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椎间盘退变疾病患者MRI中颈椎矢状面平衡参数分析

Analysis of Cervical Sagittal Balance Parameters in MRIs of Patients with Disc-Degenerative Disease.

作者信息

Wang Zhao-Lin, Xiao Jian-Lin, Mou Jian-Hui, Qin Ting-Zheng, Liu Peng

机构信息

Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China (mainland).

出版信息

Med Sci Monit. 2015 Oct 13;21:3083-8. doi: 10.12659/MSM.893715.

DOI:10.12659/MSM.893715
PMID:26486162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4610686/
Abstract

BACKGROUND

The aim of this study was to explore the correlations between the different parameters of the cervical sagittal balance in magnetic resonance images (MRI) and evaluate the criteria for their clinical application in disc-degenerative diseases.

MATERIAL AND METHODS

We conducted a retrospective review of the MRIs of 125 adult outpatients with disc-degenerative diseases of the cervical spine; the images were obtained between May and July 2014 at our institute. The control group comprised 50 volunteers whose MRIs were also obtained. The parameters measured in the MRIs were: neck tilt (NT), T1 slope (T1S), thoracic inlet angle (TIA), and Cobb's angle (C2-7). The correlation between the various parameters was analyzed using the Pearson correlation coefficient.

RESULTS

The outpatients group showed moderate correlation between TIA and T1S, a significant correlation between TIA and NT, a weak correlation between T1S and Cobb's angle, and a weakly negative correlation between T1S and NT. Further, the TIA showed no significant difference between the outpatient group and the control group, as per the sample t test.

CONCLUSIONS

Our findings indicate that TIA, T1S, and NT could be used as indices for the evaluation of cervical sagittal balance and that the TIA could be used as a reference to assess the cervical compensation. Restoration of the NT and T1S should be considered as a goal of surgical treatment during the preoperative planning in patients with disc-degenerative diseases.

摘要

背景

本研究旨在探讨磁共振成像（MRI）中颈椎矢状面平衡的不同参数之间的相关性，并评估其在椎间盘退变疾病中的临床应用标准。

材料与方法

我们对125例患有颈椎间盘退变疾病的成年门诊患者的MRI进行了回顾性研究；这些图像于2014年5月至7月在我们研究所获取。对照组包括50名同样进行了MRI检查的志愿者。在MRI中测量的参数有：颈部倾斜度（NT）、T1斜率（T1S）、胸廓入口角（TIA）和Cobb角（C2 - 7）。使用Pearson相关系数分析各参数之间的相关性。

结果

门诊患者组中，TIA与T1S之间呈中度相关，TIA与NT之间呈显著相关，T1S与Cobb角之间呈弱相关，T1S与NT之间呈弱负相关。此外，根据样本t检验，门诊患者组与对照组之间的TIA无显著差异。

结论

我们的研究结果表明，TIA、T1S和NT可作为评估颈椎矢状面平衡的指标，且TIA可作为评估颈椎代偿的参考。在椎间盘退变疾病患者的术前规划中，应将恢复NT和T1S作为手术治疗的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/761d/4610686/b578b17b109f/medscimonit-21-3083-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/761d/4610686/b578b17b109f/medscimonit-21-3083-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/761d/4610686/b578b17b109f/medscimonit-21-3083-g001.jpg

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