通过3DCT扫描识别的神经根解压位置:对于腰椎椎间盘脱落的患者来说,修改后的逆向对侧轴轴旋转位置
Ahmed Raffet1, Mark Laslett2, Raymond Lee3
1Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Journal of orthopaedic surgery and research
|April 17, 2025
概括
特定的骨干位置显著增加了腰椎间孔 (LIVF) 截面面积和直腿升高 (SLR) 角度在腰椎间盘缩的患者中. 这种修改后的反向逆侧轴旋转为根基病变提供了潜在的保守治疗方法.
科学领域:
- 整形外科和康复治疗
- 放射学 放射学是一门学科.
- 脊柱生物力学 脊柱生物力学
背景情况:
- 腰椎间脊 (LIVF) 内的神经根压缩是根系综合征的主要原因.
- 保守的治疗策略,通常涉及到确定位置或运动,以减轻神经根的冲击.
研究的目的:
- 评估特定的3D行李箱定位对LIVF的横截面积 (CSA) 的直接影响.
- 通过使用3D-CT成像来评估被诊断为腰椎盘和根茎病的患者的这些影响.
主要方法:
- 90名男性患者 (20-40岁) 患有单侧腰椎间盘脱落和根茎病变,根据脱落水平 (L3/L4,L4/L5,L5/S1) 分为三组.
- 进行了三次3D-CT成像会议:基线卧卧位置,修改反向逆侧轴旋转,并在治疗使用48小时后保持相同的位置.
- 测量包括LIVF CSA在受影响的水平和直腿抬起 (SLR) 测试角度.
主要成果:
- 修改后的逆向对侧轴旋转位置显著增加了LIVF CSA和SLR角度,与基线卧卧位置相比 (P < 0.001).
- 与基线和立即定位后相比,在48小时治疗使用该位置后观察到LIVF CSA和SLR角度的进一步显著增加 (P < 0.001).
结论:
- 修改后的反向对侧轴旋转技术证明了实时的神经根解压效应.
- 这种定位策略显示出作为腰椎间盘脱落和根基病变的非侵入性治疗干预措施的前景.
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