期刊文献+

脊柱畸形老年人躯干质心偏移的相关因素分析 被引量:2

Correlative factors analysis of trunk centroid offset of old deformity of spine people
下载PDF
导出
摘要 目的了解脊柱畸形患者躯干质心偏移的影响因素。方法应用Spinalmouse测量脊柱的椎间夹角、脊柱倾角(躯干前倾角度),并分析脊柱倾角与性别、年龄、胸椎总体曲度、腰椎总体曲度的相关性。结果年龄与躯干倾斜正相关,相关系数为0.448(P<0.01)。胸椎总体曲度与躯干倾斜显著正相关,相关系数0.196(P<0.01)。腰椎总体曲度与躯干倾斜显著正相关,相关系数0.56(P<0.01)。胸椎与腰椎曲度呈显著负相关,相关系数-0.233(P<0.01)。除了中位胸椎外,躯干倾斜角度与多数立位椎间夹角呈现显著相关关系;其中上位胸椎夹角间存在负相关关系,下位胸椎及腰椎则存在正相关关系。结论随着年龄的增大,脊柱倾斜逐渐增加,胸椎、腰椎后凸越严重,脊柱前倾越明显。上位或下位胸椎越后凸,腰椎越变直,则躯干倾斜角越大。胸椎后凸曲度增加,一般伴随腰椎前凸曲度的增加,这有可能增加局部椎体压缩骨折风险。 Objective To analyze the correlative factors of trunk centroid offset of old deformity of spine people.Methods Spinal deformity status including trunk incline angle was measured by Spinalmouse.Correlation analysis between trunk incline and gender,age,thoracic spine curvature,lumbar curvature were analyzed.Results Age,thoracic spine curvature,lumbar curvature had positive relation with trunk incline,the correlation coefficient were 0.448(P0.01),0.196(P0.01),0.56(P0.01),respectively.Thoracic spine curvature had negative relation with lumbar curvature,correlation coefficient was-0.233(P0.01).Except the middle part of thoracic spine,most of the vertebral angle had significant relation with trunk incline angle.Conclusions With the age increased,the trunk incline angle is increased,the kyphosis of thoracic spine and lumbar curvature are worse.The more kyphosis of thoracic,the more kyphosis of lumbar curvature.This may increase the fracture risk of spine.
出处 《中国老年学杂志》 CAS CSCD 北大核心 2011年第8期1291-1294,共4页 Chinese Journal of Gerontology
基金 国家自然科学基金资助(30700893) 广东省科技计划基金(2009B030801226) 广州市白云区科技计划基金(2010-KZ-40)
关键词 骨质疏松 脊柱畸形 质心 骨折风险 Osteoporosis Spinal deformity Centroid Fracture risk
  • 相关文献

参考文献14

  • 1陈超,赵卫东.骨质疏松性椎体骨折后不同躯体姿势对椎体局部应力的影响[J].山东医药,2008,48(24):67-68. 被引量:5
  • 2Guermazi M,Ghroubi S,Kassis M,et al.Validity and reliability of spinal mouse to assess lumbar flexion[J].Ann Readapt Med Phys,2006;49(4):172-7.
  • 3Ko T,Han G,Cho B,et al.Intrarater reliability and interrater reliability in spinal motion assessments[J].J Phys Ther Sci,2010;22(3):301-6.
  • 4Mannion AF,Knecht K,Balaban G,et al.A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine:reliability of measurements and comparison with data reviewed from the literature[J].Eur Spine J,2004;13(2):122-36.
  • 5Post RB,Leferink VJ.Spinal mobility:sagittal range of motion measured with the Spinal mouse,a new non-invasive device[J].Arch Orthop Trauma Surg,2004;124(3):187-92.
  • 6张智海,李茂廷,于智勇,霍岩,徐峻华,李学民.脊柱形态测量仪(Spinalmouse)测评腰痛患者全脊柱运动能力[J].脊柱外科杂志,2009,7(6):346-349. 被引量:21
  • 7Lepoutre AC,Devos D,Blanchard-Dauphin A,et al.A specific clinical pattern of camptocormia in Parkinson′s disease[J].J Neurol Neurosurg Psychiatry,2006;77(11):1229-34.
  • 8Yeni YN,Zelman EA,Divine GW,et al.Trabecular shear stress amplification and variability in human vertebral cancellous bone:relationship with age,gender,spine level and trabecular architecture[J].Bone,2008;42(3):591-6.
  • 9杨霖,杨永红,何红晨,喻鹏铭,何成奇.脊柱稳定训练与脊柱骨质疏松压缩骨折治疗效果:个性化方案的意义(英文)[J].中国组织工程研究与临床康复,2010,14(26):4937-4940. 被引量:6
  • 10Iki M,Saito Y,Dohi Y,et al.Greater trunk muscle torque reduces postmenopausal bone loss at the spine independently of age,body size,and vitamin D receptor genotype in Japanese women[J].Calcif Tissue Int,2002;71(4):300-7.

二级参考文献21

共引文献28

同被引文献18

  • 1Toyone T,Tanaka T,Kato D,et al. Low-back pain following surgery forlumbar dischemiation. A prospective study[ J]. J Bone Joint Surg Am,2004;86(5) :893-6.
  • 2Kim YY,Rhyu KW. Recompression of vertebral body after balloon ky-phoplasty for osteoporotic vertebral compression fracture[ J ] . Eur SpineJ,2010;19(ll) :1907-12.
  • 3KaufmannTJ,Trout AT,Kallmes DF,ei al. The effects of cement volumeon clinical outcomes of percutaneous vertebroplasty [ J ]. Am J Neuroradi-ol,2006;27(9) :1933-7.
  • 4Heo DH,Chin DK, Yoon YS,et al. Recollapse of previous vertebral com-pression fracture after percutaneous vertebroplasty [ J ]. Osteoporos Int,2009;20(3) :473-80.
  • 5Chou LH,Knight RQ. Idiopathic avascular necrosis of a vertebral body :Case report and literature review[ J). Spine, 1997 ;22( 16) :1928-32.
  • 6Gaughen JR Jr,Jensen ME,Schweickert PA,ef al. The therapeutic benefitof repeat percutaneous vertebroplasty at previously treated vertebral levels[J]. Am J Neuroradiol,2002;23(10) :1657-61.
  • 7Marco RA,Meyer BC,Kushwaha VP. Thoracolumbar burst fractures trea-ted with posterior decompression and pedicle screw instrumentation sup-plemented with balloon-assisted vertebroplasty and calcium phosphate re-construction surgical/technigue[ J]. J Bone Joint Surg Am,2010;92( 1 ):67-76.
  • 8Korovessis P, Repantis T, Petsinis G,et al. Direct reduction of thoraco-lumbar burst fractures by means of balloon kyphoplasty with calciumphosphate and stabilization with pedicle-screw instrumentation and fusion[J]. Spine,2008;33(4) :100-8.
  • 9Foumey DR,Dettori JR,Norvell DC,et al. Does minimal access tubularassisted spine surgery increase or decrease complications in spinal de-compression or fusion[ J]. Spine,2010;35(9) :57-65.
  • 10Isaacs RE, Podichetty VK, Santiago P ,et al. Minimally invasive microen-doscopy-assisted transforaminal lumbar interbody fusion with instrumen-tation[J]. J Neurosurg Spine ,2005 ;3 (2) :98-105.

引证文献2

二级引证文献18

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部