在无症状的印度人群中,脊椎骨盆斜参数的规范值
Bharat R Dave1, Abhijith Anil2, Mirant B Dave1
1Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, IND.
Cureus
|October 8, 2025
概括
这项研究为50岁以上的印度成年人建立了规范性斜腰和脊椎骨盆对齐值,为脊柱形手术规划提供了特定人群的公式. 与西方模型相比,这些量身定制的目标改善了外科手术的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
背景情况:
- 准确的斜腰脊柱和脊柱对齐评估对于成年脊柱形 (ASD) 评估和手术成功至关重要.
- 现有的规范性数据主要来源于西方人口,对老年印度成年人缺乏代表性.
- 这种差距需要为印度人口统计学界定义特定的调整参数.
研究的目的:
- 在50岁及以上的无症状印度成年人中确定斜脊柱和脊椎骨盆参数的规范值.
- 开发特定人群的回归模型,用于脊柱形纠正手术前规划.
- 将研究结果与西方人群进行比较,并评估对个性化手术点的需求.
主要方法:
- 一项前性观察性研究,涉及250名无症状的印度成年人 (平均年龄59.95岁).
- 站立的全脊椎横向放射图被分析为斜腰脊柱和脊椎骨盆参数.
- 统计分析,包括皮尔森的相关性和回归,被用来识别关系和导出预测方程.
主要成果:
- 确定关键参数的平均值:盆腔发病率 (PI) 50.95°,腰部病 (LL) 54.9°,胸部病 (TK) 29.96°,斜腰垂直轴 (SVA) -0.26 mm.
- 基于PI的LL,骨盆倾斜 (PT) 和神经斜率 (SS) 的衍生回归方程.
- 在44%的参与者中发现了显著的PI-LL不匹配,在10.8%的参与者中发现了松的不平衡.
结论:
- 这项研究提供了重要的规范性数据和针对老年印度成年人的斜和脊骨骨对齐的特定人群规划公式.
- 衍生式提供了比一般化西方模型更精确的外科规划目标,特别是极端PI值.
- 基于这些发现的个性化调整目标可以提高外科手术规划,并优化ASD患者的结果.
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