中国骨与关节外科
中國骨與關節外科
중국골여관절외과
CHINESE BONE AND JOINT SURGERY
2013年
5期
406-411
,共6页
张亮%尹星华%杨德金%周一新
張亮%尹星華%楊德金%週一新
장량%윤성화%양덕금%주일신
强直性脊柱炎%脊柱-骨盆对线
彊直性脊柱炎%脊柱-骨盆對線
강직성척주염%척주-골분대선
ankylosing spondylitis%spino-pelvic alignment
背景：强直性脊柱炎（AS）是一种典型的多关节受累的系统性脊柱关节病。目前针对AS患者脊柱-骨盆对线参数的研究鲜见于国内研究。<br> 目的：测量AS患者脊柱-骨盆对线参数，分析其相关性和临床意义。<br> 方法：选择影像资料清晰的AS患者和健康受试者各36例分别作为AS组和对照组。常规拍摄脊柱全长站立位正侧位X线片。测量脊柱-骨盆对线参数：胸椎后突角（TK）、腰椎前凸角（LL）、骶骨斜面角（SS）、骨盆倾斜角（PT）、骨盆入射角（PI）、矢状面垂直轴向偏心距（SVAO）、α角及闭孔率（OFR）。<br> 结果：AS组TK显著高于对照组（39.5°±10.2° vs.32.2°±10.3°, P=0.006）；LL显著低于对照组（31.5°±14.6° vs.49.0°±13.8°, P＜0.001）；PT显著高于对照组（24.0°±14.1° vs.13.1°±7.5°, P＜0.001）；α角显著低于对照组（43.7°±12.1° vs.58.8°±10.6°, P＜0.001）；SVAO显著高于对照组（27.2 mm±12.8 mm vs.13.0 mm±6.7 mm, P＜0.001）；OFR显著高于对照组（1.41±0.15 vs.1.12±0.08, P＜0.001）。SS和PI两组间比较无统计学差异（P＞0.05）。<br> 结论：AS患者呈现显著骨盆后倾后移倾向，并伴腰椎前凸丧失和胸椎后突增加趋势。
揹景：彊直性脊柱炎（AS）是一種典型的多關節受纍的繫統性脊柱關節病。目前針對AS患者脊柱-骨盆對線參數的研究鮮見于國內研究。<br> 目的：測量AS患者脊柱-骨盆對線參數，分析其相關性和臨床意義。<br> 方法：選擇影像資料清晰的AS患者和健康受試者各36例分彆作為AS組和對照組。常規拍攝脊柱全長站立位正側位X線片。測量脊柱-骨盆對線參數：胸椎後突角（TK）、腰椎前凸角（LL）、骶骨斜麵角（SS）、骨盆傾斜角（PT）、骨盆入射角（PI）、矢狀麵垂直軸嚮偏心距（SVAO）、α角及閉孔率（OFR）。<br> 結果：AS組TK顯著高于對照組（39.5°±10.2° vs.32.2°±10.3°, P=0.006）；LL顯著低于對照組（31.5°±14.6° vs.49.0°±13.8°, P＜0.001）；PT顯著高于對照組（24.0°±14.1° vs.13.1°±7.5°, P＜0.001）；α角顯著低于對照組（43.7°±12.1° vs.58.8°±10.6°, P＜0.001）；SVAO顯著高于對照組（27.2 mm±12.8 mm vs.13.0 mm±6.7 mm, P＜0.001）；OFR顯著高于對照組（1.41±0.15 vs.1.12±0.08, P＜0.001）。SS和PI兩組間比較無統計學差異（P＞0.05）。<br> 結論：AS患者呈現顯著骨盆後傾後移傾嚮，併伴腰椎前凸喪失和胸椎後突增加趨勢。
배경：강직성척주염（AS）시일충전형적다관절수루적계통성척주관절병。목전침대AS환자척주-골분대선삼수적연구선견우국내연구。<br> 목적：측량AS환자척주-골분대선삼수，분석기상관성화림상의의。<br> 방법：선택영상자료청석적AS환자화건강수시자각36례분별작위AS조화대조조。상규박섭척주전장참립위정측위X선편。측량척주-골분대선삼수：흉추후돌각（TK）、요추전철각（LL）、저골사면각（SS）、골분경사각（PT）、골분입사각（PI）、시상면수직축향편심거（SVAO）、α각급폐공솔（OFR）。<br> 결과：AS조TK현저고우대조조（39.5°±10.2° vs.32.2°±10.3°, P=0.006）；LL현저저우대조조（31.5°±14.6° vs.49.0°±13.8°, P＜0.001）；PT현저고우대조조（24.0°±14.1° vs.13.1°±7.5°, P＜0.001）；α각현저저우대조조（43.7°±12.1° vs.58.8°±10.6°, P＜0.001）；SVAO현저고우대조조（27.2 mm±12.8 mm vs.13.0 mm±6.7 mm, P＜0.001）；OFR현저고우대조조（1.41±0.15 vs.1.12±0.08, P＜0.001）。SS화PI량조간비교무통계학차이（P＞0.05）。<br> 결론：AS환자정현현저골분후경후이경향，병반요추전철상실화흉추후돌증가추세。
Background:Ankylosing Spondylitis (AS) is a typical multi-joint involved systematic spinal disease. Currently, studies on the spino-pelvic alignment in patients with AS are seldom found in the domestic researches. <br> Objective:To measure the spino-pelvic alignment paratmeters in patients with AS and analyze their correlation and clinical significances. <br> Methods:36 patients with AS (AS group) and 36 healthy volunteers (control group) were enrolled in this study. The antero-posterior and lateral radiographs of the full-length standing spine were routinely taken for each subject. The measured spino-pelvic alignment parameters were thoracic kyphosis angle (TK), lumbar lordosis angle (LL), sacral slope angle (SS), pelvic tilt angle (PT), pelvic incidence angle (PI), sagittal vertical axis offset (SVAO),αangle and obturator foramen ratio(OFR). Results:Of the AS group, the TK was significantly higher than that of the control group (39.5° ± 10.2° vs. 32.2° ± 10.3° , P=0.006), LL was significantly lower than that of the control group (31.5°±14.6° vs. 49.0°±13.8°, P<0.001), PT was signifi-cantly higher than that of the control group (24.0° ± 14.1° vs. 13.1° ± 7.5° , P<0.001),αangle was significantly lower than that of the control group (43.7°±12.1° vs. 58.8°±10.6°, P<0.001), and the SVAO (27.2 mm±12.8 mm vs. 13.0 mm±6.7 mm, P<0.001) and the OFR (1.41 ± 0.15 vs. 1.12 ± 0.08, P<0.001) was significantly higher than that of the control group. There was no statistical difference in the SS or PI between the 2 groups (P>0.05). <br> Conclusions:Patients with AS show an obvious trend of pelvic posterior inclination and shift, and an increasing risk of lum-bar lordosis and thoracic kyphosis.
