摘要
目的探讨退变性脊柱侧弯与骨质疏松症的相关性。方法回顾总结自2010年3月至2013年11月收治的退变性脊柱侧弯患者共53例,其中男9例,女44例,平均年龄66.5岁(56~80岁),所有患者均行脊柱正侧位x线检查并记录Cobb角;对照组47例,由部分接受骨密度检测的住院患者构成,其中腰椎间盘突出症29例,腰椎管狭窄症18例,均不合并脊柱侧弯,男16例,女31例,平均年龄64.7岁(54~83岁);两组患者均应用双能X线吸收法测定并分别记录股骨颈、Ward,S三角和股骨大粗隆及腰椎椎体(L1-L4)的骨密度值及T值,分析患者Cobb角与对应T值之间的相关性。结果在确诊的53例退变性脊柱侧弯患者中,平均Cobb角为32.1°±7.3°(11.6°~47.2°),平均T值为-2.87±0.78(-4.81^-0.78),合并骨质疏松症患者46例,骨量减少7例;对照组平均T值为-2.08±1.08(-4.76~0.56),合并骨质疏松症患者18例,骨量减少24例。退变性脊柱侧弯患者Cobb角与T值无相关性。结论退变性脊柱侧弯患者脊柱侧弯程度与骨质疏松程度无相关,骨质疏松症是退变性脊柱侧弯发病的危险因素。
Objective To investigate the correlation between degenerative scoliosis and osteoporosis.Methods The clinical data of 53 patients, who were hospitalized with the diagnosis of degenerative scoliosis from March 2010 to November 2013, were retrospectively analyzed.Among all the 53 patients, 9 were males and 44 were females, with an average age of 66.5 years old （ ranging from 56 to 80 years old） .The posteroanterior and lateral X-ray examination of the spine was performed in all the patients. The Cobb angles were also recorded.Forty-seven hospitalized patients receiving bone mineral density （ BMD） detection, 29 cases with the lumbar disc herniation and 18 cases with the lumbar spinal canal stenosis, were selected as control group.Among all these 47 patients, 16 were males and 31 were females, with an average age of 64.7 years old （ranging from 54 to 83 years old）.BMD and T-scores of the femoral neck, the Ward’s triangle, the greater trochanter, and the lumbar vertebrae （L1-L4） were detected using the dual-energy X-ray absorptiometry.And the correlation between Cobb angle and T-scores was analyzed.Results In all these 53 patients diagnosed with degenerative scoliosis, the average Cobb angle was 32.1°±7.3°（ranging from 11.6°to 47.2°）, and the average T-score was -2.87 ±0.78 （ ranging from -4.81 to -0.78 ）.And 46 patients were accompanied with osteoporosis, while 7 patients were accompanied with osteopenia.The average T-score in the control group was -2.08 ±1.08 （ranging from -4.76 to 0.56）.Among those, 18 patients were accompanied with osteoporosis, and 24 patients were accompanied with osteopenia.No correlation between Cobb angle and T-scores was observed.Conclusion There is no correlation between the degree of degenerative scoliosis and the degree of osteoporosis.Osteoporosis is a risk factor of degenerative scoliosis.
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2014年第3期256-259,共4页
Chinese Journal of Osteoporosis
关键词
退变性脊柱侧弯
骨质疏松症
相关性
骨密度
Degenerative scoliosis
Osteoporosis
Correlation
Bone mineral density
