摘要
目的探讨下腰痛患者的发病与腰椎前凸和骶骨倾斜角变化的关系。方法对86例患有下腰痛病人和90例无症状者摄腰椎立位X线侧位片,测量腰椎总前凸角、节段前凸角和骶骨倾斜角。结果患病组的总前凸角和骶骨倾斜角明显低于对照组(P〈0.05)。总前凸角的丢失主要来自于L4~5和L5S1节段前凸角的减少。两组的腰椎总前凸角与骶骨倾斜角呈明显的正相关。结论腰椎前凸和骶骨倾斜角的丢失可能是下腰痛的解剖基础之一。
Objective To investigate the variable relationship between lumbar lordosis and sacral inclination in the patients with low back pain.Methods Eighty-six patients with low back pain and 90 asymptomatic people were studied by measuring total lordosis,segmental lordoses and sacral inclination on the standing lateral radiographs.Results Total lordosis and sacral inclination in the patient group are significantly less than in the control group(P〈0.05).The loss of total lordosis mainly comes from L4~L5 and L5~S1 segmental lordoses lessening.Total lordosis is positively correlated with sacral inclination in the both groups.Conclusion The loss of lumbar lordosis and sacral inclination may be one of anatomy foundation inducing low back pain.
出处
《实用骨科杂志》
2007年第10期577-579,共3页
Journal of Practical Orthopaedics
关键词
下腰痛
腰椎前凸角
骶骨倾斜角
low back pain
lumbar lordosis
sacral inclination