脊柱—骨盆矢状位平衡参数对腰椎滑脱治疗影响的研究进展

发布时间：2018-06-12 11:27

  本文选题：腰椎滑脱 + 脊柱　； 参考：《新疆医科大学》2015年硕士论文

【摘要】：目的：通过对我科腰椎滑脱患者脊柱-骨盆失状位平衡参数的测量,探讨腰椎滑脱患者脊柱-骨盆失状面平衡参数的变化及各参数之间的相关性。方法：收集新疆医科大学第一附属医院脊柱外科2012年2月至2014年2月收治的腰椎滑脱患者共40例的影像学资料(全脊柱X线片、MRI等)并测量脊柱-骨盆矢状面平衡参数。其中包括：腰椎前凸角(1umbar lordosis,LL)、胸椎后凸角(thoracic kyphosis,TK)、骨盆入射角(pelvic incidence,PI)、骨盆倾斜角(pelvic tilt,PT)、骶骨倾斜A角(sacrum slop,SS)、脊柱矢状垂直轴(Sagittal vertical axis,SVA)等。结果：通过对40例腰椎滑脱患者影像学资料的分析得出：腰椎前凸角(LL)的平均值为52.0°(35°-65°),明显大于相关文献报道的正常数值且差异有统计学意义(P0.05)；胸椎后凸角(TK)的平均值为36.0°(220-60°),明显小于相关文献报道的正常数值且差异有统计学意义(P0.05)；骨盆入射角(PI)的平均值为63.5°(45°-80-),明显大于相关文献报道的正常数值且差异有统计学意义(P0.05)；骨盆倾斜角(PT)的平均值为20.5°(10.70-35°),明显大于相关文献报道的正常数值且差异有统计学意义(P0.05)；骶骨倾斜角(SS)的平均值为45.3°(33°-52°),明显大于相关文献报道的正常数值且差异有统计学意义(P0.05)。结论：脊柱-骨盆矢状位平衡参数在腰椎滑脱的发生、发展、转归中均有明显改变。腰椎滑脱发生后机体会出现相应改变进行代偿,使得矢状位重新平衡进而防止驼背及俯视,同时这些相应的变化会通过脊柱-骨盆矢状位平衡参数体现出来。
[Abstract]:Objective: to investigate the changes of the spinal and pelvic disequilibrium parameters in patients with lumbar spondylolisthesis and the correlation between the parameters. Methods: the imaging data of 40 patients with lumbar spondylolisthesis admitted in the first affiliated Hospital of Xinjiang Medical University from February 2012 to February 2014 were collected and the sagittal balance parameters of spine and pelvis were measured. These include: lumbar LLV, thoracic kyphosisus, pelpelvic occidence, pelvic tilvic, sacrum slant, Sagittal vertical axis-SVA, etc. Results: by analyzing the imaging data of 40 patients with lumbar spondylolisthesis, it was concluded that the average value of LLL in lumbar spondylolisthesis was 52.0 掳-35 掳-65 掳, which was significantly higher than the normal value reported in relevant literature and the difference was statistically significant (P0.05). The mean value was 36.0 掳/ 220-60 掳/ m, which was significantly smaller than the normal value reported in the relevant literature and the difference was statistically significant (P 0.05), and the average value of pelvic incidence angle (Pi) was 63.5 掳/ 45 掳-80-m, which was obviously larger than the normal value reported in the relevant literature and the difference was statistically significant (P 0.05), and the pelvic inclination was significantly higher than that of the normal value reported in the relevant literature (P 0.05). The average value of PTT was 20.5 掳~ 10.35 掳/ m, which was significantly higher than the normal value reported in relevant literature and the difference was statistically significant (P < 0.05), and the average value of sacral obliquity angle (SSS) was 45.3 掳(33 掳-52 掳), which was significantly higher than the normal value reported in related literature and the difference was statistically significant (P 0.05). Conclusion: the sagittal balance parameters of spine and pelvis have obvious changes in the occurrence, development and outcome of lumbar spondylolisthesis. After the occurrence of lumbar spondylolisthesis there will be corresponding changes in the body to compensate the sagittal position rebalance to prevent hunchback and overlooking and these changes will be reflected by the spine-pelvis sagittal balance parameters.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
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本文编号：2009508