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[腰椎前凸:放射学分类及生物力学后果]

[Lumbar lordosis: radiological classification and biomechanical consequences].

作者信息

Fouquet B, Cotty P, Goupille P, Valat J P

机构信息

Service de Rééducation Fonctionelle et de Réadaptation, Hôpital Trousseau, Tours.

出版信息

Rev Rhum Mal Osteoartic. 1991 Jun;58(6):449-52.

PMID:1896786
Abstract

Various radiological parameters were measured on a lateral film taken in erect position of the lumbar spine in 55 patient with low back pain. These various parameters had inter-, intra-observer and inter-study variation coefficients of less than 3%. In patients with a positive Fergusson index ("low" or inferior lordosis), mean values of the angle of lordosis and of obliqueness of the lower vertebral plateau of L5 in relation to the horizontal were higher than in patients with a negative Fergusson index ("high" or superior lordosis), this being statistically significant. In view of the correlations found between the various parameters measured and this classification, the biomechanical consequences, which have their role to play in the management of patients with low back pain, are discussed.

摘要

对55例腰痛患者腰椎直立位侧位片测量了各种放射学参数。这些不同参数的观察者间、观察者内及研究间变异系数均小于3%。在弗格森指数为阳性(“低”或下腰椎前凸)的患者中,L5下椎体平台相对于水平面的前凸角和倾斜度的平均值高于弗格森指数为阴性(“高”或上腰椎前凸)的患者,这具有统计学意义。鉴于所测量的各种参数与该分类之间的相关性,讨论了在腰痛患者管理中发挥作用的生物力学后果。

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