力学源性退变性腰椎病的原因探讨与思考

Discussion and thinking about the causes of biomechanics-related degenerative lumbar spondylosis

力学退变性腰椎病指与维持腰椎力学平衡和稳定有关的腰椎骨关节及相关肌肉、筋膜、韧带退变所致的以腰痛和腰腿痛为主要临床表现的疾病总称,其发生与持续静态负荷和动态负荷、额外负荷、增龄性因素均相关。该文就力学相关性退变腰椎病的病因进行阐述,通过对人体力学平衡特点和腰椎失力学平衡发生机制的分析,总结失力学平衡功能性代偿和结构性代偿方式,并诠释腰椎失力学平衡的临床分型,希望能更好地为腰椎疾患的诊治提供参考依据。

Biomechanics-related degenerative lumbar spondylosis refers to the diseases of lumbar spine joints,muscles,fascia,and ligaments that related to maintaining lumbar spine mechanical balance and stability,which are mainly manifesting as lumbar pain and lumbocrural pain.The occurrence of biomechanics-related degenerative lumbar spondylosis is related to continuous static load and dynamic load,extra load,and aging.This article describes the etiology of biomechanics-related degenerative lumbar spondylosis,summarizes the functional compensation and structural compensation of losing balance by analyzing the characteristics of human biomechanical balance and the biomechanics of lumbar spondylolisthesis,and interprets the clinical classification of lumbar spondylosis,so as to provide a better reference for the diagnosis and treatment of lumbar spine diseases.