站立和仰卧的部斜腰对齐之间的区别和相关性:DTS与MRI对比
Shengbiao Ma1, Xuechen Ding2, Zhenhai Zhou3
1Department of Bone and Soft Tissue, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Global spine journal
|January 22, 2026
概括
数字断层合成 (DTS) 可靠地测量了椎脊髓炎 (CSM) 患者的直立椎斜对齐. 姿势显著影响测量,卧卧姿势的O-C2,宫主症 (CL) 和T1斜率 (T1S) 与站立对齐有很好的相关性.
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.
- 生物医学工程 生物医学工程
背景情况:
- 椎脊髓炎 (CSM) 影响脊柱对齐.
- 精确测量宫斜对齐对于诊断和治疗规划至关重要.
- 了解姿势对宫直线的影响对于临床解释很重要.
研究的目的:
- 在CSM患者中使用直立数字图解合成 (DTS) 和卧式磁共振成像 (MRI) 测量宫斜对齐参数.
- 为了评估子曲的差异和相关性,站立与躺卧的位置.
- 评估DTS在量化宫直线方面的可靠性.
主要方法:
- 对101名CSM患者进行了回顾性研究.
- 测量包括O-C2角度,宫上 (CL),C2-7斜垂直轴 (C2-7 SVA),部倾斜 (NT),T1斜率 (T1S),胸腔入口角度 (TIA),宫倾斜和部倾斜.
- 使用类内相关系数 (ICC) 评估观察者间可靠性;使用对联t测试和Pearson相关性分析差异和相关性.
主要成果:
- DTS和MRI测量显示出非常好的观察者间可靠性 (ICC > 0.8).
- 在O-C2,CL,C2-7 SVA,T1S,立身 (DTS) 和仰卧 (MRI) 位置之间的宫倾斜和头骨倾斜之间发现了显著的差异 (P < 0.001).
- 在两种方法之间观察到O-C2 (r = 0.834),CL (r = 0.870) 和T1S (r = 0.875) 的强烈相关性.
结论:
- DTS是一种可靠的工具,用于量化站立的宫对齐,特别是宫胸节 (CTJ) 参数.
- 位置变化显著影响宫斜对齐测量.
- 上O-C2,CL和T1S测量是CSM患者站立宫对齐的有意义指标.
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