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年轻成年人的症状性和无症状性椎弓根峡部裂及脊椎滑脱

Symptomatic and asymptomatic spondylolysis and spondylolisthesis in young adults.

作者信息

Libson E, Bloom R A, Dinari G

出版信息

Int Orthop. 1982;6(4):259-61. doi: 10.1007/BF00267148.

DOI:10.1007/BF00267148
PMID:6222997
Abstract

The lumbar spine was examined radiologically for the presence of spondylolysis and spondylolisthesis in 936 asymptomatic soldiers prior to military placement and in 662 soldiers complaining of low back pain. The overall incidence of spondylolysis was 9.7% in both groups, but bilateral spondylolysis was more prone to be associated with symptoms than a unilateral defect. In the symptomatic group the incidence of spondylolisthesis was 5.3% but only 2.2% in the asymptomatic group. The defect was seen in the oblique views only in 18.7% of the cases of spondylolysis. The precise diagnosis is important for vocational counselling and military placement.

摘要

对936名无症状士兵在入伍前以及662名抱怨下背痛的士兵进行了腰椎放射学检查,以确定是否存在椎弓根峡部裂和腰椎滑脱。两组中椎弓根峡部裂的总体发生率均为9.7%,但双侧椎弓根峡部裂比单侧缺损更容易出现症状。在有症状的组中,腰椎滑脱的发生率为5.3%,而在无症状组中仅为2.2%。仅在18.7%的椎弓根峡部裂病例中,在斜位片上可见缺损。准确的诊断对于职业咨询和入伍安排很重要。

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本文引用的文献

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Spondylolisthesis; further remarks with emphasis on radiologic aspects.腰椎滑脱症;重点关于放射学方面的进一步论述
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Systematic review of observational studies reveals no association between low back pain and lumbar spondylolysis with or without isthmic spondylolisthesis.对观察性研究的系统评价显示,腰痛与伴或不伴峡部裂性腰椎滑脱的腰椎峡部裂之间无关联。
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Spine (Phila Pa 1976). 2009 Jan 15;34(2):199-205. doi: 10.1097/BRS.0b013e31818edcfd.
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Significant roentgen findings in routine pre-employment examination of the lumbosacral spine; a preliminary report.
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Comparative roentgen findings in symptomatic and asymptomatic backs.有症状和无症状背部的X线对比研究结果。
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Preemployment examinations of the low back.
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[The age incidence of neural-arch defects in Alaskan natives, considered from the standpoint of etiology].[从病因学角度考虑阿拉斯加原住民神经弓缺陷的年龄发病率]
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Spondylolisthesis in the newborn. A case report.新生儿腰椎滑脱。病例报告。
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