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腰椎副脊柱肌肉形态与腰椎脊柱狭窄症患者的脊柱退化有关

Masakazu Minetama¹, Mamoru Kawakami², Tomohiro Nakatani¹

¹Spine Care Center, Wakayama Medical University Kihoku Hospital, 219 Myoji, Katsuragi-cho, Ito-gun, Wakayama, 649-7113, Japan.

The spine journal : official journal of the North American Spine Society

|July 2, 2023

概括

腰椎脊柱狭窄症 (LSS) 导致直立脊柱肌肉不对称. 退行性脊柱状况和不良对齐,而不是狭窄的严重程度,与副脊柱肌肉缩和脂肪透相关.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
物理医学物理医学

背景情况:

腰椎脊柱狭窄症 (LSS) 影响侧脊椎肌肉形态.
在LSS中,客观的身体功能和退行性脊柱状况被低估了.

研究的目的:

识别与副脊柱肌肉形态相关的因素.
在LSS患者中使用客观的身体和退行性脊柱评估.

主要方法:

在70名患有神经性关节障碍的LSS患者的横截面研究中.
通过MRI评估肌肉横截面积 (CSA) 和功能CSA (FCSA).
评估了狭窄症的严重程度,磁盘/端板异常,脊骨平衡 (X射线),身体功能以及患者报告的结果.

主要成果:

脊柱勃起器FCSA在主导侧较低,在最大狭窄症以下的一级.
磁盘退化,端板异常和脊骨平衡不佳与多和直立脊柱 FCSA/CSA 有负相关性.
持续囊CSA与起器脊柱FCSA相关.

结论:

在LSS的腰椎副脊髓肌肉不对称性主要影响勃起器脊柱.
磁盘退化,端板异常和脊椎骨对齐与脊柱肌肉缩/脂肪透的关联比狭窄的严重程度或LSS症状更强.

关键词:

据说是因为 Claudication 的原因.椎间盘退化椎间盘退化终端板的缺陷终端板的缺陷脂肪的透脂肪的透腰椎脊柱狭窄症腰椎脊柱狭窄症模态变化模态变化多种类型的多种类型的多种类型的多种类型副脊柱肌肉是指脊柱肌肉中的一个.身体活动身体活动脊皮皮层的对齐情况

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