四川医学2024，Vol.45Issue(12)：1310-1316,7.DOI:10.16252/j.cnki.issn1004-0501-2024.12.003
青年腰椎间盘突出症与脊柱矢状面Roussouly分型的关系探讨
Relationship Between Lumbar Disc Herniation and Roussouly Classification of Spinal and Pelvic Sagittal Plane in Young Patients
摘要
Abstract
Objective To investigate the relationship between young lumbar disc herniation and Roussouly classification of spinal and pelvic sagittal plane.Methods A cross-sectional retrospective analysis was performed on 126 patients with lumbar disc herniation admitted to our hospital from January 2020 to December 2021 according to the inclusion and exclusion criteria.The pelvic incidence(PI),pelvic tilt(PT),and sacral slope(SS)were measured on full lateral radiographs in standing position.The bilateral facet joint angles(FJA)were measured on lumbar CT horizontal radiographs,and the anterior,middle and posterior edge heights of the disc were measured on sagittal radiographs.The Pfirrmann disc degeneration grade was determined on lumbar MRI,Roussouly classification was performed according to sagittal plane morphology,and the data of each group was analyzed.Results 126 patients with the age from 18 to 40 years,and an average age of(31.04±5.89)years were recorded.There were 63 cases of L4～5 herniation,59 cases of L5～S1 herniation and 4 cases of L3～4 herniation.In Roussouly's classification,there were 21 cases of type 1,56 cases of type 2,32 cases of type 3,4 cases of type 4 and 13 cases of forward-leaning type 3.The number of Type 2 and 3 cases of L4～5 disc herniation group was significantly higher than that of other groups,and the number of type 1 and 2 cases of L5～S1 disc herniation group was significantly higher than that of other groups.There was no significant difference in the Pfirrmann grade of disc degeneration,the leading edge of the intervertebral space,the posterior edge of the intervertebral space,the middle height of the intervertebral space,the angle difference of the left and right facet joints,the angle difference of the bilateral facet joints,and the TK value among all groups(P＞0.05).There were significant differences in PI,PT,SS,LL and the height differ-ence between anterior and posterior intervertebral space among all groups(P＜0.05).When compared according to 50°,the PI values of PT,SS and LL were significantly different(P＜0.05),while TK value was not significantly different between the each group(P＞0.05).There were significant differences in PT,SS and LL in L4～5 segment(P＜0.05),but without significant difference in TK(P＞0.05).When compared according to 35°,the SS values had significant differences in PI,TK and LL between each group(P＜0.05).According to the protrusion segment,L4～5 and L5～S1 were calssified as two groups.There were signifi-cant differences in PI,PT,anterior space height,anterior to posterior space height difference,left facet joint angle,right facet joint angle and bilateral facet joint angle difference(P＜0.05)between the two.Conclusion In cases of lumbar disc herniation,the incidence of PI＜50° and SS＜35° is significantly higher,that is,the incidence of Roussouly type 1 and 2 is significantly higher,while Roussouly type 4 is the least.关键词
腰椎间盘突出症/脊柱-骨盆矢状面/Roussouly分型Key words
lumbar disc herniation/spine-pelvic sagittal plane/Roussouly classification分类
医药卫生引用本文复制引用
陈星,石华刚..青年腰椎间盘突出症与脊柱矢状面Roussouly分型的关系探讨[J].四川医学,2024,45(12):1310-1316,7.基金项目
四川省科技厅项目(编号:2023JDKP0043) （编号:2023JDKP0043）
