150例健康成人下颈椎矢状位曲度相关影像学参数测量及临床意义

doi:10.13418/j.issn.1001-165x.2020.05.011

中国临床解剖学杂志 ›› 2020, Vol. 38 ›› Issue (5): 549-553.doi: 10.13418/j.issn.1001-165x.2020.05.011

150例健康成人下颈椎矢状位曲度相关影像学参数测量及临床意义

杨胜¹，　唐超²，　钟德君²

1.成都市双流区第一人民医院骨科，成都 610000； 2.西南医科大学附属医院骨科，四川泸州 646000

收稿日期:2019-08-10 出版日期:2020-09-25 发布日期:2020-10-21
通讯作者: 钟德君，博士，教授，硕士生导师，E-mail：zdj_1974@163.com
作者简介:杨胜（1994-），男，四川凉山人，硕士研究生，研究方向：脊柱，E-mail：1025267670@qq.com
基金资助:
四川省卫生和计划生育委员会课题项目（16PJ551）

Imaging evaluation of sagittal curvature of subaxial cervical spine in 150 normal population and its clinical significance

YANG Sheng¹，TANG Chao²，ZHONH De-jun²

1. Department of Orthopedics, The First People's Hospital of Shuangliu District, Chengdu, Chengdu 610000, Sichuan Province, China; 2. Department of Orthopedics，The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China

Received:2019-08-10 Online:2020-09-25 Published:2020-10-21

摘要/Abstract

摘要： 目的　获取健康人群下颈椎矢状位曲度的相关基础参数，分析其临床意义。方法　选取本院150例健康体检者的站立中立位颈椎侧位片，按照年龄及性别进行分组，测量下颈椎曲度（cervical spinal angle，CSA）、T1倾斜角（T1-slope，TS）、C2~7矢状位轴向距离（C2~7 sagittal vertical axis，C2~7 SVA），并进行统计学分析。结果　健康成人CSA、TS、C2~7 SVA分别为（20.28±6.86）°、（25.81±5.54）°、（15.74±5.96）mm。经独立样本t检验，男女组间CSA、TS有统计学差异（P<0.05），C2~7 SVA无统计学差异（P>0.05）。单因素方差分析显示，CSA、TS、C2~7 SVA随年龄增长逐步增大，TS、C2~7 SVA在不同年龄段差异有统计学意义（P<0.05），女性不同年龄段CSA差异有统计学意义（P<0.05），但男性各年龄段CSA差异无统计学意义（P>0.05）。Person相关分析发现，TS与CSA（r=0.592，P<0.01），TS与C2~7 SVA（r=0.308，P<0.01）呈正相关。结论健康人群CSA，TS存在性别差异，CSA，TS，C2~7 SVA随年龄增长呈现增大趋势；CSA，TS，C2~7 SVA的正常值及TS与CSA和C2~7 SVA正相关性，为颈椎手术中下颈椎矢状位曲度固定提供参考。

关键词: 健康成人, 　下颈椎曲度, 　T1倾斜角, 　C2~7矢状位轴向距离

Abstract: Objective 　To obtain the basic parameters of sagittal curvature of subaxial cervical spine in normal population and analyze its clinical significance.　Methods　150 healthy volunteers who underwent standing neutral cervical spine lateral X-ray in our hospital were selected and divided into different groups according to age and gender. The data of cervical spinal angle (CSA) ,T1-Slope (TS) and C2~7sagittal Vertical Axis (C2~7 SVA）were measured and recorded.　Results　The CSA, TS and C2~7 SVA values of 150 healthy subjects were (20.28±6.86)°, (25.81±5.54)° , (15.74±5.96) mm, respectively. The independent sample T-test showed that there were significant differences in CSA and TS between male and female groups (P<0.05), and there was no significant difference in C2~7 SVA (P>0.05). One-way ANOVA showed that the values of CSA, TS, C2~7 SVA increased gradually with the increasing of age and the differences of TS, C2~C7 SVA in different age groups were statistically significant (P<0.05). The differences of CSA in different age in female group were statistically significant (P<0.05), but there was no statistical significance in male group (P>0.05). Person correlation analysis showed that TS was positively correlated with CSA and C2~7 SVA (r= 0.592, P<0.01; r= 0.308, P<0.01).　Conclusions　There are differences in CSA and TS between different genders. CSA, TS, C2~7 SVA show an increasing trend with the increasing of age. The values of CSA, TS, C2~7 SVA in normal population and TS are positively correlate with CSA and C2~7 SVA, which can provide reference for the fixation of sagittal curvature of subaxial cervical spine during cervical surgery.

Key words: Normal population；　Cervical spinal angle；　T1-slope；　Distance of the C2~7 sagittal vertical axis

中图分类号:

R322.7

杨胜, 唐超, 钟德君. 150例健康成人下颈椎矢状位曲度相关影像学参数测量及临床意义[J]. 中国临床解剖学杂志, 2020, 38(5): 549-553.

YANG Sheng, TANG Chao, ZHONH De-jun. Imaging evaluation of sagittal curvature of subaxial cervical spine in 150 normal population and its clinical significance[J]. Chinese Journal of Clinical Anatomy, 2020, 38(5): 549-553.

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150例健康成人下颈椎矢状位曲度相关影像学参数测量及临床意义

Imaging evaluation of sagittal curvature of subaxial cervical spine in 150 normal population and its clinical significance

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