伯托洛蒂综合征 (BERTOLOTTI SYNDROME) 是一种疾病
Eduardo Achar1, João Paulo de Souza Sanches Trecco1, Robert Meves1
1Irmandade Santa Casa de Misericordia de Sao Paulo (ISCMSP), Departamento de Ortopedia e Traumatologia, Pavilhao F. Simonsen, Sao Paulo, SP, Brazil.
Acta ortopedica brasileira
|September 25, 2025
概括
伯托洛蒂综合征是由腰部神经过渡脊椎 (LSTV) 引起的,在紧急情况下影响超过60%的腰部疼痛患者. 认识到LSTV对于有效的腰痛管理至关重要.
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.
- 人体解剖学 解剖学 解剖学
背景情况:
- 腰部疼痛是一个广泛存在的问题,其中很大一部分的紧急诊所归因于它.
- 腰部神经过渡脊椎 (LSTV) 是一种常见的解剖变异,也是腰部疼痛的常见原因.
- 伯托洛蒂综合征的特征是LSTV和相关的腰部疼痛.
研究的目的:
- 为了确定伯托洛蒂综合征在急诊室患者出现腰部疼痛的患病率.
- 评估使用已建立的系统对LSTV进行分类的观察者间可靠性.
主要方法:
- 追溯分析469张腰部脊柱X射线图,来自腰部疼痛患者.
- 两位独立的骨科医生使用Tini和Castellvi系统对LSTV进行了分类.
- 统计分析包括观察者间可靠性的卡帕协议指数.
主要成果:
- 伯托洛蒂综合征的患病率很高,在两个观察者中约为61-62%.
- I型LSTV是最常见的 (超过70%),其次是III型 (超过15%).
- 双边横向过程参与 (IB形态) 是最常见的表现 (超过50%).
结论:
- 伯托洛蒂综合征在患有腰部疼痛的急诊患者中发生率很高.
- 在腰部疼痛的差异诊断中,应该更频繁地考虑LSTV.
- 更好地识别LSTV可以增强相关的腰部疼痛的管理策略.
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