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成年人下腰痛与腰椎前凸和骶骨倾斜角的关系 被引量:22

Relationship between Low Back Pain and Lumbar Lordosis and Sacral Inclination in Adult People
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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
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参考文献4

  • 1Jackson RP,Peterson MD,McManus AC,et al. Compensatory spinopelvic balance over the hip axis and better reliability in measuring lordosis to the pelvic radius on standing lateral radiographs of adult volunteers and patients[J]. Spine, 1998, 23 (16): 1750- 1767.
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  • 3郑丰裕.慢性下腰痛患者立位X线侧位片测量及其相关分析[J].中华骨科杂志,1996,16(7):434-437. 被引量:34
  • 4Pope MH, Krag MH. Diagnosing instability[J]. Clin Orthop Relat Res, 1992,27(8) : 600-605.

二级参考文献7

  • 1胡有谷,腰椎间盘突出症,1994年
  • 2党耕町,脊柱疾患的临床与研究,1993年
  • 3杨克勤,脊柱疾患的临床与研究,1993年
  • 4陆裕朴,实用骨科学,1991年
  • 5赵定麟,下腰痛,1990年
  • 6周秉文,腰背痛,1989年
  • 7郭世绂,临床骨科解剖学,1984年

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