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副脊髓肌肉形态或构成与斜脊骨骨对齐的关联:一个系统的审查和元分析
Fangda Si1, Aobo Wang2, Ying Chen3
1Department of Trauma and Orthopedics, China-Japan Friendship Hospital, No. 2 YingHuaYuan East Street, Chaoyang District, Beijing, 100020, China.
副脊柱肌肉的大小和脂肪含量与脊柱对齐有关. 较大的肌肉与更好的调整相关,而增加的脂肪与较差的调整有关,特别是在某些人群中.
科学领域:
- 脊柱生物力学 脊柱生物力学
- 肌肉骨成像系统的成像
- 放射学 放射学是一门学科.
背景情况:
- 斜腰脊椎皮层对齐 (SSA) 对于脊柱的健康和功能至关重要.
- 副脊柱肌肉在维持脊柱姿势方面发挥着重要作用.
- 了解副脊髓肌肉特征与SSA之间的关系对于临床评估和治疗至关重要.
研究的目的:
- 评估副脊髓肌肉形态 (横截面积 - - CSA) 和组成 (脂肪信号分数 - - FSF) 和斜脊骨骨对齐 (SSA) 之间的关联.
主要方法:
- 一个系统的审查和对16项涉及1535名参与者的观察性研究的元分析.
- 在PubMed,Embase,Cochrane和Web of Science数据库中进行了搜索.
- 使用元分析分析分析了副脊髓肌肉CSA和FSF与各种SSA参数之间的关联.
主要成果:
- 增加的副脊髓肌肉CSA显示出与胸部形 (TK) 和腰部形 (LL) 的积极关联.
- 大肌肉CSA与斜腰垂直轴 (SVA),骨盆倾斜 (PT),骨盆发生率 (PI) 和PI-LL不匹配有负相关性.
- 较高的近脊肌FSF与SVA,PT和PI-LL不匹配正相关,与PI和十字斜率 (SS) 有负相关.
- 在没有退行性脊髓疾病的群体和使用CT成像的研究中,相关性更强.
结论:
- 副脊柱肌肉的形态和组成与斜腰脊柱骨对齐有显著的关联.
- 这些发现强调了肌肉特征在脊柱对齐中的重要性.
- 需要进一步的研究来确定因果关系并了解潜在的机制.
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