脊柱-骨盆矢状面平衡及其在脊柱疾病治疗中的作用

Spine-pelvis sagittal balance in the treatment of spinal diseases

背景:相关临床研究显示,脊柱相关退行性疾病患者的脊柱-骨盆矢状面平衡参数均有不同程度的特征性变化。目的:探讨脊柱-骨盆矢状面平衡及其在脊柱疾病治疗中的作用。方法:分析脊柱-骨盆矢状面平衡的测量参数与测量方法及在成人脊柱疾病诊治中的量化及重要参数,以及各参数与生存质量之间的关系,评价脊柱疾病矫治后效果及脊柱-骨盆矢状面平衡在脊柱疾病治疗中的作用。结果与结论:脊柱矢状面形态与骨盆参数密切相关,脊柱矢状面曲线分型也采用骨盆参数,骨盆矢状面参数与脊柱矢状面参数存在明显的统计学的相关性,脊柱-骨盆矢状面平衡参数是评价脊柱疾病及治疗预后的重要指标,评价脊柱-骨盆矢状面平衡变化时应包括对骨盆和脊柱形态等参数的研究。

BACKGROUND： Related clinical studies have shown that there are different levels of characteristic changes in spine-pelvis sagittal balance parameters in patients with spine-related degenerative diseases.OBJECTIVE： To investigate the effect of spine-pelvis sagittal balance parameters on the treatment of spinal diseases.METHODS： The measurement parameters and measurement methods of spine-pelvis sagittal balance, as well as the quantization and important parameters of spine-pelvis sagittal balance in the diagnosis and treatment of adult spinal diseases were analyzed. The relationship between parameters and the quality of life of the patients was analyzed. The effect on spinal diseases after correction and the role of spine-pelvis sagittal balance in the treatment of spinal disorders were evaluated.RESULTS AND CONCLUSION： Spinal sagittal morphology was closely related to the pelvic parameters, and the pelvic parameters can also be used for the spinal sagittal curves typing. There is a significant statistical correlation between pelvis sagittal parameters and spinal sagittal parameters. The spine-pelvis sagittal balance parameters are the important indicators for the evaluation of spinal diseases and treatment and prognosis, and studies addressing pelvis and spine morphological parameters should be included when evaluating the changes of spine-pelvis sagittal balance.