圣化过渡脊椎对脊柱对齐的影响
Marc Khalifé1,2,3, Claudio Vergari4, Renaud Lafage3
1Department of Orthopedic Surgery, Hôpital Européen Georges Pompidou, Paris, France.
Spine
|October 25, 2024
概括
圣化腰部-圣部过渡脊椎 (LSTV) 影响脊柱对齐,高度的LSTV会改变腰部病分布. 脊椎皮层参数测量应根据LSTV等级进行调整,以进行准确的评估.
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
- 整形外科手术 整形外科手术
背景情况:
- 有限的数据存在于患有腰部 - 圣节过渡脊椎 (LSTV) 的患者的脊骨皮层对齐.
- 了解LSTV对脊柱对齐的影响对于精确的放射性评估至关重要.
研究的目的:
- 评估神圣的腰部神经过渡脊椎 (LSTV) 对健康志愿者的脊柱对齐的影响.
- 为了确定LSTV等级如何影响腰部主病和脊椎骨盆参数.
- 根据LSTV的存在和等级,提供有关脊椎皮层参数适当测量点的指导.
主要方法:
- 对18岁以上健康志愿者的多中心前数据库的回顾性分析.
- 全身立体射线成像仪在自由立的位置被用于评估.
- 分析的参数包括卡斯特尔维等级,骨盆发病率,腰部主症 (L1-S1),胸部,宫主症和全球对齐.
主要成果:
- 低等级的LSTV (Castellvi I-II) 在匹配盆腔发病率时,与非LSTV受试者表现出类似的脊柱对齐.
- 高等级的LSTV (Castellvi III-IV) 显示腰部主病分布变化,顶部和屈曲点更高.
- 高度病例中的LSTV细分是囊性,由L5.5以上的主病增加补偿.
结论:
- 低级的LSTV受试者表现出与非LSTV个体相比的对齐,支持S1作为脊椎皮层测量的参考.
- 高等级的LSTV与密封的L5-S1段和更的腰部顶部有关.
- 对于高等级的LSTV,应使用L5作为参考点来测量脊椎皮层参数.
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