脊柱形态学的特征根据"当前"和"理论"的Roussouly分类系统在多样化,无症状的队列中:多民族对齐规范性研究 (MEANS)
Yong Shen1, Zeeshan M Sardar1, Matan Malka1
1Department of Orthopaedic Surgery, The Spine Hospital at New York Presbyterian, Columbia University Medical Center, New York, NY, USA.
Global spine journal
|February 28, 2024
概括
鲁苏利脊柱分类系统显示的结果不同,取决于使用的是当前或理论方法. 脊柱形态分类中的这种不匹配凸显了在评估斜腰对齐时需要谨慎.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是指放射学
背景情况:
- 斜腰脊柱对齐对于整体生物力学至关重要.
- 鲁苏利分类系统根据斜的参数对脊柱形态进行分类.
- 了解分类方法的变化对于准确的患者评估很重要.
研究的目的:
- 使用当前和理论的Roussouly系统来比较脊柱形态分类.
- 通过使用 Roussouly 两种分类方法,评估无症状队列中的 sagittal 对齐.
- 为了确定两个Roussouly分类方法之间的差异.
主要方法:
- 一项涉及来自五个国家的467名无症状志愿者的横截面队列研究.
- 使用EOS成像系统测量了放射性参数,包括十字斜率 (SS) 和骨盆发生率 (PI).
- 使用邦费罗尼校正的单向ANOVA分析了Roussouly类型之间的差异.
主要成果:
- 对于1,2,4和3AP类型的现有和理论的Roussouly类型之间观察到盆腔发病率 (PI) 的显著差异.
- 34.7%的受试者表现出他们当前和理论罗苏利分类之间的不匹配.
- 理论上的3型分类经常不匹配,51.5%被重新分类为当前的4型分类.
结论:
- 罗斯苏利脊柱类型的分布根据分类方法 (当前与理论) 有很大差异.
- 很大比例的个体表现出当前和理论Roussouly分类之间的不一致.
- 建议在使用Roussouly系统解释角对齐时谨慎使用,因为可能存在分类不匹配.
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