脊柱畸形老年人躯干质心偏移的相关因素分析  

Correlative factors analysis of trunk centroid offset of old deformity of spine people

作　　者：衣锦光[1] 王华军[2] 张文均[2] 周卫海 刘莉 邹秋兰 张小英 李义凯[2] 陈超[2] 

机构地区：[1]北京物资学院 [2]南方医科大学中医药学院外科教研室,广东广州510515 [3]广东省体育科学研究所 [4]齐齐哈尔市第一人民医院 [5]广州友好老年公寓

出　　处：《中国老年学杂志》2011年第8期1291-1294,共4页Chinese Journal of Gerontology

基　　金：国家自然科学基金资助(30700893);广东省科技计划基金(2009B030801226);广州市白云区科技计划基金(2010-KZ-40)

摘　　要：目的了解脊柱畸形患者躯干质心偏移的影响因素。方法应用Spinalmouse测量脊柱的椎间夹角、脊柱倾角(躯干前倾角度),并分析脊柱倾角与性别、年龄、胸椎总体曲度、腰椎总体曲度的相关性。结果年龄与躯干倾斜正相关,相关系数为0.448(P<0.01)。胸椎总体曲度与躯干倾斜显著正相关,相关系数0.196(P<0.01)。腰椎总体曲度与躯干倾斜显著正相关,相关系数0.56(P<0.01)。胸椎与腰椎曲度呈显著负相关,相关系数-0.233(P<0.01)。除了中位胸椎外,躯干倾斜角度与多数立位椎间夹角呈现显著相关关系;其中上位胸椎夹角间存在负相关关系,下位胸椎及腰椎则存在正相关关系。结论随着年龄的增大,脊柱倾斜逐渐增加,胸椎、腰椎后凸越严重,脊柱前倾越明显。上位或下位胸椎越后凸,腰椎越变直,则躯干倾斜角越大。胸椎后凸曲度增加,一般伴随腰椎前凸曲度的增加,这有可能增加局部椎体压缩骨折风险。Objective To analyze the correlative factors of trunk centroid offset of old deformity of spine people.Methods Spinal deformity status including trunk incline angle was measured by Spinalmouse.Correlation analysis between trunk incline and gender,age,thoracic spine curvature,lumbar curvature were analyzed.Results Age,thoracic spine curvature,lumbar curvature had positive relation with trunk incline,the correlation coefficient were 0.448（P0.01）,0.196（P0.01）,0.56（P0.01）,respectively.Thoracic spine curvature had negative relation with lumbar curvature,correlation coefficient was-0.233（P0.01）.Except the middle part of thoracic spine,most of the vertebral angle had significant relation with trunk incline angle.Conclusions With the age increased,the trunk incline angle is increased,the kyphosis of thoracic spine and lumbar curvature are worse.The more kyphosis of thoracic,the more kyphosis of lumbar curvature.This may increase the fracture risk of spine.

关 键 词：骨质疏松 脊柱畸形 质心 骨折风险 

分 类 号：R682.3[医药卫生—骨科学]