脊柱骨盆矢状位平衡参数与腰椎退变性疾病相关性的研究进展
|
摘要
腰椎退变性疾病是导致后腰痛、进行性脊柱畸形、神经功能障碍的退变性脊柱疾病。脊柱-骨盆矢状面一系列参数的变化反映了腰椎退变性的发生、发展和转归情况,有助于对疾病的进一步评估、诊断和治疗的完善。目前,关于腰椎退变性疾病发病和脊柱-骨盆矢状面相关参数变化之间的具体关系、机制的研究仍较少,不同退变性疾病的脊柱-骨盆均处于不同的平衡状态,相应情况下各个脊柱-骨盆矢状面平衡参数均有一定变化,但尚无确切规律。
Lumbar degenerative disease is a degenerative spinal disease that causes back pain,progressive spinal malformation,and neurological dysfunction. The changes of a series of parameters in the spinal-pelvic sagittal plane reflect the occurrence,development and outcome of lumbar degeneration,which is conducive to the further evaluation,diagnosis and treatment of the disease. Currently,there are few studies about the specific relationship and mechanism between lumbar degenerative disease onset and spinal-pelvic sagittal related parameters,and existing research shows that the spine and pelvis with different degenerative diseases are under different equilibrium state,and there are corresponding changes in the spinal-pelvic sagittal balance parameters,but there is no definite rule discovered yet.
Lumbar degenerative disease is a degenerative spinal disease that causes back pain,progressive spinal malformation,and neurological dysfunction. The changes of a series of parameters in the spinal-pelvic sagittal plane reflect the occurrence,development and outcome of lumbar degeneration,which is conducive to the further evaluation,diagnosis and treatment of the disease. Currently,there are few studies about the specific relationship and mechanism between lumbar degenerative disease onset and spinal-pelvic sagittal related parameters,and existing research shows that the spine and pelvis with different degenerative diseases are under different equilibrium state,and there are corresponding changes in the spinal-pelvic sagittal balance parameters,but there is no definite rule discovered yet.
引文
[1]杨建伟,赵杰.下腰椎椎间盘退变与脊柱-骨盆矢状面平衡参数间的关系[J].医学与哲学,2016,38(6):42-45.
[2]钟泽莅,万盛钰,吴超,等.探讨腰椎退变性疾病采用腰椎融合术治疗对脊柱-骨盆矢状面平衡及临床疗效[J/OL].中国医院药学杂志,2018.[2018-05-30]. http://kns. cnki. net/kcms/detail/42. 1204. R. 20180118. 1002. 032. html.[published online ahead of print Jan 19,2018]
[3]陈涛,黎观保,梁科友,等.脊柱-骨盆矢状面平衡及其在脊柱疾病治疗中的作用[J].中国组织工程研究,2013,17(13):2423-2430.
[4] Berthonnaud E,Dimnet J,Roussouly P,et al. Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters[J]. J Spinal Disord Tech,2005,18(1):40-47.
[5]李危石,孙卓然,陈仲强.正常脊柱-骨盆矢状位参数的影像学研究[J].中华骨科杂志,2013,33(5):447-453.
[6] Been E,Gómez-Olivencia A,Shefi S,et al. Evolution of Spinopelvic Alignment in Hominins[J]. Anat Rec(Hoboken),2017,300(5):900-911.
[7]叶林辉,刘蔚,倪婷,等.腰椎滑脱症融合术后脊柱矢状面平衡改变与疗效的关系[J].脊柱外科杂志,2018,16(3):129-133.
[8]冯煜,陈亮.骨盆矢状面解剖参数及其对腰椎滑脱影响的研究进展[J].中国临床解剖学杂志,2012,30(2):243-245.
[9]罗江洪,李伟,陆庭盛.腰椎融合术对脊柱-骨盆矢状面平衡及疗效的临床观察[J].局解手术学杂志,2015,24(4):408-410.
