陈超;陈凯;王传峰;朱晓东;李明;

• 1:第二军医大学附属长海医院骨科

摘要(Abstract)：

[目的]通过分析Lenke 1型AIS患者冠状位及矢状位的术前影像学资料,探讨影响代偿性腰弯顶椎旋转畸形的影像学参数。[方法]回顾性分析2004～2011年58例以右胸弯为主弯的Lenke 1AL型AIS患者术前站立正、侧位X线像,测量冠状面及矢状面Cobb角,L4椎体倾斜度,骨盆旋转度,胸弯与腰弯的顶椎旋转度及腰弯顶椎节段所在节段等指标并进行相关分析。[结果]腰弯顶椎旋转度与冠状位腰弯Cobb角度(P<0.001),胸弯Cobb角度(P=0.012),L4椎体倾斜度(P<0.001)及骨盆旋转度(P=0.003)存在明显的相关关系,而控制腰弯Cobb角后胸弯顶椎旋转度(P=0.014)代替了胸弯Cobb角的相关性。[结论]Lenke 1AL型AIS代偿性腰弯顶椎旋转度受到冠状面及上下节段水平面轴向旋转畸形的影响,而与矢状面之间的关系无统计学意义。

关键词(KeyWords)： 代偿性腰弯;顶椎旋转度;青少年特发性脊柱侧凸;骨盆旋转度;冠状面

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 陈超;陈凯;王传峰;朱晓东;李明;

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参考文献(References)：

• [1]Lenke LG,Betz RR,Harms J,et al.Adolescent idiopathic scolio-sis:a new classification to determine extent of spinal arthrodesis[J].J Bone Joint Surg Am,2001,8:1169-1181.
• [2]Hannes B,Ashley AC,Brian JC,et al.Fixed lumbar apical verte-bral rotation predicts spinal decompensation in lenke type 3c adoles-cent idiopathic scoliosis after selective posterior thoracic correctionand fusion[J].Eur Spine J,2007,16:1570-1578.
• [3]Upasani VV,Tis J,Bastrom T,et al.Analysis of sagittal alignmentin thoracic and thoracolumbar curves in adolescent idiopathic scolio-sis:how do these two curve types differ[J].Spine(Phila Pa1976),2007,32:1355-1359.
• [4]Van Loon PJ,Khbauch BA,Thunissen FB.Forced lordosis on thethoracolumbar junction can correct coronal plane deformity in ado-lescents with double major curve pattern idiopathic scoliosis[J].Spine,2008,33:797-801.
• [5]张宏其,陈凌强,郭超峰,等.采用关键椎置钉及选择性融合治疗Lenke6型AIS可行性的有限元分析[J].中国矫形外科杂志,2012,6:541-544.
• [6]Miyanji F,Pawelek JB,Van Valin SE,et al.Is the lumbar modifi-er useful in surgical decision making[J].Spine(Phila Pa 1976),2008,23:2545-2551.
• [7]Gum JL,Asher MA,Burton DC,et al.Transverse plane pelvic ro-tation in adolescent idiopathic scoliosis:primary or compensatory[J].Eur Spine J,2007,10:1579-1586.
• [8]Ni H,Zhu X,He S,et al.An increased kyphosis of the thoracolum-bar junction is correlated to more axial vertebral rotation in thoraco-lumbar/lumbar adolescent idiopathic scoliosis[J].Spine(Phila Pa1976),2010,23:1334-1338.
• [9]Jansen RC,van Rhijn LW,Duinkerke E,et al.Predictability ofthe spontaneous lumbar curve correction after selective thoracic fu-sion in idiopathic scoliosis[J].Eur Spine J,2007,9:1335-1342.
• [10]Qiu XS,Zhang JJ,Yang SW,et al.Anatomical study of the pelvisin patients with adolescent idiopathic scoliosis[J].J Anat,2012,2:173-178.
• [11]王智伟,邱勇,王渭君,等.青少年特发性主胸弯脊柱侧弯患者骨盆旋转的影响因素[J].中华小儿外科杂志,2012,2:126-130.