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症状性腰椎滑脱症中的脊柱侧弯

Scoliosis in symptomatic spondylolisthesis.

作者信息

McPhee I B, O'Brien J P

出版信息

J Bone Joint Surg Br. 1980 May;62-B(2):155-7. doi: 10.1302/0301-620X.62B2.7364825.

DOI:10.1302/0301-620X.62B2.7364825
PMID:7364825
Abstract

The association between spondylolisthesis and scoliosis was studied in 84 patients who presented during a 30-year period with symptomatic spondylolisthesis. The incidence of scoliosis was 42 per cent, the majority of cases being lumbar or thoracolumbar curves of less than 15 degrees. The incidence was highest in the group of patients with spondylolisthesis at L4--5 where all except one had scoliosis. Scoliosis was present in 47 per cent of patients with dysplastic spondylolisthesis at the lumbosacral junction; in this group, the incidence of scoliosis was greater where the displacement exceeded 25 per cent. The lowest incidence (25 per cent) was found in the group with isthmic spondylolisthesis at the lumbosacral junction. There appeared to be no relationship between excessive lumbar lordosis or tightness of the hamstrings and scoliosis.

摘要

对84例在30年期间因症状性腰椎滑脱前来就诊的患者,研究了腰椎滑脱与脊柱侧弯之间的关联。脊柱侧弯的发生率为42%,大多数病例为腰椎或胸腰段侧弯,角度小于15度。在L4 - 5节段腰椎滑脱的患者组中发生率最高,该组除1例患者外均有脊柱侧弯。腰骶部发育不良性腰椎滑脱患者中,47%有脊柱侧弯;在该组中,移位超过25%时脊柱侧弯发生率更高。腰骶部峡部裂性腰椎滑脱组的发生率最低(25%)。腰椎前凸过大或腘绳肌紧张与脊柱侧弯之间似乎没有关系。

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