Dar Gali, Khamis Sam, Peleg Smadar, Masharawi Youssef, Steinberg Nili, Peled Natan, Latimer Bruce, Hershkovitz Israel
Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 69978, Israel.
Man Ther. 2008 May;13(2):155-8. doi: 10.1016/j.math.2006.12.002. Epub 2007 Mar 23.
The present paper examines gender differences and changes in prevalence of ankylosed sacroiliac joint (SIJ) with age. SIJs of 287 patients (159 males and 128 females), aged 22-93 years, were examined for fusion, using 3-D CT images. Presence, side and location of the fusion along the joint borders were recorded. Fusion of the SIJ was found to be gender and age dependent; present in 27.7% of all males in contrast to only 3.0% in females (p<0.001). The phenomenon increased with age in the male population from 5.8% in the 20-39 age cohorts to 46.7% in the 80+ cohort. As mobilization and/or manipulation of a dysfunctional SIJ are common procedures used by manual therapists, the effect that aging has on SIJ mobility requires therapists to alter or change their method with advancing age.
本文研究了强直性骶髂关节（SIJ）的性别差异以及患病率随年龄的变化。使用三维CT图像对287例年龄在22 - 93岁之间的患者（159例男性和128例女性）的骶髂关节进行融合检查。记录融合沿关节边界的存在情况、部位和位置。发现骶髂关节融合与性别和年龄有关；在所有男性中占27.7%，而女性仅为3.0%（p<0.001）。在男性人群中，这种现象随着年龄增长而增加，从20 - 39岁年龄组的5.8%增加到80岁及以上年龄组的46.7%。由于对功能失调的骶髂关节进行松动和/或手法治疗是手法治疗师常用的操作，随着年龄增长，衰老对骶髂关节活动度的影响要求治疗师随着年龄的增长改变或调整他们的治疗方法。
