节骨间隙解剖与背部疼痛的放射评估
Samia Khalid Khokhar1, Ambreen Surti2, Aisha Qamar3
1Dr. Samia Khalid Khokhar, MPhil, Department of Anatomy, Bahria University Health Sciences, Karachi, Pakistan.
Pakistan journal of medical sciences
|November 8, 2023
概括
圣骨间隙形状,特别是倒置的"U"和"M",以及第一个圣骨脊椎 (S1) 的高顶部与腰部疼痛有关. 这些神经间隙的解剖学变异可能会增加患背痛的风险.
科学领域:
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
- 整形外科 整形外科 整形外科
背景情况:
- 腰部疼痛是一种普遍的疾病,有多因素的原因.
- 圣骨间隙的解剖学变异可能在背痛的发展中发挥作用.
- 圣骨间隙的放射评估可以提供关于这些变化的见解.
研究的目的:
- 为了研究神经间隙形态的变化.
- 为了比较背部疼痛和没有背部疼痛的个体之间的十字骨间隙参数.
- 为了确定年龄组与背部疼痛患者与对照患者的十字腔间隙特征之间的关联.
主要方法:
- 一项涉及178名参与者的病例控制研究 (89例,89例对照),年龄在18-65岁之间.
- 使用 lumbosacral 脊柱放射图识别和分析米度和非米度参数.
- 在背痛患者和对照组之间比较神圣间隙特征.
主要成果:
- 背部疼痛组中最常见的是反转的"U"形状,其基点位于S5水平.
- 在36-45岁的年龄组中,神圣隙尺寸 (前后直径和宽度) 是最大的.
- 在反向的"U"和"M"形状之间发现了积极的关联,以及在S1的顶峰,以及腰部疼痛的发生率.
结论:
- 特定的交叉骨间隙形状 (反向的"U", "M") 和S1的顶部显示出与低背部疼痛有很强的正相关性.
- 这些解剖学发现表明,交叉骨间隙形态与发展背部疼痛的风险之间存在潜在联系.
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