| 后路截骨矫形对腰椎退行性后凸畸形患者脊柱骨盆矢状面参数的影响 |
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Received:June 17, 2019
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| 作者 | Author | 单位 | Unit | E-Mail |
| 于亮 |
YU Liang |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China |
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| 顾勇杰 |
GU Yong-jie |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China |
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| 赵刘军 |
ZHAO Liu-jun |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China |
zhaoliujun555@sina.com |
| 张吉辉 |
ZHANG Ji-hui |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China |
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| 蒋伟宇 |
JIANG Wei-yu |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China |
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| 马维虎 |
MA Wei-hu |
宁波市第六医院脊柱外科, 浙江 宁波 315040 |
Department of Spinal Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China |
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| 徐荣明 |
XU Rong-ming |
浙江大学明州医院脊柱外科, 浙江 宁波 315104 |
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| 期刊信息：《中国骨伤》2020年33卷，第2期，第126-130页 |
| DOI：10.12200/j.issn.1003-0034.2020.02.007 |
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目的：探讨后路截骨矫形对腰椎退行性后凸畸形患者脊柱-骨盆矢状面参数的影响。
方法：回顾性分析2012年1月至2015年12月采用截骨手术治疗的21例腰椎退行性后凸畸形患者的临床资料，男5例，女16例；年龄55~76（66.24±5.13）岁。手术前后均拍摄脊柱全长正侧位X线片，测量脊柱骨盆矢状面参数胸椎后凸（thoracic kyphosis，TK），腰椎前凸（lumbar lordosis，LL），矢状面平衡（sagittal vertical axis，SVA），骨盆入射角（pelvic incidence，PI），骨盆倾斜角（pelvic tilt，PT）和骶骨倾斜角（sacral slope，SS）。
结果：21例患者均顺利完成手术，平均手术时间190 min（160~220 min），术中平均出血量1 000 ml（800~1 900 ml）。术前与术后1年各项参数分别为，TK由（31.67±21.13）°增加到（34.67±11.60）°，LL从（4.76±3.17）°矫正至（37.41±6.28）°，PT从（33.94±5.01）°恢复至（20.12±5.36）°，SS从（18.47±2.60）°增至（31.71±4.30）°，SVA从（13.24±3.60）cm恢复至（2.82±1.33）cm，所有参数手术前后比较差异有统计学意义（P<0.05）。
结论：后路截骨矫形手术能够有效地重建腰椎退行性后凸畸形患者脊柱-骨盆矢状面平衡，腰椎前凸及骶骨倾斜角的恢复与重建矢状面平衡密切相关。 |
| [关键词]:腰椎退行性后凸 截骨 脊柱骨盆参数 |
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| Effect of posterior osteotomy on the sagittal parameters of the spinopelvis in patients with lumbar degenerative kyphosis |
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Abstract:
Objective: To investigate the influence of posterior osteotomy on spinopelvic parameters in lumbar degenerative kyphosis (LDK) patients
Methods: The clinical data of 21 patients with lumbar degenerative kyphosis who underwent osteotomy from January 2012 to December 2015 were retrospectively analyzed. There were 5 males and 16 females,aged from 55 to 76 years with an average of (66.24±5.13)years. All patients had taken preoperative and postoperative full length spinal X-ray,analyzing the spinopelvic parameters as thoracic kyphosis (TK),lumbar lordosis (LL),sagittal vertical axis (SVA),pelvic incidence (PI),pelvic tilt (PT) and sacral slope (SS).
Results: All operations were successful,the average operative time was 190 min (160 to 220 min) and intraoperative blood loss was 1 000 ml (800 to 1900 ml). Parameters of the patients between preoperative and period 1-year follow-up were as follows:preoperative TK increased from (31.67±21.13)° to (34.67±11.60)°,LL corrected from (4.76±3.17)° to (37.41±6.28)°,PT reduced from (33.94±5.01)° to (20.12±5.36)°,and SS improved from (18.47±2.60)° to (31.71±4.30)°,SVA restored from (13.24±3.60) cm to (2.82±1.33) cm. There were significant differences of spinopelvic parameters between preoperation and postoperation (P<0.05).
Conclusion: Posterior osteotomy can effectively reconstruct the sagittal balance of spinopelvis in patients with lumbar degenerative kyphosis. The recovery of lumbar lordosis and sacral slope is closely related to the reconstruction of sagittal balance |
| KEYWORDS:Lumbar degenerative kyphosis Osteotomy Spinopelvic parameters |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 于亮,顾勇杰,赵刘军,张吉辉,蒋伟宇,马维虎,徐荣明.后路截骨矫形对腰椎退行性后凸畸形患者脊柱骨盆矢状面参数的影响[J].中国骨伤,2020,33(2):126~130 |
| 英文格式: | YU Liang,GU Yong-jie,ZHAO Liu-jun,ZHANG Ji-hui,JIANG Wei-yu,MA Wei-hu,XU Rong-ming.Effect of posterior osteotomy on the sagittal parameters of the spinopelvis in patients with lumbar degenerative kyphosis[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(2):126~130 |
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