骨盆矢状位参数对退行性腰椎滑脱疾病进展的影响
徐洪?/p>
1
,康信勇
1
,贺振年
1
,徐荣明
2
?/p>
1
宁波市北仑区人民医院?/p>
2.
宁波市第六医院)
?/p>
?/p>
目的
:
探讨骨盆矢状位参数对退行性腰椎疾病的进展的影响?/p>
方法
回顾
2008
?/p>
1
月~
2012
?/p>
12
月资料完整的退行性腰椎滑脱症
72
例,?/p>
10
例,?/p>
62
例;年龄
45
?/p>
78
岁,平均年龄
70.33
±
9.02
岁;单节?/p>
65
例,两节?/p>
7
例;
Meyerding
分类Ⅰ度
48
例,
Ⅱ度
24
例,
排除腰椎其它疾病及骨盆?/p>
双下肢畸形,
在脊柱全长侧位片上测骨盆投射角(
PI
?/p>
、骶骨倾斜角(
SS
?/p>
、骨盆倾斜角(
PT
?/p>
及滑移度,并?/p>
50
例健康成人比较。用
t
检验比较退行性腰椎滑脱病人与
50
?/p>
健康成人、Ⅰ度与Ⅱ度间骨盆参数值的差异?/p>
结果
:
退行性腰椎滑脱组?/p>
PI
?/p>
SS
值高于正常健康成人(
P
?/p>
0.001
?/p>
,退行性腰椎滑脱患者中Ⅱ度滑脱?/p>
PI
值较?/p>
度滑脱组高,差别有统计学意义?/p>
P
?/p>
0.001
?/p>
?/p>
结论
:
骨盆矢状位参数对退行性滑
脱发展有影响?/p>
PI
越大,发生退行性滑脱的风险增加?/p>
PI
?/p>
SS
越大,滑脱进?/p>
可能性越大?/p>
关键?/p>
骨盆参数;退行性腰椎滑脱;矢状位;
The effect of pelvic sagittal balance parameters in the
progession of degenerative lumbar spondylolisthesis patients
Xu Hongwei
1
,Kang Xinyong
1
,He Zhennian
1
,Xu Rongming
2
1.Beilun People
?/p>
s Hospital of Ningbo City; 2.Ningbo NO.6 Hospital
Abstract
Object
To
investigate
the
effect
of
pelvic
sagittal
balance
parameters
in
the
progression
of
degenerative
lumbar
spondylolisthesis
patients.
Method
Seventy-two
patients
with
degenerative
lumbar
spondylolisthesis
and
complete
datas , treated between January 2008 and December 2012, there are 10 males and 62
females with the age between 45 and 78 years, average age
70.33
±
9.02 years; 65
one single segment, 7 two segments; 48 in Meyerding
?/p>
,24 in Meyerding
?/p>
. Rule
out
other
lumbar
and
pelvic
diseases,
low
limbs
malformation.
The
later
standing
radiographs
of
the
spine
and
pelvic
were
analyzed
retrospective.
Radiographic
parameters
measured
including
pelvic
incidence
(PI),
sacral
slope
(SS),
pelvic
tilt
(PT)
and
grade
of
spondylolisthesis.
All
measurements
were
done
by
the
same