摘要
目的探究中老年腰椎峡部与滑落脊柱-骨盆矢状面X线测量参数的差异及临床价值。方法回顾2017年6月-2019年6月就诊的L5峡部裂和滑脱患者各80例的影像资料,同时选取同时期无显著疼痛症状的中老年志愿者80例作为对照组。测量骨盆入射角(Pelvic Incidence,PI)、骨盆倾斜角(Pelvic Tilt,PT)、骶骨倾斜角(Sacral Slope,SS)、胸腰和谐角(Thoracic-Lumbar Angle,TLA),腰骶角和谐角(Iumbar-Sacral Angle,LSA)、腰椎前凸角(LL)、矢状面轴向垂直距离(Sagittal Vertical Axis,SVA)和颈胸和谐角(Cervical-thoracicangle,CTA)等脊柱-骨盆矢状面参数。通过对比以上参数的差异来分析脊柱-骨盆矢状面X测量参数与L5峡部裂发生滑脱的关系。结果三组间PI、PT、SS、LSA和LL各参数比较,差异有统计学意义(P<0.05),SVA、TLA和CTA在三组中差异无统计学意义(P>0.05);在SNK-q检验两两比较中发现,峡部裂组PI、PT、SS、LSA、LL各参数与滑脱组和对照组存在统计学差异(P<0.05)。滑脱组中PI、PT、SS、LSA、LL各参数与对照组存在统计学差异。结论在所有的脊柱-骨盆矢状面X测量参数中(PI、PT、SS、TLA、LSA、LL)与L5峡部裂发生滑脱具有显著的联系。以上指标可以作为预测腰椎峡部裂发展为腰椎峡部裂滑脱的重点影像学观察指标。
Objective To explore the difference and clinical value of X-ray measurement parameters of lumbar isthmus and slipped pelvis sagittal plane in middle and old aged people.Methods The imaging data of 80 patients with L5 isthmus and spondylolistia from June 2017 to June 2019 were reviewed.At the same time,80 middle-aged and elderly volunteers without significant pain symptoms at the same time were selected as the control group.Measure Pelvic Incidence(PI),Pelvic Tilt(PT),Sacral Slope(SS),Thoracic-Lumbar Angle(TLA),and lumbosacral angle(Iumbar-Sacral Angle(LSA)),lumbar lordosis(LL),sagittal vertical axis(SVA),cervical-thoracicangle(CTA)and other spine-pelvic sagittal planes parameter.The relationship between the measured parameters of the spine-pelvic sagittal X and the slippage of the L5 isthmus was analyzed by comparing the differences of the above parameters.Results There was a statistically significant difference in the parameters of PI,PT,SS,LSA,and LL between the three groups(P<0.05).There was no significant difference in SVA,TLA,and CTA among the three groups(P>0.05).q Pairwise comparison of the tests revealed that the parameters of PI,PT,SS,LSA,and LL in the isthmus group were significantly different from those in the slippage group and the control group(P<0.05).The parameters of PI,PT,SS,LSA,and LL in the slippage group were statistically different from the control group.Conclusion all of the spine pelvis sagittal parameters in X(PI,PT,SS,TLA,LSA and LL)and L5 spondylolysis spondylolisthesis occurred with significant contact.The above indexes can be used as an important imaging index to predict the development of lumbar spondylolysis to spondylolisthesis.
作者
郑勇平
陶阳
张立斯
ZHENG Yongping;TAO Yang;ZHANG Lisi(Second People's Hospital of ShenzhenLonggang District,Shenzhen 518112,China)
出处
《现代医院》
2020年第3期466-468,共3页
Modern Hospitals
关键词
腰椎峡部裂
滑脱脊柱
脊柱-骨盆矢状面参数
Lumbar spondylolisthesis
Spondylolisthesis
Sagittal parameters of spine and pelvis
