43-46,4.
中国骨伤2018,Vol.31Issue(1):43-46,4.DOI:10.3969/j.issn.1003-0034.2018.01.008

成人腰椎间盘突出症与腰椎管狭窄症患者脊柱骨盆矢状面差异

Difference of spino-pelvic sagittal alignment between lumbar disc herniation and lumbar canal stenosis in adults

谢峰 1边俊 2王智伟 1陈维善2

作者信息

  • 1. 绍兴市中医院骨科4病区,浙江绍兴312000
  • 2. 浙江大学附属浙医二院骨科脊柱病区,浙江杭州310009
  • 折叠

摘要

Abstract

Objective:To study the difference of spino-pelvic sagittal alignment between lumbar disc herniation (LDH) and lumbar canal stenosis (LCS) in adults.Methods:The integrated imaging data of 88 patients with lumbar disc herniation (42 cases) or lumbar canal stenosis (46 cases) were searched from January 1,2015 to September 10,2016 in our hospital.Twenty-two cases were excluded because of age factor,36 cases of LDH (LDH group) and 30 cases of LCS (LCS group) were internalized in the study.The spino-pelvic parameters were measured including pelvic incidence (PI),pelvic tilt (PT),sacral slope (SS),lumbar lordosis (LL),thoracic kyphosis (TK),thoracolumbar j unction (TLJ),sagittal vertical axis (SVA),sagittal vertical axis location (SV A-Location),T1-spinopelvic inclination (T1-SPI),T9-spinopelvic inclination (T9-SPI).Independent sample t test was used in order to analyze the above data.Results:Thoracic kyphosis (TK) in LDH group was smaller than that of LCS group (difference was about 6 degree),there was significant difference between two groups (P=0.031).And there were no significant differences in other parameters between two groups (P>0.05).Conclusion:The patients with lumbar disc herniation,the kyphosis of the thoracic spine is smaller,the truncus prones to the straight.The lumbar kyphosis is greater in patients with lumbar spinal stenosis,and the sagittal curvature of the lumbar spine is more obvious.

关键词

椎间盘移位/椎管狭窄/脊柱骨盆参数

Key words

Intervertebral disc displacement/Spinal stenosis/Spino-pelvic parameters

引用本文复制引用

谢峰,边俊,王智伟,陈维善..成人腰椎间盘突出症与腰椎管狭窄症患者脊柱骨盆矢状面差异[J].中国骨伤,2018,31(1):43-46,4.

中国骨伤

OACSCDCSTPCD

1003-0034

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