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年轻成年人脊椎和腰椎椎间盘的斜腰对齐:一个历史性的病例对照研究

Mourad Ould-Slimane¹, François-Xavier Ferracci², André Gillibert³

¹Rouen University Hospital, Department of Orthopedic Surgery, Spine Unit, 76000 Rouen, France; CETAPS UR 383, Research Center for Sports and Athletic Activities Transformations, University of Rouen Normandy, 76821 Mont-Saint-Aignan, France.

Orthopaedics & traumatology, surgery & research : OTSR

|March 9, 2025

概括

腰椎间盘 (LDH) 患者显示,Roussouly 2型"平坦脊柱"对齐的患病率更高. 这种脊柱对齐,以及下骨盆发病率,可能会增加患LDH的风险.

科学领域:

整形外科和脊椎外科手术
放射学和成像学放射学和成像学
生物机械分析生物机械分析

背景情况:

腰椎间盘 (LDH) 是腰部疼痛的一个常见原因.
脊椎骨盆斜对齐,以骨盆发生率 (PI),交叉斜率 (SS) 和骨盆倾斜 (PT) 为特征,在脊柱生物力学中起着至关重要的作用.
罗斯苏利的分类将脊柱曲线分为四种类型,这些类型是基于斜腰对齐.

研究的目的:

为了研究脊骨松对齐和腰椎间盘 (LDH) 的发展之间的关联.
为了比较手术LDH患者与健康的对照组的脊椎骨盆参数.

主要方法:

一项病例对照研究,将190名LDH患者 (15-45岁) 的脊椎皮层数据与160名健康对照进行比较.
使用全身X射线图 (EOS®系统) 评估十字斜率 (SS),骨盆发生率 (PI),骨盆倾斜 (PT) 和Roussouly分类.
统计分析包括费舍尔的精确测试,学生的t测试和精确的条件尾部间隔 (ECTI) 的赔率比率.

主要成果:

在LDH患者中,Roussouly 2型的患病率显著更高.
平的脊椎是平的脊椎是平的
(27.9%与11.2%,或3.04) 相比之下.
在LDH组中,平均PI较低 (-3.0°),SS较低 (-6.9°),腰部主症 (-10.6°) 和较高胸部形 (+3.6°).
鲁苏利2型棘与L5-S1 (OR 2.73) 的LDH手术风险更大.

结论:

在LDH患者 (<45岁) 中,与对照人群相比,Roussouly2型棘的患病率高出3倍.
这是一个很棒的节目,这是一个很棒的节目.
平的脊椎是平的脊椎是平的
对齐和下骨盆发病率 (PI) 被认为是导致LDH发展的潜在因素.
这些发现凸显了形脊骨皮层对齐在LDH病理生理学的重要性.

关键词:

描述性研究是一种描述性研究.椎间盘的发生图像成像是一种成像.腰部腰部腰部腰部斯皮诺贝尔维克的参数脊椎骨盆的斜腰对齐是如何进行的

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