[10]徐宝山,马信龙.脊柱骨盆矢状面平衡的研究进展[J].中华医学杂志,2014,94(39):3117-3120.
[11] Cho Y. Evaluation of Global Sagittal Balance in Koreans Adults[J].J Korean Neurosurg Soc,2017,60(5):560-566.
[12]朱文艺,藏磊,海涌,等.脊柱侧弯矢状面平衡参数研究[J].中国矫形外科杂志,2015,23(13):1227-1231.
[13]李庚午,杨长伟,陈凯,等.腰椎间盘退变与脊柱骨盆矢状面参数的相关性[J].中国临床医学,2017,24(2):194-198.
[14] Barrey C,Jund J,Noseda O,et al. Sagittal balance of the pelvisspine complex and lumbardegenerative diseases. A comparative study about 85 cases[J]. Eur Spine J,2007,16(9):1459-1467.
[15]李庚午.脊柱骨盆矢状面形态与腰椎间盘退变的相关性[D].上海:第二军医大学,2017.
[16] Lim JK,Kim SM. Comparison of Sagittal Spinopelvic Alignment between Lumbar Degenerative Spondylolisthesis and Degenerative Spinal Stenosis[J]. J Korean Neurosurg Soc,2014,55(6):331-336.
[17]谢峰,边俊,王智伟,等.成人腰椎间盘突出症与腰椎管狭窄症患者脊柱骨盆矢状面差异[J].中国骨伤,2018,31(1):43-46.
[18]唐果,薛锋,潘明芒,等.退变性腰椎管狭窄症的治疗研究进展[J].山东医药,2016,56(32):101-103.
[19] Schwab FJ,Smith VA,Biserni M,et al. Adult scoliosis:A quantitative radiographic and clinical analysis[J]. Spine(Phila Pa1976),2002,27(4):387-392.
[20]刘辰君,朱震奇,段硕,等.腰椎退变性侧后凸冠状位及矢状位脊柱骨盆参数相关性的影像学分析[J].中华外科杂志,2018(56):147-152.
[21]费晗,李危石,孙卓然,等.退变性腰椎侧凸脊柱-骨盆矢状位影像学特点[J].中国脊柱脊髓杂志,2015,25(6):528-532,540.
[22]张辉.退变性腰椎侧凸患者矢状面整体、局部影像学参数特征及患者生存质量的相关性分析[D].银川:宁夏医科大学,2017.
[23]林友禧,李星野,沈建雄.成人退行性脊柱侧凸矢状面平衡的研究进展[J].中国脊柱脊髓杂志,2016,26(8):745-748.
[24]胡俊,钱邦平,邱勇,等. 60岁以上脊柱畸形患者脊柱-骨盆矢状面参数与生活质量的相关性分析[J].中国脊柱脊髓杂志,2016,26(8):682-688.
[25] Lamartina C,Berjano P,Petruzzi M,et al. Criteria to restore the sagittal balance in deformity and degenerative spondylolisthesis[J].Eur Spine J,2012,21Suppl 1:S27-31.
[26] Roussouly P,Gollogly S,Berthonnaud E,et al. Sagittal alignment of the spine and pelvis in the presence of L5-S1isthmic lysis and low-grade spondylolisthesis[J]. Spine(Phila Pa 1976),2006,31(21):2484-2490.
[27]高如峰,郑奋,潘福根.两种椎间融合手术治疗腰椎退变性疾病术后神经功能恢复的临床对照研究[J].脊柱外科杂志,2012,10(2):105-108.
[28] Labelle H,Roussouly P,Berthonnaud E,et al. Spondylolisthesis,pelvic incidence,and spinopelvic balance:A correlation study[J].Spine(Phila Pa 1976),2004,29(18):2049-2054.
[29] Huang RP,Bohlman HH,Thompson GH,et al. Predictive Value of Pelvic Incidence in Progression of Spondylolisthesis[J]. Spine(Phila Pa 1976),2003,28(20):2381-2385.
