摘要
目的:探讨痉挛型脑瘫儿童腰椎发育及稳定性特点。方法:对189例痉挛型脑瘫患儿及48例对照组儿童进行腰椎X线对比分析,观察腰椎发育及畸形情况,测量腰骶关节倾斜度,侧位腰椎前凸角(侧位腰椎Cobb角)、弓顶距离及前凸指数等,以及侧位过伸过屈动力位胸腰段(T12-L1、L1-L2)、腰骶段(L4-L5、L5-S1)椎体相对位移(Posner指数)等指标。结果:痉挛型脑瘫儿童腰椎发育不良及畸形发生率、腰骶关节倾斜度、侧位腰椎Cobb角、弓顶距离及前凸指数,以及腰骶段(L4-L5、L5-S1)Posner指数与对照组儿童差异有显著性意义(P<0.05,P<0.01),胸腰段(T12-L1、L1-L2)Posner指数差异无显著性意义(P>0.05)。结论:痉挛型脑瘫儿童腰椎存在不稳因素,发育不良,畸形等发生率较普通儿童高,上腰段(T12-L2)较下腰段(L4-S1)稳定。
Objective: To explore the lumbar spine growth characteristic and stability statues of spastic cerebral palsy children. Method: The lumbar X-ray films (including orthotopic and lateral dynamic position lumbar films) of 189 cases of spastic cerebral palsy children and 48 controlled cases were studied and analyzed. Result: The instability deformity, lumbosacral angle, lateral Cobb's angle and lower lumbar Posner's definition (L4-S1) had significant difference between two groups, while the Posner's definitions of upper lumbar(T12-L2) had no significant difference. Condusion: The spastic cerebral palsy children have the higher trend of spinal instability, hypoplasia and deformity incidence of their lumbar spine than normal and their instability of upper lumbar (T12-L2) are superior to lower lumbar(L4-S1 ).
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2007年第9期809-811,共3页
Chinese Journal of Rehabilitation Medicine
关键词
痉挛型脑瘫
腰椎发育
腰椎
腰椎稳定性
儿童
spastic cerebral palsy
lumbar spine growth
lumbar spine stability
children