CAJ | 학술논문

目的：探讨寰枢关节不稳对颈椎生理曲度的影响及临床意义。方法收集109例寰枢关节不稳患者和96例健康患者的正侧位、开口位和侧屈开口位X线片，采用Borden 氏法测量患者X线片的颈椎生理曲度，分析对比两组寰枢关节不稳与颈椎生理曲度改变的相关性。结果经过统计学比较两组间具有显著性的差异（P<0.05），寰枢关节不稳患者中不同年龄段颈椎生理曲度变直的发生率具有明显的差异（P<0.05），30～49岁发生率最高，与其它年龄段相比具有非常显著性的差异（P<0.01）。结论寰枢关节不稳与颈椎生理变直具有一定的相关性。
목적：탐토환추관절불은대경추생리곡도적영향급림상의의。방법수집109례환추관절불은환자화96례건강환자적정측위、개구위화측굴개구위X선편，채용Borden 씨법측량환자X선편적경추생리곡도，분석대비량조환추관절불은여경추생리곡도개변적상관성。결과경과통계학비교량조간구유현저성적차이（P<0.05），환추관절불은환자중불동년령단경추생리곡도변직적발생솔구유명현적차이（P<0.05），30～49세발생솔최고，여기타년령단상비구유비상현저성적차이（P<0.01）。결론환추관절불은여경추생리변직구유일정적상관성。
Objective To investigate the influence of atlantoaxial instability on cervical curva-ture and its clinical significance. Methods 109 patients with atlantoaxial instability and 96 healthy people were selected,they were examined by the X-ray film of cervical anteroposterior and lateral view,open mouth and titled left and right view.The cervical curvature was measured by Borden's method on the X-ray films.Then, the relationship between atlantoaxial instability and changes of cervical curvature was analyzed. Results There were statistically significant differences between the two groups(P<0.05).The incidence rate of change of cervical curvature had significant differences in different age groups that with atlantoaxial instability (P<0.05),and it was highest in the age group from 30 to 49 years old. Conclusion The atlantoaxial instability is correlated with the changes of cervical curvature.