相关实验视频

Updated: May 5, 2026

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

脊椎-骨盆参数是否预测L4-5水平退行性磁盘疾病中脊髓溶解的发展?

K V Menon¹, Naveen Tahasildar², Mantu Jain²

¹Department of Orthopeadics, Bharati Vidyapeeth Medical College and Hospital, Pune, Maharashtra, India.

Journal of orthopaedic case reports

|October 13, 2025

概括

退行性脊髓缩 (DSL) 与特定的脊椎骨盆参数 (SPPs) 有关. 高的盆腔发病率 (PI) 和盆腔倾斜率 (PT),具有更高的圆盘角,预测了退行性圆盘疾病中DSL的进展.

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
放射学放射学是指放射学

背景情况:

退行性椎间盘疾病 (DDD) 可能导致斜面平面细分移位,称为退行性脊椎解脱 (DSL).
了解与DSL相关的脊椎皮层参数 (SPP) 对于预测其进展至关重要.

研究的目的:

为了比较患有退行性磁盘疾病 (DDD) 和DSL的患者与患有DDD但没有列表症的患者之间的SPP.
确定可以预测到DSL的进步概率的SPP.

主要方法:

63名患有L4-5退行性病理的患者被分为DSL和非listhesis组.
包括盆腔发病率 (PI),盆腔倾斜 (PT),骨架斜率 (SS),腰部位 (LL),圆盘角和L5位置在内的SPP被使用站立的腰部神经脊柱X射线分析.
统计分析包括组比较,接收机操作员特征 (ROC) 曲线分析和多重物流回归.

主要成果:

分析了52名患者. 与非listhesis组相比,DSL组呈现出更高的PI和PT,以及较低的圆盘角.
确定了DSL的预测值:PI>48.8°,PT>16.75°,以及磁盘角>8.05° (表明一个阴影片段).
后勤回归显示,在预测DSL时,PI的调整赔率比为1.127,磁盘角为1.299.

结论:

高的盆腔发病率 (PI) 带有盆腔逆和正常的腰部主病 (LL) 与L4-5.5处退行性磁盘疾病中DSL的发展有关.
患有Roussouly 3型脊骨平衡的个人似乎最容易患上DSL.

关键词:

退行性椎间盘疾病是一种退行性椎间盘疾病.相关性相关性相关性退行性脊柱脊髓炎的发生.圆盘角圆盘角圆盘角脊椎骨盆的参数脊椎骨盆的参数

更多相关视频

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

Published on: October 14, 2022

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

相关概念视频

Herniated Intervertebral Disc l: Introduction

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...

Degenerative Disc Disease I: Introduction

Degenerative 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...

Degenerative Disc Disease ll: Pathophysiology

Degenerative 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...