在患有退行性腰椎脊柱狭窄症的患者中,横脊椎缩症和腰椎对齐和面部关节骨关节炎之间的关系
Song Liu1, Wenjun Hu, Youxi Lin
1Department of Orthopedics, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Yingfeng Road No.33, Guangzhou, China.
Spine
|December 13, 2024
概括
退行性脊柱状况,如面部关节骨关节炎,骨盆发病率,年龄和女性与严重的腰椎脊柱狭窄症患者的侧脊柱肉有关. 这种肌肉状况会影响脊柱手术的结果.
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:
- 副脊柱肌肉对于脊柱稳定至关重要.
- 副脊柱性肉症越来越被认为是影响脊柱手术结果的关键因素.
- 在严重的退行性腰椎脊柱狭窄症 (DLSS) 中,退行性脊柱状况和副脊柱肉之间的关系尚未得到充分研究.
研究的目的:
- 调查严重DLSS患者退行性脊柱状况和副脊柱肉症之间的关联.
- 在这个患者群体中,确定与近脊髓肉类相关的人口和放射学因素.
主要方法:
- 对129名为DLSS进行后腰间体融合的患者进行了回顾性分析.
- 在MRI上使用Gautallier分类的多肌肌肉对副脊椎肉的评估.
- 顺序逻辑回归分析以确定与混因素的关联.
主要成果:
- 年龄,骨盆发病率 (PI) 和腰部主病 (LL) 与近脊髓骨症正相关.
- 体重,psoas横截面积 (CSA),面部关节角度 (FA) 和L1-4霍恩斯菲尔德单位 (HU) 与近脊髓肉有负相关性.
- 面关节骨关节炎 (FJOA),PI,年龄和女性性别与近脊骨髓缩症显著相关.
结论:
- 在严重的DLSS患者中,FJOA,PI,年龄和女性性别与副脊柱肉相关.
- 副脊髓肌肉的横截面积与脂肪透的严重程度无关.
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