脊椎体解剖学在儿科脊椎解剖中是独一无二的
Ryan A Finkel1, Nakul Narendran2, Daniel Farivar2
1Cedars-Sinai Medical Center, Department of Spine Surgery, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA. Ryan.finkel@cshs.org.
Spine deformity
|April 3, 2025
概括
患有L5脊髓溶解的儿科患者表现出明显的腰部神经解剖学. 它们的L5关节间部分更为水平,位置更接近L4下关节过程和S1上关节过程.
科学领域:
- 整形外科手术 整形外科手术
- 儿科放射学 儿科放射学
- 脊柱的解剖学 脊柱的解剖学
背景情况:
- L5脊椎解剖是儿科运动员常见的压力骨折.
- 了解 lumbosacral 解剖学变异可能会阐明脊髓溶解的病原性.
研究的目的:
- 为了研究L5脊椎解剖症和没有L5脊椎解剖症的儿科患者之间腰部神经解剖学的差异.
- 为了确定与L5脊椎解剖相关的特定解剖参数.
主要方法:
- 对儿科患者的计算机断层扫描 (CT) 扫描的回顾性审查.
- 根据年龄,性别和BMI,将与隔离的L5脊髓溶解 (n=32) 患者与对照组 (n=122) 相匹配.
- 定量评估形和冠状脊柱的参数,包括L5的角和关节过程之间的距离.
主要成果:
- 患有L5脊髓溶解的患者表现出L5关节间角的水平角度显著增加 (142.5°对119.9°,p<0.05).
- 在脊椎解剖组中,在L5部分和L4下关节过程 (IAP) 和S1上关节过程 (SAP) 之间观察到较小的距离.
- 一个更大的水平L5帕斯角与脊髓解剖有很强的相关性 (r=0.59).
结论:
- 患有L5脊椎解剖的儿科患者具有更加水平的L5骨间.
- 这种解剖学变异使L5部分更接近相邻的关节结构,可能会导致压力损伤.
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