深入理解腰椎滑脱与骨盆矢状位参数的关系  

Deep understanding the correlation between spondylolisthesis and the Sagittal Pelvic balanced parameters

作　　者：王华东[1] 侯树勋[1] WANG Hua-dong;HOU Shu-xun.(Department of Orthopedics, the first affiliated Hospital of PLA General Hospital, Beijing Engineering Research Center of Orthopedic Implants, Beijing, 100048, China)

机构地区：[1]解放军总医院第一附属医院骨科、北京市骨科植入医疗器械工程技术研究中心、全军骨科研究所,北京100048

出　　处：《中国骨与关节杂志》2018年第6期401-406,共6页Chinese Journal of Bone and Joint

摘　　要：腰椎滑脱与骨盆矢状位参数关系的研究近年来受到极大的关注。研究表明,成年人中腰椎滑脱症（lumbar spondylolisthesis）的发病率约为6%,主要以峡部裂性和退变性两种类型最为常见。许多研究结果显示骨盆的矢状面形态在腰椎滑脱的发生和发展过程中发挥着重要的作用。通过正常人群与腰椎滑脱患者骨盆矢状面参数的对比,进一步发现了各参数之间的变化规律及特点。Lumbar spondylolisthesis is mainly divided into two categories degenerative and spondylitic spondylolisthesis. In recent years, many spine surgeons and researchers come to realize that pelvic balanced parameters play an important role in the occurrence, development and treatment of lumbar spondylolisthesis. By comparing the parameters of the sagittal plane of the pelvis between the normal population and the patients with lumbar spondylolisthesis, the variation rules and characteristics of the parameters were found. At the same time, with the development of slippage, the spine, lumbosacral and pelvis show different anatomical morphological changes. According to these changes, different types of the classification of lumbar spondylolisthesis were established. Deep understanding of sagittal parameters variations, it is significantly important for patients with lumbar spondylolisthesis on preoperative and postoperative evaluation, long-term follow-up. It also has great significance to the diagnosis, selection of surgical methods and prognosis of other spinal degenerative diseases.

关 键 词：腰椎 腰椎滑脱 骨盆参数 矢状面平衡 

分 类 号：R681.5[医药卫生—骨科学]