在患有和没有退行性椎脊髓炎的受试者中,Odontoid参数
Tao Kang1, Weiyou Chen1, Longao Huang1
1Department of Spine Surgery, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi Zhuang Autonomous Region, 530021, China.
BMC musculoskeletal disorders
|August 3, 2025
概括
退行性宫脊椎病 (DCS) 改变了牙发病率 (OI) 和牙倾斜 (OT). 这些参数,以及宫斜测量,有助于评估脊柱平衡,并指导治疗策略.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 脊柱外科手术 脊柱外科手术
背景情况:
- 退行性宫脊椎病 (DCS) 是一种影响宫脊椎的常见疾病.
- 对椎脊柱对齐的放射评估对于诊断和治疗规划至关重要.
研究的目的:
- 调查DCS和没有DCS的个体之间的形体参数的X光差异.
- 为了评估形发病率 (OI) 和形倾斜 (OT) 在评估椎脊柱平衡中的实用性.
主要方法:
- 从51名健康受试者和107名DCS患者的横向宫X射线和MRI的回顾性审查.
- 测量了牙形发病率 (OI),牙形倾斜 (OT),C2斜率 (C2S),C0-2角度,宫主症 (CL),T1斜率 (T1S) 和T1S-CL.
- 统计分析包括t测试,威尔科克森等级和和测试和斯皮尔曼相关性.
主要成果:
- 在健康受试者和DCS患者之间观察到OI和OT的显著差异 (p < 0.001).
- 在这两组中,OI和OT与其他椎斜参数存在相关性.
- 对CL的预测公式在健康个体 (R2=0.88) 和DCS患者 (R2=0.64) 中都显示出有效性.
结论:
- 形发病率 (OI) 和形倾斜 (OT) 是评估椎脊柱平衡的有价值的补充参数.
- 这些参数有助于评估患有退行性椎椎病 (DCS) 的患者.
- OI和OT可以指导治疗策略,以恢复正常的宫主症.
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