基于国际多中心数据的亚洲人和高加索人之间全身斜腰对齐的种族差异
Jun Ouchida1, Hiroaki Nakashima2, Tokumi Kanemura3
1Department of Orthopaedics, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya-Shi, Aichi, 466-8550, Japan.
概括
亚洲人和高加索人之间,整个身体的斜腰对齐不同,特别是在脊柱曲率和骨盆参数方面. 脊柱对齐的年龄相关变化也因种族和性别而异,影响手术考虑.
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.
- 生物机械工程 生物机械工程
背景情况:
- 全身斜腰 (WBS) 调整对于脊柱健康至关重要.
- 了解WBS参数的种族和性别差异对于准确的诊断和治疗很重要.
- 与年龄相关的变化可以进一步影响脊柱对齐,需要考虑特定的种族和性别.
研究的目的:
- 为了调查亚洲人和白人之间的WBS对齐的固有差异,根据年龄和临床分数进行调整.
- 确定年龄和WBS参数之间的关系,按种族和性别分层.
主要方法:
- 在317名参与者 (206名亚洲人,111名高加索人) 中对WBS参数进行放射性评估.
- 适应年龄的倾向分数和奥斯韦斯特里残疾指数进行比较分析.
- 根据种族和性别对年龄和WBS参数之间的相关性分析.
主要成果:
- 在C2-7主角角和下腰部主角症 (下LL) 中观察到显著的种族差异.
- 在所有组中,年龄和膝盖屈曲 (KF) 之间存在中等至显著的相关性.
- 对女性来说,在斜腰垂直轴 (SVA) 和T1骨盆角 (TPA) 中发现了与年龄相关的相关性;骨盆发生率 (PI) 和骨盆厚度变化在高加索女性中更为显著.
结论:
- 与年龄相关的WBS变化在不同种族和性别之间表现出显著的差异.
- 这些特定于种族和性别的与年龄相关的脊柱对齐差异必须在纠正脊柱手术规划中考虑.
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