退变性脊柱侧弯与骨质疏松症相关性探讨

Correlation analysis between degenerative scoliosis and osteoporosis

目的探讨退变性脊柱侧弯与骨质疏松症相关性以及侧弯程度与骨质疏松程度的相关性。方法选取2011-03-2014-06间在我院治疗的47例退变性脊柱侧弯患者作为观察组,选取同时期在我院行骨密度检查的患者48例作为对照组,所有患者均采用双能X线骨密度测量仪精确测定并详细记录股骨颈、Ward’s三角、股骨大转子及腰椎（L1-L4）的骨密度,并计算T值,精确测定并仔细记录观察组患者的Cobb角。结果观察组患者股骨颈、Ward’s三角、股骨大转子及腰椎（L1-L4）的骨密度均明显低于对照组患者（P〈0.01）,观察组患者骨质疏松症发病率明显高于对照组（P〈0.01）,差异具有统计学意义。观察组患者Cobb角多介于20°-40°之间,观察组患者Cobb角大小与患者骨密度无相关性（P〉0.05）。结论骨质疏松症是退变性脊柱侧弯的危险因素,但退变性脊柱侧弯程度与骨质疏松程度未见明显相关性。

Objective To analyze the correlation between degenerative scoliosis and osteoporosis and the correlation between degree of degenerative scoliosis and degree of osteoporosis. Methods47 patients with degenerative scoliosis treated in our hospital from March 2011 to June 2014 were selected as observation group. 48 patients who conducted bone density examination in our hospital in the same period were selected as the control group. The bone mineral density of femoral neck,Ward ＇s triangle,the greater trochanter of the femur and lumbar spine（L1-L4） of all patients were accurately detected with dual energy X-ray absorptiometry and detailly recorded,and the T value was calculated. The Cobb angle of patients in observation group was accurately detected and detail-ly recorded. Results The bone mineral density of femoral neck, Ward ＇s triangle, the greater trochanter of the femur and lumbar spine（L1-L4） in observation group were significantly lower than those in control group（P〈0.01）. The rate of osteoporosis in observation group was significantlyhigher than that in control group（P〈0.01）. The Cobb angle of observation group was almost a-mong 20°-40°. There was no correlation between the Cobb angle and the bone mineral density（P〉 0.05）. Conclusion Osteoporosis was a related risk factor of degenerative scoliosis. But there was no correlation between degree of degenerative scoliosis and degree of osteoporosis.