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[胸腰椎间盘突出症患者脊柱矢状面曲线的研究]

[Study of spinal sagittal plane curve in patients with thoracolumbar intervertebral disc herniation].

作者信息

Cheng Li-ming, Chen Zhong-qiang, Li Zi-rong

机构信息

Department of Orthopedics, China-Japan Friendship Hospital, Beijing, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2009 Nov 24;89(43):3047-50.

Abstract

OBJECTIVE

To understand the curve of thoracolumbar junction in patients with thoracolumbar intervertebral disc herniation and analyze the relation between thoracolumbar intervertebral disc herniation and spinal sagittal curve.

METHODS

The radiographic films of thoracolumbar junction of spine from 27 patients with thoracic disc herniation and 37 healthy persons as control were taken at reclining position. The Cobb angles of sagittal plane of thoracolumbar junction of spine were measured and statistically compared by SPSS (statistics package for social science).

RESULTS

The Cobb angles of T10-L2, T10-L12 and T12-L2 in patients with thoracolumbar intervertebral disc herniation were greater than those in healthy controls respectively.

CONCLUSION

The Cobb angles of sagittal plane of thoracolumbar junction of spine in patients with thoracolumbar intervertebral disc herniation are greater than those in healthy controls. The abnormal spinal curve is possibly responsible for thoracolumbar intervertebral disc herniation by abnormal biomechanical action.

摘要

目的

了解胸腰段椎间盘突出症患者胸腰段的曲度,分析胸腰段椎间盘突出症与脊柱矢状面曲度的关系。

方法

对27例胸椎间盘突出症患者及37例健康对照者取脊柱胸腰段仰卧位X线片,测量胸腰段脊柱矢状面Cobb角,并用社会科学统计软件包(SPSS)进行统计学比较。

结果

胸腰段椎间盘突出症患者T10-L2、T10-L12及T12-L2的Cobb角分别大于健康对照组。

结论

胸腰段椎间盘突出症患者胸腰段脊柱矢状面Cobb角大于健康对照组。脊柱曲度异常可能通过异常生物力学作用导致胸腰段椎间盘突出症。

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