退行性腰椎脊柱脊髓疏松症的/没有退行性腰椎脊柱疏松症的退行性脊柱脊髓疏松症的放射性参数差异
Lianlei Wang1, Hui Wang1, Xiaoxiong Wang1
1Department of Orthopedics, Qilu Hospital of Shandong University, Jinan, Shandong, China.
概括
与退行性腰椎脊柱脊髓缩一起的退行性脊柱病显示出比单独的退行性脊柱病更大的脊柱不平衡和更大的曲线. 这些差异随着脊椎结节症严重程度的增加而变得更加明显.
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:
- 退行性脊椎病 (DS) 和退行性腰椎脊椎病 (DLS) 是常见的脊柱疾病.
- 了解DS与DLS之间的成像差异对于手术规划至关重要.
研究的目的:
- 研究和比较退行性脊椎病 (DS) 的成像特征,在患有和没有退行性腰椎脊椎病 (DLS) 的患者中.
主要方法:
- 124名接受DS纠正的患者被分为两组:DS有DLS (n=58) 和DS没有DLS (n=66).
- 分析了手术前,手术后和2年后的冠状和形图像参数.
- 用SRS-Schwab和修改的阿贝林-日内瓦分类来对患者进行分类,临床结果通过JOA,VAS和ODI得分进行评估.
主要成果:
- 带有DLS的DS主要影响L3/4细分市场,而没有DLS的DS涉及L2/3或L3/4.4.
- 与B组 (DS没有DLS) (分别为II型和AG3) 相比,A组 (DS有DLS) 在Schwab (III型) 和Abelin-Genevois (AG4) 中显示出更高的分类.
- 在手术前的CVA,Cobb角和SVA显着更大,而LL和DH在DS中与DS单独相比较小,特别是DS严重程度更高.
结论:
- 与没有DLS的DS相比,DS的特点是更大的手术前冠状和斜面不平衡,更大的CVA,SVA和Cobb角度,以及较小的LL.
- 在严重的退行性脊椎病例中,成像差异更为明显.
相关概念视频
01:27Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
01:23Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...