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腰椎椎管 CT 扫描形态计量学:可重复性、结果及临床意义。

Lumbar spinal canal morphometry from computed tomography scans: reproducibility, results and clinical implications.

机构信息

Middlesbrough General Hospital, Middlesbrough, Cleveland, UK.

出版信息

Eur Spine J. 1992 Jun;1(1):32-7. doi: 10.1007/BF00302140.

DOI:10.1007/BF00302140
PMID:20054945
Abstract

The reproducibility of measurements of the lumbar spine taken from computed tomography (CT) scans was assessed. The overall variaton in 53 patients scanned on more than one occasion was only 2.8%. Factors which reduced the reproducibility were increasing angle of scan from the mid-discal plane, measurement of oblique structures and measurement of dimensions with soft-tissue boundaries. Measurements from 142 patients are presented and compared with both other published series and the results from 17 patients with spinal stenosis. Whereas the sagittal diameter of the bony canal and the interpedicular distance of the patients with spinal stenosis did not differ from the control group, a new measurement described in this paper, the oblique sub-facet distance, demonstrated significant differences between the two groups.

摘要

评估了从计算机断层扫描 (CT) 扫描中获取的腰椎测量值的可重复性。53 名多次扫描的患者的总体变异仅为 2.8%。降低可重复性的因素包括从椎间盘平面扫描的角度增加、斜结构的测量以及软组织边界的尺寸测量。本文介绍了对 142 名患者的测量结果,并与其他已发表的系列以及 17 名脊柱狭窄患者的结果进行了比较。尽管脊柱狭窄患者的骨性椎管矢状径和椎弓根间距离与对照组无差异,但本文描述的新测量值——斜关节突距离,在两组之间存在显著差异。

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本文引用的文献

1
Quantitative assessment of the lumbar spinal canal by computed tomography.通过计算机断层扫描对腰椎管进行定量评估。
Radiology. 1980 Jan;134(1):137-43. doi: 10.1148/radiology.134.1.7350593.
2
Vertebral body size in lumbar spinal canal stenosis.腰椎管狭窄症中的椎体大小
Acta Radiol Diagn (Stockh). 1980;21(6):785-88. doi: 10.1177/028418518002100615.
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The vertebral canals in lumbar disc disease.腰椎间盘疾病中的椎管
Spine (Phila Pa 1976). 1984 May-Jun;9(4):414-7. doi: 10.1097/00007632-198405000-00016.
4
Normal interpediculate distances (minimum and maximum) in children and adults.儿童和成人的正常椎弓根间距(最小值和最大值)。
Am J Roentgenol Radium Ther Nucl Med. 1966 May;97(1):141-53. doi: 10.2214/ajr.97.1.141.
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Sagittal diameter of the lumbar spinal canal in children and adults.
Radiology. 1965 Nov;85(5):929-37. doi: 10.1148/85.5.929.
6
The pathomorphology of spinal stenosis as seen on CT scans of the lumbar spine.腰椎CT扫描所见的椎管狭窄的病理形态学。
Spine (Phila Pa 1976). 1985 Nov;10(9):806-11. doi: 10.1097/00007632-198511000-00005.
7
Radiographic versus direct measurements of the spinal canal at lumbar vertebrae L3-L5 and their relations to age and body stature.腰椎L3-L5椎管的影像学测量与直接测量及其与年龄和身体 stature的关系。 (注:这里“stature”常见释义为“身高”“身材”,但结合语境感觉“身体尺寸”之类表述可能更合适,你可根据实际情况进一步确认)
Acta Radiol Diagn (Stockh). 1985 Jul-Aug;26(4):403-11. doi: 10.1177/028418518502600407.
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Quantitative assessment of the fifth lumbar spinal canal by computed tomography in symptomatic L4-L5 disc disease.通过计算机断层扫描对有症状的L4-L5椎间盘疾病患者的第五腰椎椎管进行定量评估。
Spine (Phila Pa 1976). 1985 May;10(4):328-30. doi: 10.1097/00007632-198505000-00007.
9
CT measurement of the diameter of spinal and other bony canals: effects of section angle and thickness.脊髓及其他骨管直径的CT测量:层面角度和层厚的影响
Radiology. 1985 Oct;157(1):243-6. doi: 10.1148/radiology.157.1.4034968.
10
Morphometry of lower lumbar vertebrae as seen on CT scans: newly recognized characteristics.
AJR Am J Roentgenol. 1985 Aug;145(2):327-35. doi: 10.2214/ajr.145.2.327.