腰椎矢状面平衡重塑对腰椎间盘破裂突出后自然吸收的影响  

Effects of lumbar sagittal balance remodeling on natural absorption after lumbar disc herniation

作　　者：王丰[1] 戴国钢[1] 夏娇 廖仕川 WANG Feng;DAI Guo-gang;XIA Jiao;LIAO Shi-chuan(Department of Neck, Shoulder, Waist and Leg Pain, Sichuan Orthopedic Hospital, Chengdu, Sichuan 610000, China)

机构地区：[1]四川省骨科医院颈肩腰腿痛2科,四川成都610000

出　　处：《海南医学院学报》2020年第13期1028-1032,共5页Journal of Hainan Medical University

基　　金：四川省卫生和计划生育委员会科研课题(16PJ389)。

摘　　要：目的:探讨腰椎矢状面平衡指标变化对腰椎间盘破裂突出后自然吸收的影响。方法:选取2016年8月~2017年8月本院破裂型腰椎间盘突出且采用自然吸收治疗的64例患者为研究对象。依据2年后患者突出椎间盘大小,将研究对象分为破裂突出腰椎间盘重吸收组(1分组、2分组、3分组和4分组)和无重吸收组(0分组)。分别在患者入组时和随访2年后对骨盆入射角(the pelvic incidence,PI)、骶骨倾斜角(the sacral slope,SS)、骨盆倾斜角(the pelvic tilting,PT)和腰椎前凸角(the lumbar lordosis,LL)进行检测,并进行对比。结果:不同得分组的入组时和复查时的PI和PI的变化值均无显著性差异。各个得分组患者入组时的PT、SS和LL值无显著差异;在复查时,PT有减小的趋势而SS和LL有增加的趋势;随着患者得分的增加,PT、SS和LL的变化值呈现逐渐增加的趋势。结论:腰椎间盘突出出现自然吸收的患者PT、SS和LL值在治疗前后发生了明显变化,腰椎矢状面平衡指标变化是影响腰椎间盘突出的自然吸收的重要因素。Objective:To investigate the effect of changes in lumbar sagittal balance index on natural absorption after lumbar disc rupture.Methods:Totally 64 patients with ruptured lumbar disc herniation in the hospital from August 2016 to August 2017 who were treated with natural absorption were selected as the research subjects.Based on the size of the herniated discs of 2 years,the subjects were divided into ruptured and herniated lumbar disc reabsorption groups(group score 1,group score 2,group score 3,group score 4)and non-resorption groups(group score 0).The pelvic incidence(PI),the sacral slope(SS),the pelvic tilting(PT),and the lumbar lordosis(LL)among each group were tested and compared at the time of patient enrollment and after 2 years of follow-up.Results:There were no significant differences in the values of PI and its changes at the time of enrollment and re-examination in different groups.There was no significant difference in the PT,SS,and LL values of patients in each subgroup when they were enrolled;at the time of re-examination,the PT had a decreasing trend and the SS and LL had an increasing trend;as the patient's score increased,the value of the change is gradually increasing.Conclusion:In patients with lumbar disc herniation,PT,SS,and LL values changed significantly after treatment.Changes in the sagittal balance index of the lumbar spine are important factors that affect the natural absorption of lumbar disc herniation.

关 键 词：腰椎间盘突出 腰椎矢状面平衡 自然吸收 

分 类 号：R681.5[医药卫生—骨科学]