[脊椎骨密度分布在不同退行性腰椎结石的冠状失衡分类中]
1Division of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing 210008, China.
Zhonghua yi xue za zhi
|March 8, 2026
概括
退行性腰椎结石 (DLS) 患者,特别是C型患者,骨质疏松率高,骨密度较低. 类型C DLS患者需要特定的手术固定策略来防止植入物失败.
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.
- 脊柱外科手术 脊柱外科手术
背景情况:
- 退行性腰椎结石 (DLS) 在脊柱对齐和骨健康方面提出了复杂的挑战.
- 了解脊椎骨密度分布对于DLS手术规划至关重要.
研究的目的:
- 在不同冠状失衡分类中调查DLS患者的脊椎骨密度模式.
- 为了将骨密度与骨质疏松症患病率和冠状元对齐类型相关联.
主要方法:
- 对154名经过脊髓融合的DLS患者进行了回顾性分析.
- 根据南京鼓楼冠状失衡标准进行分类 (A,B,C类).
- 从CT扫描中使用双能X射线吸收度 (DXA) 和Hounsfield单位 (HU) 评估骨矿物质密度.
主要成果:
- 整体骨质疏松症的患病率为48.7%,在C型骨质疏松症 (72.0%) 中最高.
- 在C型患者中,S1脊椎骨密度最低 (平均HU为108.2).
- 形脊椎侧面的骨密度高于形侧面,B型和C型的骨密度不对称.
结论:
- 骨质疏松症患者的骨质疏松症率很高,特别是C型.
- 类型C DLS患者的骨密度明显降低,特别是在L1.
- 建议在C型DLS中使用阴或S2阴螺丝进行远端固定,以减轻固定失败的风险.
相关概念视频
Vertebral Column: Regions and Curvature
11.3K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
11.3K
General Structure of a Vertebra
7.7K
A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...
7.7K
Classification of Bones
10.8K
The bones of the human skeletal system are of varied shapes, sizes, and functions. They can be classified based on their shape and function into four major classes: long bones, short bones, flat bones, and irregular bones. Some classifications include a fifth type, the sesamoid bones, as a separate class, whereas others categorize them under short bones.
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
Long and Short Bones
The appendicular skeleton, particularly the upper and lower limbs, is primarily made of long and short bones. The...
10.8K
Bone Disorders
5.8K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.8K