[30] Morel E,Ilharreborde B,Lenoir T,et al. Sagittal balance of the spine and degenerative spondylolisthesis[J]. Rev Chir Orthop Reparatrice Appar Mot,2005,91(7):615-626.
[31] Glassman SD,Berven S,Bridwell K,et al. Correlation of radiographic parameters and clinical symptoms in adult scoliosis[J].Spine(Phila Pa 1976),2005,30(6):682-688.
[32]申鹏飞,郑翰林,李树怀,等.腰椎滑脱症术后脊柱骨盆矢状面参数变化与临床疗效的相关性分析[J].中国骨与关节损伤杂志,2017,32(9):920-923.
[33]梁辰.腰椎间盘突出症患者的脊柱矢状面平衡[D].济南:山东大学,2015.
[34]张新宇,匡正达.脊柱矢状面失平衡的代偿功能与治疗选择[J].武警医学,2017,28(5):517-521.
[35]李淳德,孙浩林,刘宪义,等.骨盆参数在老年脊柱矢状位平衡性判定中的意义[J].中国骨与关节杂志,2013,2(2):61-64.
[2]钟泽莅,万盛钰,吴超,等.探讨腰椎退变性疾病采用腰椎融合术治疗对脊柱-骨盆矢状面平衡及临床疗效[J/OL].中国医院药学杂志,2018.[2018-05-30]. http://kns. cnki. net/kcms/detail/42. 1204. R. 20180118. 1002. 032. html.[published online ahead of print Jan 19,2018]
[3]陈涛,黎观保,梁科友,等.脊柱-骨盆矢状面平衡及其在脊柱疾病治疗中的作用[J].中国组织工程研究,2013,17(13):2423-2430.
[4] Berthonnaud E,Dimnet J,Roussouly P,et al. Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters[J]. J Spinal Disord Tech,2005,18(1):40-47.
[5]李危石,孙卓然,陈仲强.正常脊柱-骨盆矢状位参数的影像学研究[J].中华骨科杂志,2013,33(5):447-453.
[6] Been E,Gómez-Olivencia A,Shefi S,et al. Evolution of Spinopelvic Alignment in Hominins[J]. Anat Rec(Hoboken),2017,300(5):900-911.
[7]叶林辉,刘蔚,倪婷,等.腰椎滑脱症融合术后脊柱矢状面平衡改变与疗效的关系[J].脊柱外科杂志,2018,16(3):129-133.
[8]冯煜,陈亮.骨盆矢状面解剖参数及其对腰椎滑脱影响的研究进展[J].中国临床解剖学杂志,2012,30(2):243-245.
[9]罗江洪,李伟,陆庭盛.腰椎融合术对脊柱-骨盆矢状面平衡及疗效的临床观察[J].局解手术学杂志,2015,24(4):408-410.
[10]徐宝山,马信龙.脊柱骨盆矢状面平衡的研究进展[J].中华医学杂志,2014,94(39):3117-3120.
[11] Cho Y. Evaluation of Global Sagittal Balance in Koreans Adults[J].J Korean Neurosurg Soc,2017,60(5):560-566.
[12]朱文艺,藏磊,海涌,等.脊柱侧弯矢状面平衡参数研究[J].中国矫形外科杂志,2015,23(13):1227-1231.
[13]李庚午,杨长伟,陈凯,等.腰椎间盘退变与脊柱骨盆矢状面参数的相关性[J].中国临床医学,2017,24(2):194-198.
[14] Barrey C,Jund J,Noseda O,et al. Sagittal balance of the pelvisspine complex and lumbardegenerative diseases. A comparative study about 85 cases[J]. Eur Spine J,2007,16(9):1459-1467.
[15]李庚午.脊柱骨盆矢状面形态与腰椎间盘退变的相关性[D].上海:第二军医大学,2017.
[16] Lim JK,Kim SM. Comparison of Sagittal Spinopelvic Alignment between Lumbar Degenerative Spondylolisthesis and Degenerative Spinal Stenosis[J]. J Korean Neurosurg Soc,2014,55(6):331-336.
