腰椎峡部裂发生的相关因素分析

doi:10.13418/j.issn.1001-165x.2019.05.020

中国临床解剖学杂志 ›› 2019, Vol. 37 ›› Issue (5): 583-585.doi: 10.13418/j.issn.1001-165x.2019.05.020

腰椎峡部裂发生的相关因素分析

姜欢畅¹，　王吉兴²，　杨晓东¹，　赖震¹，　吴建群¹，　吴峰¹，　咸振杰¹，　刘志祥¹

1.广州市花都区人民医院（南方医科大学附属花都医院）骨科，广州 510800；
2.南方医科大学南方医院脊柱骨科，广州 510515

收稿日期:2018-12-27 出版日期:2019-09-25 发布日期:2019-09-26
通讯作者: 刘志祥，E-mail：lzxdff688@163.com
作者简介:姜欢畅（1975-），男，湖南邵东人，硕士，副主任医师，研究方向：脊柱外科，E-mail：jhuanchang208@aliyun.com

Analysis of the related factors of lumbar spondylolysis

JIANG Huan-chang¹, WANG Ji-xing², YANG Xiao-dong¹，LAI Zhen¹, WU Jian-qun¹, WU Feng¹, XIAN Zhen-jie¹, LIU Zhi-xiang¹

1. Department of Orthopaedics, Hua-Du District People's Hospital, Guangzhou 510800; 2. Department of Spinal Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China

Received:2018-12-27 Online:2019-09-25 Published:2019-09-26

摘要/Abstract

摘要： 目的　分析腰椎峡部裂发生的危险因素，为腰椎峡部裂的预防和治疗提供参考依据。方法　选取88例滑脱前期L5双侧峡部裂患者为研究对象，分析其体重指数、运动强度、腰椎发育情况及脊柱-骨盆结构相关参数；以88例体检正常者为对照组，进行统计学分析。结果　研究组与对照组比较，相对代谢率、关节突关节椎弓根角、骨盆入射角、腰椎前凸角、峡部宽度、腰椎骶化、腰骶椎隐裂及家族史有统计学差异（P<0.05）；以滑脱前期腰椎峡部裂为因变量的二分类logistic回归分析表明，相对代谢率、关节突关节椎弓根角、骨盆入射角及峡部宽度是腰椎峡部裂发生的危险因素。结论　腰椎峡部裂的发生和多种因素相关，全面认识其危险因素，有助于降低其发生率，并预防进一步发展为滑脱。

关键词: 腰椎峡部裂, 　滑脱前期, 　危险因素

Abstract: Objective　To analyze the risk factors of lumbar spondylolysis, and provide reference for prevention and treatment of lumbar spondylolysis.　Methods　The body mass index, exercise intensity, spinal dysplasia and related spinal-pelvic structure parameters of 88 patients with slipping prophase L5 spondylolysis were analyzed. A control group with 88 normal volunteers were recruited in this study, and the corresponding indicators between two groups were statistically processed.　Results　There were statistical differences in relative metabolic rate, pedicle-facet angle, pelvic incidence angle, lumbar lordosis angle, lumbar isthmic width, lumbar sacralization, spina bifida occulta and family history between the slipping prophase lumbar spondylolisthesis group and the control group (P<0.05). Logistic regression analysis showed that relative metabolic rate, pedicle-facet angle, pelvic incidence angle and lumbar isthmic width were the risk factors for lumbar spondylolysis. Conclusion The occurrence of lumbar spondylolysis is related to many factors. A comprehensive understanding of its associated risk factors is helpful in reduction of its incidence and prevention its further development into slip.

Key words: Lumbar spondylolysis, 　Slipping prophase, 　Risk factors

中图分类号:

R683.2

姜欢畅, 王吉兴, 杨晓东, 赖震, 吴建群, 吴峰, 咸振杰, 刘志祥. 腰椎峡部裂发生的相关因素分析[J]. 中国临床解剖学杂志, 2019, 37(5): 583-585.

JIANG Huan-chang, WANG Ji-xing, YANG Xiao-dong, LAI Zhen, WU Jian-qun, WU Feng, XIAN Zhen-jie, LIU Zhi-xiang. Analysis of the related factors of lumbar spondylolysis [J]. Chinese Journal of Clinical Anatomy, 2019, 37(5): 583-585.

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腰椎峡部裂发生的相关因素分析

Analysis of the related factors of lumbar spondylolysis

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