颈椎矢状面平衡参数与颈椎间盘退变的相关性  

Correlation of cervical sagittal balance parameters and cervical disc degeneration

作　　者：修志刚[1] 董官伟 朱丽 XIU Zhi-gang;DONG Guan-wei;ZHU Li(Dept of Radiology,the First People′s Hospital of Longquanyi District of Chengdu,Chengdu,Sichuan 610100,China)

机构地区：[1]成都市龙泉驿区第一人民医院放射科,四川成都610100

出　　处：《临床骨科杂志》2024年第3期313-317,共5页Journal of Clinical Orthopaedics

基　　金：四川省成都市龙泉驿区卫健局科研课题(编号:WJKY003)。

摘　　要：目的探讨颈椎矢状面平衡参数与颈椎间盘退变程度的相关性。方法在150例颈椎病患者的颈椎侧位X线片上测量C_(2~7)椎间盘节段的退变程度以及颈椎矢状面平衡参数[C_(2~7)Cobb角、C_(0~7)Cobb角、C_(2~7)矢状面垂直距离(C_(2~7)SVA)、T_(1)倾斜角(T_(1)S)及T_(1)S-C_(2~7)Cobb角],分析颈椎间盘退变程度与性别、年龄及颈椎矢状面平衡参数的相关性。根据C_(2~7)椎间盘退变程度分为A组(退变程度较轻,总评分<3分,56例)和B组(退变程度较重,总评分≥3分,94例),比较两组矢状面平衡参数的差异及组内参数之间的相关性。结果C_(2~7)椎间盘退变程度总评分不同年龄之间比较差异有统计学意义(P<0.01),不同性别、颈椎曲度之间比较差异均无统计学意义(P>0.05)。T_(1)S与C_(2~7)颈椎间盘退变程度总评分呈正相关(P<0.05),而其余矢状面平衡参数与之无相关性(P>0.05)。T_(1)S B组高于A组(P<0.05);其余矢状面平衡参数两组比较差异无统计学意义(P>0.05)。两组内C_(2~7)Cobb角与T_(1)S均呈正相关(P<0.01),与T_(1)S-C_(2~7)Cobb角均呈负相关(P<0.01);C_(2~7)SVA与T_(1)S-C_(2~7)Cobb角均呈正相关(P<0.01);A组内C_(2~7)Cobb角与C_(2~7)SVA呈负相关(P<0.01),而B组内两者无相关性(P>0.05);B组内T_(1)S与C_(2~7)SVA呈正相关(P<0.01),而A组内两者无相关性(P>0.05);两组内T_(1)S与T_(1)S-C_(2~7)Cobb角均无相关性(P>0.05)。结论颈椎间盘退变程度与年龄密切相关;在常用颈椎矢状面平衡参数中,T_(1)S与颈椎间盘整体退变呈正相关,颈椎间盘退变程度较重的患者中T_(1)S与C_(2~7)SVA呈正相关。Objective To investigate the correlation between cervical sagittal balance parameters and cervical disc degeneration degree.Methods The degeneration degree of C_(2~7) intervertebral disc and the parameters of sagittal balance of C_(2~7) Cobb angle,C_(0~7) Cobb angle,vertical distance of C_(2~7) sagittal plane(C_(2~7) SVA),T_(1) slope(T_(1)S)and the value of T_(1)S-C_(2~7) Cobb angle were measured on the lateral radiographs of 150 patients with cervical spondylosis.The correlation between the cervical disc degeneration degree and gender,age and cervical sagittal plane parameters was analyzed.According to the C_(2~7) cervical disc degeneration degree,they were divided into group A(mild degree of degeneration,total scores<3 points,56 cases)and group B(severe degree of degeneration,total scores≥3 points,94 cases).The difference of sagittal plane parameters between the two groups and the correlation between parameters in the two groups were compared.Results There were statistical differences in the total scores of C_(2~7) cervical disc degeneration among different ages(P<0.01),but there were no statistical differences in gender and cervical curvature(P>0.05).T_(1)S:it was positively correlated with the total scores of C_(2~7) cervical disc degeneration(P<0.05),which was not correlated with the other sagittal plane parameters(P>0.05).T_(1)S of group B was higher than group A(P<0.05);there were no statistical differences in other sagittal plane parameters between the two groups(P>0.05).In the two groups,C_(2~7) Cobb angles were positively correlated with T_(1)S(P<0.01),and negatively correlated with T_(1)S-C_(2~7) Cobb angles(P<0.01).C_(2~7) SVA was positively correlated with T_(1)S-C_(2~7) Cobb angles(P<0.01);there was negative correlation between C_(2~7) Cobb angle and C_(2~7) SVA in group A(P<0.01),but no correlation between them in group B(P>0.05).There was positive correlation between T_(1)S and C_(2~7) SVA in group B(P<0.01),but no correlation between T_(1)S and C_(2~7) SVA in group A(P>0.05).There was no correl

关 键 词：颈椎病 颈椎矢状面序列 颈椎间盘退变 T1倾斜角 

分 类 号：R681.5[医药卫生—骨科学] R445.4[医药卫生—外科学]