摘要
坐位是人们日常生活中的常用体位。在不同坐位姿势,脊柱-骨盆矢状面序列表现显著不同。人体由端坐位过渡到放松坐位时,胸腰椎后凸增加,整体脊柱形态趋向"C"形曲线,身体重心前移,骨盆向后旋转。各类人群,如健康人群、腰痛人群及脊柱侧凸患者等,立位到坐位的转变使脊柱-骨盆矢状面序列发生独特的变化,通常表现为矢状位重心前移、骨盆后旋、胸腰椎曲线变平直。对老年患者或脊柱内固定术后患者,由于脊柱-骨盆活动度降低,其立位和坐位间的变化能力较差。临床工作中,了解患者坐位时的脊柱-骨盆矢状面序列有助于为术前规划和预后评估提供指导依据,提高患者的生活质量。本文系统性回顾2010至2023年发表坐位成像的相关文献,综述坐位成像在脊柱-骨盆矢状面序列领域的最新进展,旨在阐述不同坐位姿势时的主要差异,并总结各群体立-坐位时的脊柱-骨盆矢状面参数变化。
Sitting is a common position in daily life.The spinal-pelvic sagittal alignment differs between different sitting positions.When the human body changs from erect sitting to natural sitting position,the thoracolumbar kyphosis increases,the global spine presents a"C"shape,the center of body weight moves forward and the pelvic retroverts.In different people,such as healthy people,back pain patients and patients with scoliosis,the spinal-pelvic sagittal alignment has a unique change when standing-to-sitting,which is usually characterized by forward shift of the body center,posterior rotation of pelvic and straightening of thoracolumbar curve.For elderly people or patients underwent internal fixation surgery,the spinal-pelvic sagittal alignment changes less when standing-to-sitting due to the decrease of spinal-pelvic motion.In clinical work,understanding the spinal pelvic sagittal plane sequence during patient sitting can provide guidance for preoperative planning and prognosis evaluation,and improve the quality of life of patients.This article systematically reviews the relevant literature on sitting imaging published from 2010 to 2023,sums up the latest progress of spinal-pelvic sagittal alignment based on sitting position imaging,summarizes the difference between different sitting postures,and demonstrats the changes of spinal-pelvic sagittal alignment in different people when standing-to-sitting,aiming to provide reference for clinical workers.
作者
杨宇豪
朱泽章
邱勇
孙旭
Yang Yuhao;Zhu Zezhang;Qiu Yong;Sun Xu(Department of Spine Surgery,Nanjing Drum Tower Hospital,Clinical College of Nanjing Medical University,Nanjing 210008,China;Department of Spine Surgery,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University,Nanjing 210008,China)
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2023年第21期1467-1472,共6页
Chinese Journal of Orthopaedics
基金
江苏省医学创新中心(CXZX202214)。
关键词
坐位
脊柱
骨盆
放射摄影术
Sitting position
Spine
Pelvis
Radiography