[17]谢峰,边俊,王智伟,等.成人腰椎间盘突出症与腰椎管狭窄症患者脊柱骨盆矢状面差异[J].中国骨伤,2018,31(1):43-46.
[18]唐果,薛锋,潘明芒,等.退变性腰椎管狭窄症的治疗研究进展[J].山东医药,2016,56(32):101-103.
[19] Schwab FJ,Smith VA,Biserni M,et al. Adult scoliosis:A quantitative radiographic and clinical analysis[J]. Spine(Phila Pa1976),2002,27(4):387-392.
[20]刘辰君,朱震奇,段硕,等.腰椎退变性侧后凸冠状位及矢状位脊柱骨盆参数相关性的影像学分析[J].中华外科杂志,2018(56):147-152.
[21]费晗,李危石,孙卓然,等.退变性腰椎侧凸脊柱-骨盆矢状位影像学特点[J].中国脊柱脊髓杂志,2015,25(6):528-532,540.
[22]张辉.退变性腰椎侧凸患者矢状面整体、局部影像学参数特征及患者生存质量的相关性分析[D].银川:宁夏医科大学,2017.
[23]林友禧,李星野,沈建雄.成人退行性脊柱侧凸矢状面平衡的研究进展[J].中国脊柱脊髓杂志,2016,26(8):745-748.
[24]胡俊,钱邦平,邱勇,等. 60岁以上脊柱畸形患者脊柱-骨盆矢状面参数与生活质量的相关性分析[J].中国脊柱脊髓杂志,2016,26(8):682-688.
[25] Lamartina C,Berjano P,Petruzzi M,et al. Criteria to restore the sagittal balance in deformity and degenerative spondylolisthesis[J].Eur Spine J,2012,21Suppl 1:S27-31.
[26] Roussouly P,Gollogly S,Berthonnaud E,et al. Sagittal alignment of the spine and pelvis in the presence of L5-S1isthmic lysis and low-grade spondylolisthesis[J]. Spine(Phila Pa 1976),2006,31(21):2484-2490.
[27]高如峰,郑奋,潘福根.两种椎间融合手术治疗腰椎退变性疾病术后神经功能恢复的临床对照研究[J].脊柱外科杂志,2012,10(2):105-108.
[28] Labelle H,Roussouly P,Berthonnaud E,et al. Spondylolisthesis,pelvic incidence,and spinopelvic balance:A correlation study[J].Spine(Phila Pa 1976),2004,29(18):2049-2054.
[29] Huang RP,Bohlman HH,Thompson GH,et al. Predictive Value of Pelvic Incidence in Progression of Spondylolisthesis[J]. Spine(Phila Pa 1976),2003,28(20):2381-2385.
[30] Morel E,Ilharreborde B,Lenoir T,et al. Sagittal balance of the spine and degenerative spondylolisthesis[J]. Rev Chir Orthop Reparatrice Appar Mot,2005,91(7):615-626.
[31] Glassman SD,Berven S,Bridwell K,et al. Correlation of radiographic parameters and clinical symptoms in adult scoliosis[J].Spine(Phila Pa 1976),2005,30(6):682-688.
[32]申鹏飞,郑翰林,李树怀,等.腰椎滑脱症术后脊柱骨盆矢状面参数变化与临床疗效的相关性分析[J].中国骨与关节损伤杂志,2017,32(9):920-923.
[33]梁辰.腰椎间盘突出症患者的脊柱矢状面平衡[D].济南:山东大学,2015.
[34]张新宇,匡正达.脊柱矢状面失平衡的代偿功能与治疗选择[J].武警医学,2017,28(5):517-521.
[35]李淳德,孙浩林,刘宪义,等.骨盆参数在老年脊柱矢状位平衡性判定中的意义[J].中国骨与关节杂志,2013,2(2):61-64.