Xie Feng, Bian Jun, Wang Zhi-Wei, Chen Wei-Shan
The 4th Ward of Orthopaedics Department, Shaoxing Hospital of Traditional Chinese Medicine, Shaoxing 312000, Zhejiang, China;
Zhongguo Gu Shang. 2018 Jan 25;31(1):43-46. doi: 10.3969/j.issn.1003-0034.2018.01.008.
To study the difference of spino-pelvic sagittal alignment between lumbar disc herniation(LDH) and lumbar canal stenosis(LCS) in adults.
The integrated imaging data of 88 patients with lumbar disc herniation (42 cases) or lumbar canal stenosis(46 cases) were searched from January 1, 2015 to September 10, 2016 in our hospital.Twenty-two cases were excluded because of age factor, 36 cases of LDH (LDH group) and 30 cases of LCS (LCS group) were internalized in the study. The spino-pelvic parameters were measured including pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), thoracic kyphosis (TK), thoracolumbar junction (TLJ), sagittal vertical axis (SVA), sagittal vertical axis location (SVA-Location), T₁-spinopelvic inclination (T₁-SPI), T9-spinopelvic inclination (T₉-SPI). Independent sample test was used in order to analyze the above data.
Thoracic kyphosis (TK) in LDH group was smaller than that of LCS group (difference was about 6 degree), there was significant difference between two groups (=0.031). And there were no significant differences in other parameters between two groups (>0.05).
The patients with lumbar disc herniation, the kyphosis of the thoracic spine is smaller, the truncus prones to the straight. The lumbar kyphosis is greater in patients with lumbar spinal stenosis, and the sagittal curvature of the lumbar spine is more obvious.
研究成人腰椎间盘突出症（LDH）与腰椎管狭窄症（LCS）患者脊柱-骨盆矢状位对线的差异。
检索2015年1月1日至2016年9月10日我院收治的88例腰椎间盘突出症患者（42例）或腰椎管狭窄症患者（46例）的综合影像资料。因年龄因素排除22例，纳入研究的有36例腰椎间盘突出症患者（LDH组）和30例腰椎管狭窄症患者（LCS组）。测量脊柱-骨盆参数，包括骨盆入射角（PI）、骨盆倾斜角（PT）、骶骨倾斜角（SS）、腰椎前凸角（LL）、胸椎后凸角（TK）、胸腰段交界角（TLJ）、矢状垂直轴（SVA）、矢状垂直轴位置（SVA-Location）、T₁-脊柱骨盆倾斜角（T₁-SPI）、T₉-脊柱骨盆倾斜角（T₉-SPI）。采用独立样本检验分析上述数据。
LDH组的胸椎后凸角（TK）小于LCS组（差值约为6度），两组间差异有统计学意义（P=0.031）。两组其他参数差异无统计学意义（P>0.05）。
腰椎间盘突出症患者胸椎后凸较小，躯干趋于变直。腰椎管狭窄症患者腰椎后凸较大，腰椎矢状面曲度更明显。
