青少年腰椎间盘突出节段与腰骶结构的影像观察

发布时间：2018-03-25 20:06

本文选题：腰椎间盘突出症　切入点：青少年　出处：《中国矫形外科杂志》2017年23期

【摘要】：[目的]比较患病节段为L_(4-5)和L_5/S1的青少年椎间盘突出症患者的腰骶部解剖影像学差异,探讨青少年腰椎间盘突出症的解剖学原因。[方法]2010年6月~2015年6月收治的青少年腰椎间盘突出症患者27例,其中按发病节段不同分为两组,L_(4-5)椎间盘突出症患者13例,男9例,女4例,年龄13~18岁,平均(16.2±3.5)岁。L_5/S1椎间盘突出症患者14例,男10例,女4例,年龄14~18岁,平均(16.3±3.1)岁。分别测量两组患者腰骶部解剖结构形态,即L_5横突长度,腰椎正位X线片上髂嵴连线高度及移行椎情况,腰椎CT轴向平扫上病变间隙的关节突关节形态及关节突关节角,并对两组间的上述影像学指标进行比较。[结果]两组年龄及性别比较差异无统计学意义(P0.05)。L_(4-5)椎间盘突出症患者L_5横突长度、髂嵴连线高度及有腰椎骶化的比例明显大于L_5/S1椎间盘突出症患者(P0.05),关节突关节不对称的比例两组接近(L_(4-5)61.5%VS L_5/S164.2%),差异无统计学意义(P0.05)。[结论]腰骶部的解剖变异对青少年腰椎间盘突出症的发生及发病的节段有显著影响。
[Abstract]:[objective] to compare the anatomical differences of lumbosacral region in adolescent patients with intervertebral disc herniation (L_5/S1). To investigate the anatomical causes of lumbar disc herniation in adolescents. [methods] from June 2010 to June 2015, 27 adolescent patients with lumbar disc herniation were treated. According to the different segments of the disease, 13 patients with lumbar disc herniation were divided into two groups: 13 patients (9 men) with lumbar disc herniation. There were 14 cases of L5 / S1 intervertebral disc herniation, 10 males and 4 females, aged 1418 years, with an average of 16.3 卤3.1 years old. The anatomical structure of lumbosacral region was measured in the two groups, that is, the length of L5 transverse process. The height of iliac crest line and the status of transitional vertebrae, the shape of articular facet joint and the angle of articular facet joint on axial plain scan of lumbar vertebrae. [results] there was no significant difference in age and sex between the two groups. The height of iliac crest line and the proportion of lumbar vertebrae saccharification were significantly higher than that of L_5/S1 patients with disc herniation (P 0.05). The ratio of dissymmetry of articular facet joint in two groups was close to that of L4-5 and 61.5 vs 5% S / S 164.2. The difference was not statistically significant (P 0. 05). [conclusion] Anatomical variation of lumbosacral region is of great importance to adolescent adolescents. [conclusion] Anatomical variation of lumbosacral region is of significance to adolescents. The occurrence of lumbar disc herniation and the segment of the disease have a significant effect.
【作者单位】：江苏徐州市中心医院脊柱外科;
【分类号】：R726.8

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