退行性腰椎滑脱与非滑脱患者脊柱骨盆矢状位序列的对比研究-东南大学学报医学版

退行性腰椎滑脱与非滑脱患者脊柱骨盆矢状位序列的对比研究

单位：哈尔滨医科大学第二附属医院骨科, 黑龙江哈尔滨 150086

分类号：R681.5

出版年·卷·期（页码）：2016·35·第四期（578-583）

摘要：

Objective:To compare the differences in spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis(DS) and to elucidate the factors related to spinopelvic sagittal alignment. Methods:Fifty patients with degenerative spondylolisthesis(DS group) and 50 patients without degenerative spondylolisthesis(non-DS group) were randomly selected in patients who received surgical treatment in our hospital. Spinopelvic parameters of the two groups were measured and compared. Results:In the DS group, PI, SS, L₄ slope, L₅ slope, TK and LL were significantly greater than those in the non-DS group. Degrees of correlations among spinopelvic parameters between the two groups were different. PI was more strongly correlated with SS(r=0.81, P<0.001) than with PT(r=0.39, P<0.01) in the DS group. However, PI was more strongly correlated with PT(r=0.71, P<0.001) than with SS(r=0.36, P<0.01) in the non-DS group. Conclusion:Greater PI may lead to the development and the progression of vertebral slip. Different compensatory mechanisms may contribute to the maintenance of spinopelvic sagittal alignment in DS and non-DS patients.

参考文献：

[1] RIOUALLON G,LACHANIETTE C H F,POIGNARD A,et al.Outcomes of anterior lumbar interbody fusion in low-grade isthmic spondylolisthesis in adults:a continuous series of 65 cases with an average follow-up of 6.6 years[J].Orthop Traumatol Surg Res,2013,99(2):155-161.
[2] 刘敏,桂斌捷.腰椎滑脱患者脊柱矢状面及骨盆排列变化[J].安徽医药,2013,17(5):778-780.
[3] LABELLE H,ROUSSOULY P,BERTHONNAUD E,et al.Spondylolisthesis pelvic incidence,and spinopelvic balance:a correlation study[J].Spine,2004,29(18):2049-2054.
[4] FUNAO H,TSHJI T,HOSOGAN N,et al.Comparative study of spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis[J].Spine,2012,21:2181-2187.
[5] RPUSSOULY P,LUIZ J.Biomechanical analysis of the spino-pelvic organization and adaptation in pathology[J].Eur Spine J,2011,20(Suppl 5):609-618.
[6] VRTOVEC T,JANSSEN M M A,LIKAR B,et al.A review of methods for evaluating the quantitative parameters of sagittal pelvic alignment[J].Spine J,2012,12(5):433-446.
[7] PARK S J,LEE C S,CHUNG S S,et al.Postoperative changes in pelvic parameters and sagittal balance in adult isthmic spondylolisthesis[J].Neurosurgery,2011,68(Suppl 2):355-363.
[8] LAMARTINA C,BERJANO P,PETRUZZI M,et al.Criteria to restore the sagittal balance in deformity and degenerative spondylolisthesis[J].Eur Spine J,2012,21(Suppl 1):27-31.
[9] FARO F D,MARKS M C,PAWELEK J,et al.Evaluation of a functional position for lateral radiograph acquisition in adolescent idiopathic scoliosis[J].Spine(Phila Pa 1976),2004,29(20):2284-2289.
[10] JACKSON R P,PETERSON M D,MCMANUS A C,et al.Compensatory spinopelvic balance over the hip axis and better reliability in measuring lordosis to the pelvic radius on standing lateral radiographs of adult volunteers and patients[J].Spine,1998,23:1750-1767.
[11] ROUSSOULY P,GOLLOGLY S,BERTHONNAUD E,et al.Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position[J].Spine,2005,30:346-353.
[12] SCHWAB F,LAFAGE V,PALEL A,et al.Sagittal plane considerations and the pelvis in the adult patient[J].Spine,2009,34:1828-1833.
[13] 孙卓然,李危石,陈仲强,等.正常国人脊柱-骨盆矢状位序列拟合关系研究[J].中国脊柱脊髓杂志,2015,25(1):1-5.
[14] LEGAYE J,DUVAL-BEAUPE`RE G,HECQUET J,et al.Pelvic incidence:a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves[J].Eur Spine J,1998,7(2):99-103.
[15] BARRY C,JUND J,NOSEDA O,et al.Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases.A comparative study about 85 cases[J].Eur Spine J,2007,16:1459-1467.
[16] BARRY C,JUND J,PERRIN G,et al.Spinopelvic alignment of patients with degenerative spondylolisthesis[J].Neurosurg,2007,61:981-986.
[17] SCHULLER S,CHARLES Y P,STEIB J P.Sagittal spinopelvic alignment and body mass index in patients with degenerative spondylolisthesis[J].Eur Spine J,2011,20:713-719.
[18] 何守玉,朱锋,邱勇,等.成人峡部裂性腰椎滑脱患者脊柱-骨盆矢状面参数变化及其临床意义[J].中国脊柱脊髓杂志,2015,24(2):109-115.
[19] AONO K,KOBAYASHI T,JIMBO S,et al.Radiographic analysis of newly developed degenerative spondylolisthesis in a mean twelve-year prospective study[J].Spine,2010,35:887-891.
[20] KALICHMAN L,LI L,HUNTER D J,et al.Association between computed tomography-evaluated lumbar lordosis and features of spinal degeneration,evaluated in supine position[J].Spine J,2011,11(4):308-315.
[21] KANEMURA T,KAWAKAMI N,MATSUBARA Y,et al.Sagittal spinopelvic alignment in adult Japanese[J].Japanese Scoliosis Soc(Spinal Deformity),2003,18:150-155.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录