椎间盘与脊椎体对无症状受试者的腰部位病的贡献
Marc Khalifé1,2,3, Renaud Lafage3, Emmanuelle Ferrero1,2
1Department of Orthopedic Surgery, Hôpital Européen Georges Pompidou, Paris, France.
Spine
|September 5, 2024
概括
脊椎体,而不仅仅是磁盘,对腰部主症 (8-21%) 有着显著的贡献,并且随着年龄和盆腔发病率的变化而发生变化. 衰老会减少椎间盘位症,增加脊椎位症,影响脊柱对齐.
科学领域:
- 脊柱生物力学 脊柱生物力学
- 放射性分析 放射性分析
- 人类解剖学 人类解剖学
背景情况:
- 腰部主病 (LL) 的大小和分布已被研究,但其解剖学组成缺乏详细数据.
- 了解脊椎体和椎间盘对LL的相对贡献对于脊柱健康至关重要.
研究的目的:
- 量化脊椎体与椎间盘对腰部主病的贡献.
- 调查年龄和盆腔发病率 (PI) 如何影响这一贡献.
主要方法:
- 对645名健康志愿者 (年龄≥18岁) 的立体放射图的回顾性分析.
- 测量腰椎盘 (L1-S1) 和脊椎体的斜腰科布角和后部高度.
- 盘和脊椎体对LL的贡献的计算,分析了跨年龄和PI组.
主要成果:
- 脊椎体对LL的贡献在较高的骨盆发病率 (8%至20.5%) 的情况下显著增加.
- 腰椎盘主症随着年龄的增长而减少,而脊椎体,特别是L1-L2,在老年人中呈现出增加的位.
- 转向更大脊椎体贡献的转变主要发生在下腰部主病中.
结论:
- 脊椎体在维持腰部主症方面发挥着重要作用,根据盆腔发病率而有所不同.
- 衰老会改变腰部主症,通过降低盘高度贡献和增加上脊椎体位.
- 这些发现有助于外科医生评估斜腰对齐,并选择脊柱正的手术技术.
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