骨盆斜率在评估脊柱冠状线对齐中的重要性:规范值,人口和放射相关性
Scott L Zuckerman1, Zeeshan M Sardar1, Gerard Marciano1
1Department of Orthopedic Surgery, Columbia University Medical Center, The Spine Hospital at New York Presbyterian, New York, NY.
在4.3%的无症状志愿者中发生了骨盆曲 (PO). 这种盆腔 misalignment 与其他人口统计学或放射学因素无关,突出显示了手术前需要直接评估的必要性.
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.
- 脊柱形是因为脊柱形.
背景情况:
- 骨盆斜率 (PO),骨盆的 misalignment,可以导致严重的疼痛和残疾,由于冠状元不对齐.
- 虽然腰脊柱对齐得到了很大的关注,但冠状平面评估,包括PO,对于成年脊柱形患者至关重要.
研究的目的:
- 为了确定在无症状人群中骨盆斜率 (PO) 的发生率.
- 在各种人口因素中建立规范性PO值.
- 评估PO和放射性参数之间的相关性.
主要方法:
- 来自5个国家的467名18-80岁无症状志愿者的横截面研究.
- 骨盆斜率 (PO) 测量为沿垂直轴的骨顶点之间的距离.
- 发病率定义为PO≥10mm;统计分析包括克鲁斯卡尔-瓦利斯,威尔科克森等级和,皮尔森相关性和线性回归.
主要成果:
- 在无症状志愿者中,PO≥10mm的总发病率为4.3%.
- 根据性别,种族或体重指数,没有发现PO的显著差异.
- 观察到随着年龄增长的PO增加的非显著趋势 (P=0.077).
- 在PO和其他常见的冠状腺放射测量之间没有发现显著的相关性.
结论:
- 骨盆斜率 (PO) ≥10毫米影响4.3%的无症状个体.
- 在这个队列中,PO与人口或放射学因素无关.
- 在进行外科手术之前,对PO的故意评估至关重要,特别是在脊柱形的情况下.
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