50岁以上无症状社区居民成年人与年龄相关的变化和脊柱斜面对齐
Wei Wang1,2, Zheng Wang1,2, Dongfang Wang1,2
1Department of Orthopedics, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing 10053, China.
Spine
|February 11, 2025
概括
这项研究在50岁以上的成年人中确定了与年龄相关的脊柱斜参数. 上胸部 (Upper_TK) 与年龄有很强的相关性,而腰部 (LL) 则保持稳定,为脊柱对齐评估提供了洞察力.
科学领域:
- 整形外科和脊椎外科手术
- 老年医学 老年医学
- 放射学 放射学是一门学科.
背景情况:
- 衰老会导致退行性脊柱变化,改变 Sagittal 平衡,并可能导致病理.
- 缺乏对与年龄相关的斜腰对齐及其进化关系的全面理解.
- 脊柱斜腰参数对于评估脊柱健康和规划干预措施至关重要.
研究的目的:
- 在50岁以上的成年人中,确定脊柱斜参数的规范性年龄相关值.
- 研究脊柱退行期间这些参数之间的关系.
- 为了解与年龄相关的脊柱对齐变化提供数据.
主要方法:
- 进行了一项单心,回顾性,横截面研究.
- 50岁以上的701名无症状志愿者从一个更大的队列中被招募.
- 用定制的计算机应用程序分析了侧面X射线,以评估斜腰的参数.
主要成果:
- 年龄与上胸部形 (Upper_TK) (r=0.39) 相关性最强,其次是形垂直轴 (SVA) 和T1_slope.
- 腰部病 (LL) 没有显著的与年龄相关的下降;其与胸部病 (TK) 和盆腔发病率 (PI) 的关系是显著的,但当删除中间变量时减弱.
- 上腰部主病 (Upper_arc) 与年龄 (15.93±5.61°) 相比保持稳定. 在75岁以上观察到的显著变化包括增加的骨盆倾斜 (PT) 和下降的十字斜率 (SS) 和LL.
结论:
- 这项研究为脊柱斜参数提供了规范性的,与年龄相关的值.
- 一种新的方法建议将LL和TK划分为触角弧,以便更好地评估脊柱斜腰对齐.
- 这些发现为脊椎外科医生提供了宝贵的见解,他们计划进行手术纠正.
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