在患有部病理的患者中,哪些患者参数会影响腰部硬?
Jeroen C F Verhaegen1,2,3, Nuno Alves Batista1, Ryan Foster4
1Department of Orthopaedic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
概括
部病理患者的腰部硬与退行性磁盘疾病和肌肉缩有关. 识别4+退行性磁盘疾病水平可能表明关节整体关节整形不稳定性风险较高.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱生物力学 脊柱生物力学
- 老年医学 老年医学
背景情况:
- 腰部硬度增加部依赖性和部整体关节整形术 (THA) 后的不稳定性.
- 了解影响腰部硬的因素对于管理部病理和THA结果至关重要.
研究的目的:
- 确定影响关节病理患者腰椎硬的参数.
- 调查可修改和不可修改因素与腰椎硬之间的关联.
主要方法:
- 在65名患有部病理的患者进行了回顾性病例-队列研究.
- 腰部主症 (∆LL) 和部曲 (∆PFA) 的放射性评估.
- 腰椎MRI分析退行性磁盘疾病 (DDD),面向偏向,脊柱管狭窄和肌肉缩.
主要成果:
- 在6%的患者中观察到腰部硬 (∆LL < 20°).
- 多级DDD (≥4级) 与下降的腰部主症有很强的相关性,并与脊柱硬相关.
- 延伸肌肉缩与腰部主症的减少有显著的相关性.
结论:
- 部病理中的腰椎硬受退行性磁盘疾病程度和肌肉缩的影响.
- 核心肌肉康复可以在非手术性部管理中改善姿势和硬.
- 确定≥4个DDD水平可能会提醒外科医生增加THA不稳定性风险.
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