摘要
背景:目前对于Lenke5型主腰弯脊柱侧凸患者腰椎与骨盆的研究仅局限于冠状面及矢状面,尚未明确侧弯与骨盆间的三维关系。目的:分析Lenke5型主腰弯脊柱侧凸患者腰椎侧弯对骨盆的影响,研究腰椎与骨盆三维空间位置的相关性。方法:回顾性分析上海交通大学医学院附属第九人民医院3D打印接诊中心2019年1月至2023年9月收治的60例Lenke5型主腰弯脊柱侧凸患者的影像学数据,包括Cobb角、冠状骨盆倾斜、腰椎前凸角、左右骨盆髋骨宽度比值、脊柱旋转角度、骨盆倾斜、骶骨斜率、骨盆入射角、冠状畸形角比率、矢状畸形角比率、C7铅垂线与骶骨中垂线的距离、椎体顶点平移、冠状骶骨倾角,将信息汇总为数据库,运用SPSS 22.0软件采用Spearman相关性分析和线性回归分析Lenke5型主腰弯青少年特发性脊柱侧凸患者腰椎与骨盆的相关数据。结果与结论:①Cobb角与冠状畸形角比率、椎体顶点平移距离、脊柱旋转角度呈高度正相关关系(r=0.91,r=0.841,r=0.736);②冠状畸形角比率与椎体顶点平移距离呈高度正相关关系(r=0.737),与C7铅垂线到骶骨中垂线的距离呈中度正相关关系(r=0.514),与矢状畸形角比率呈中度负相关关系(r=-0.595);③腰椎前凸角与矢状畸形角比率呈高度正相关关系(r=0.942),与冠状畸形角比率呈中度负相关关系(r=-0.554);④Cobb角与冠状骨盆倾斜角、冠状骶骨倾角呈中度正相关关系(r=0.522,r=0.534),C7铅垂线到骶骨中垂线的距离与冠状骨盆倾斜角呈中度正相关关系(r=0.507);椎体顶点平移距离与冠状骨盆倾斜角、冠状骶骨倾角呈中度正相关关系(r=0.507,r=0.506),腰椎前凸角与骶骨斜率、骨盆入射角呈中度正相关关系(r=0.512,r=0.538);矢状畸形角比率与骶骨斜率、骨盆入射角呈中度正相关关系(r=0.614,r=0.621);⑤结果发现腰椎与骨盆相对位置在水平面、矢状面、冠状面上息息相关,当腰椎
BACKGROUND:The study of the lumbar spine and pelvis in patients with Lenke type 5 lordosis is limited to the coronal and sagittal planes,and the threedimensional relationship between the scoliosis and the pelvis has not yet been clarified.OBJECTIVE:To analyze the effect of lumbar scoliosis on the pelvis in patients with Lenke type 5 lordosis and to study the correlation between the lumbar spine and the three-dimensional spatial position of the pelvis.METHODS:Imaging data of 60 patients with Lenke type 5 lordosis scoliosis admitted to the 3D Printing Reception Center of Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine from January 2019 to September 2023 were retrospectively analyzed,including Cobb angle,coronal pelvic tilt,lumbar lordosis,left and right pelvic hip width ratio(sacroiliac-anterior superior iliac spine),spinal rotation angle,pelvic tilt,sacral slope,pelvic incidence,coronal deformity angular ratio,sagittal deformity angular ratio,C7 plumb line-center sacral vertical line,apical vertebral translation,and coronal sacral inclination.The information was summarized as a database.SPSS 22.0 software was used to analyze the data related to the lumbar spine and pelvis of the patients with Lenke type 5 primary lumbar curvature adolescent idiopathic scoliosis using Spearman’s correlation analysis and linear regression.RESULTS AND CONCLUSION:(1)Cobb angle was highly positively correlated with coronal deformity angular ratio,apical vertebral translation,and spinal rotation angle(r=0.91,r=0.841,r=0.736).(2)Coronal deformity angular ratio was highly positively correlated with apical vertebral translation(r=0.737),moderately positively correlated with C7 plumb line-center sacral vertical line(r=0.514),and moderately negatively correlated with sagittal deformity angular ratio(r=-0.595).(3)There was a high positive correlation between lumbar lordosis and sagittal deformity angular ratio(r=0.942)and a moderate negative correlation with coronal deformity angular ratio(r=-0.554).(4)Th
作者
侯俞彤
黄承兰
杨云霄
李娅
郭培武
于文强
赵宇
王赞博
曾红
马振江
鲁德志
王金武
Hou Yutong;Huang Chenglan;Yang Yunxiao;Li Ya;Guo Peiwu;Yu Wenqiang;Zhao Yu;Wang Zanbo;Zeng Hong;Ma Zhenjiang;Lu Dezhi;Wang Jinwu(School of Rehabilitation Medicine,Weifang Medical University,Weifang 261053,Shandong Province,China;Department of Rehabilitation,Weifang People’s Hospital,Weifang 261053,Shandong Province,China;Department of Rehabilitation,First Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310003,Zhejiang Province,China;Institute of Translational Medicine,Shanghai Jiao Tong University,Shanghai 201100,China;Department of Rehabilitation Medicine,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Orthopedic Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)
出处
《中国组织工程研究》
CAS
北大核心
2024年第36期5753-5758,共6页
Chinese Journal of Tissue Engineering Research
基金
国家科技部重点研发计划项目(2020YFC2008700),项目参与人:于文强
上海交通大学医学院附属第九人民医院临床研究型MDT项目(201914),项目负责人:王金武
转化医学国家重大科技基础设施(上海)开放课题基金(TMSK-2021-140),项目参与人:王金武
上海市科委项目(22015820100),项目参与人:王金武
贵州省科技支撑计划(黔科合支撑【2023】一般196),项目参与人:王金武。
关键词
青少年特发性脊柱侧凸
Lenke5型
腰椎
骨盆
三维评估
相关性
adolescent idiopathic scoliosis
Lenke type 5
lumbar spine
pelvis
three-dimensional evaluation
correlation
