武警医学2025，Vol.36Issue(12)：1031-1034,1039,5.
椎间盘退变程度与腰椎节段稳定性失衡的定量关系分析
Analysis of quantitative relationship between the degree of intervertebral disc degenera-tion and the imbalance of lumbar segmental stability
徐文彦 1杨瑞 1高岩1
作者信息
- 1. 075000 张家口,陆军第八十一集团军医院骨科
- 折叠
摘要
Abstract
Objective To quantitatively investigate the relationship between the intervertebral disc degeneration and the imbal-ance of lumbar segmental stability,and to analyze the influence of various baseline characteristics(such as age and BMI)on this rela-tionship.Methods A retrospective study of 200 patients with intervertebral disc degeneration was conducted.The intervertebral disc degeneration and lumbar stability were evaluated using imaging examinations(MRI,Xray,CT)and functional assessment scales(ODI,RMDQ).Univariate analysis of variance and multiple linear regression models were employed to assess the influence of baseline characteristics on lumbar function.Results A significant correlation was observed between the degree of disc degeneration and lumbar segmental stability imbalance(P<0.01).As the Pfirrmann grade increased from I to V,lumbar range of motion decreased from(52.3°±5.7°)to(22.6°±3.9°),ODI score increased from(10.2±2.1)to(29.3±4.1),and RMDQ score rose from(4.8±1.4)to(16.4±2.7).Logistic regression analysis showed that the degree of intervertebral disc degeneration(OR=1.51,95%CI:1.28-1.78),facet joint degeneration(OR=1.32,95%CI:1.05-1.67),and BMI(OR=1.14,95%CI:1.01-1.29)were independent risk factors for stability imbalance.Conclusions Intervertebral disc degeneration is significantly and quantitatively associated with lum-bar segmental stability imbalance,and baseline characteristics such as age and BMI critically influence this relationship.Clinical strat-egy should therefore be tailored to patientspecific factors for prevention and treatment.关键词
椎间盘退行性变性/腰椎节段性稳定性/定量关系/基线特征Key words
intervertebral disc degeneration/lumbar segmental stability/quantitative relationship/baseline characteristics分类
医药卫生引用本文复制引用
徐文彦,杨瑞,高岩..椎间盘退变程度与腰椎节段稳定性失衡的定量关系分析[J].武警医学,2025,36(12):1031-1034,1039,5.
