腰部下部退行性阴影病的形态特征
Mitsuhiro Nishizawa1, Junichi Ohya2, Yuki Ishikawa2
1Department of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo, 150-8935, Japan. nmitu2438@gmail.com.
概括
腰部下部退行性肌痛症 (LLDK) 涉及不同的脊椎骨盆参数和补偿机制. 患有LLDK的患者表现出更高的盆腔发病率和倾斜,在胸腔腹区域有补偿性主病.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
背景情况:
- 腰部下部退行性肌痛症 (LLDK) 显著影响脊柱的斜腰对齐.
- 了解LLDK中脊椎皮层参数和补偿机制对于有效的手术纠正至关重要.
研究的目的:
- 为了分析LLDK引起的形不平衡的患者的形态特征.
- 为了比较LLDK患者与对照者的脊椎骨盆参数和脊柱对齐.
主要方法:
- 对接受正手术的成年脊柱形 (ASD) 患者的回顾性审查.
- 对LLDK的定义:阴影性形 (L4-S1) 或主病分布指数<40%.
- 在LLDK和对照组之间比较全球脊柱参数和MRI发现.
主要成果:
- 在LLDK患者 (14.7%的队列) 中,骨盆发生率 (62.1°与52.6°相比) 和骨盆倾斜率 (40.0°与33.4°相比) 显著增加.
- LLDK组表现出较大的胸腔关位病变 (12.0°对比 -19.6°) 和减少胸部位病变 (9.3°对比 26.0°).
- 在LLDK组中,在L2/3和L3/4观察到较少的磁盘退化.
结论:
- LLDK的特点是高的盆腔发病率和盆腔倾斜.
- 在LLDK患者中,补偿机制涉及胸腔关节和胸脊的长曲线.
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