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退行性腰椎侧凸患者顶椎偏移与腰大肌、椎旁肌不对称性的关系 被引量：14

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摘要 退行性腰椎侧凸（degenerative lumbar scoliosis,DLS）作为一种脊柱常见退变性疾病,文献报道人群发病率高达6%-68%,是引起老年人腰痛、下肢痛和间歇性跛行的一个重要原因[1]。脊柱不同区域退变的速率不尽相同,同一节段的一侧可能比另一侧退变得更快[2]。临床进行体格检查时我们常发现DLS中老年患者的腰部肌肉常常是不对称的。在进行脊柱查体时不对称特征往往被忽视,而这些可能是肌肉疲劳性腰痛的原因[2]。而腰肌的不对称性对临床治疗、锻炼指导具有重点意义,如一侧腰肌痉挛/萎缩则主要围绕责任侧。腰肌的不对称性需要客观有效的评估。
作者 袁仕国 秦小红 陈超 张佩 张志伟 徐明奎 周理 黄坚 陈美雄 李义凯
机构地区 南方医科大学中医药学院中西医结合外科教研室 海南省中医院骨伤科 广东省第二中医院白云院区针灸康复科
出处 《中国疼痛医学杂志》 CAS CSCD 2015年第3期220-223,共4页 Chinese Journal of Pain Medicine
基金 国家自然科学基金资助项目(骨质疏松性椎体骨折后质心偏移引起的脊柱应力重新分布与再骨折风险关系的研究 30700893)
关键词 不对称性 腰椎侧凸 椎旁肌 顶椎 腰大肌 退变性疾病 scoliosis 锻炼指导 lumbar 下肢痛
分类号 R682.3 [医药卫生—骨科学]
作者简介 通讯作者ortho@fimmu．com
  • 相关文献

参考文献11

  • 1Andersen T, Christensen FB, Langdahl BL, et al. Degenerative spondylolisthesis is associated with low spinal bone density: a comparative study between spinal stenosis and degenerative spondylolisthesis. Biomed Res Int,2013,2013:123847.
  • 2Lavelle W F, Marawar S, Bell G. Degenerative lumbar instability. Seminars in Spine Surgery, 2013, 25:92 - 99.
  • 3Kim H, Lee CK, Yeom JS, et al. Asymmetry of the cross-sectional area of paravertebral and psoas muscle in patients with degenerative scoliosis. Eur Spine J, 2013, 22:1332-1338.
  • 4Chan S, Fung P, Ng N, et al. Dynamic changes of elasticity, cross-sectional area, and fat infiltration of multifidus at different postures in men with chronic low back pain. The Spine Journal,2012,12:381 - 388.
  • 5D'Hooge R, Cagnie B, Crombez G, et al. Increased intramuscular fatty infiltration without differences in lumbar muscle cross-sectional area during remission of unilateral recurrent low back pain. Manual Therapy, 2012, 17:584 - 588.
  • 6Beneck G J, Kulig K. Multifidus Atrophy Is Localized and Bilateral in Active Persons With Chronic Unilateral Low Back Pain. Archives of Physical Medicine and Rehabilitation, 2012, 93:300 - 306.
  • 7Froholdt A, Holm I, Keller A, et al. No difference in long-term trunk muscle strength, cross-sectional area, and density in patients with chronic low back pain 7 to 11 years after lumbar fusion versus cognitive intervention and exercises. The Spine Journal, 2011, 11: 718-725.
  • 8Hu Z J, He J, Zhao FD, et al. An assessment of the intra- and inter-reliability of the lumbar paraspinal muscle par- ameters using CT scan and magnetic resonance imaging. Spine (Phila Pa 1976), 2011, 36:E868-E874.
  • 9Danneels LA, Vanderstraeten GG, Cambier DC, et al. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J, 2000, 9:266 - 272.
  • 10Ranson CA, Burnett AF, Kerslake R, et al. An invest- igation into the use of MR imaging to determine the functional cross sectional area of lumbar paraspinal muscles. Eur Snine J. 2006. 15:764 -773.

二级参考文献23

  • 1Ayad S,Weiss JB.Biochemistry of the Intervertebral Disc.In Jayson MIV (ed.).The Lumbar Spine and Back Pain.3rd ed.New York:Churchill-Livingstone,1987,100～37.
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  • 3Leboeuf-Yde C,Kyvik KO.At what age does low back pain become a common problem.? A study of 29,424 individuals aged 12-41 years.Spine,1998,15;23(2) :228 ～234.
  • 4Nerlich AG,Schleicher ED,Boos N.Immunohistologic markers for age-related changes of human lumbar intervertebral discs.Spine,1997,15; 22(24) :2781 ～ 2795.
  • 5Farfan HF,Huberdeau RM,Dubow HI.Lumbar intervertebral disc degeneration:the influence of geometrical features on the pattern of disc degeneration-a post mortem study.J Bone Joint Surg Am,1972,54:492～510.
  • 6Kazarian LE.Creep characteristics of the human spinal column.Orthop Clin North Am,1975,6:3～18.
  • 7Kraemer J.Natural course and prognosis of intervertebral disc diseases.International Society for the Study of the Lumbar Spine Seattle,Washington,June,1994,Spine.1995 Mar 15;20(6) :635 ～939.
  • 8Thompson JP,Oegema TR Jr,Bradford DS.Stimulation of mature canine intervertebral disc by growth factors.Spine,1991,16:253 ～260.
  • 9Nishida K,Gilbertson LG,Robbins PD,et al.Potential applications of gene therapy to the treatment of intervertebral disc disorders.Clin Orthop Relat Res,2000,(379 Suppl) :S234 ～241.
  • 10Evans CH,Robbins PD.Possible orthopaedic applications of gene therapy.J Bone Joint Surg Am,1995,77:1103～1114.

共引文献4

同被引文献126

引证文献14

二级引证文献90

中国疼痛医学杂志
2015年 第3期

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