脊柱侧弯矢状面平衡参数研究The research advance of spinal sagittal balance parameters
朱文艺;藏磊;海涌;李健;孔晓川;周预;
摘要(Abstract):
[目的]脊柱侧弯是一种脊柱三维畸形,严重的侧弯往往需要手术矫正。目前已证实脊柱矢状面平衡参数对于优化手术策略至关重要。本文试图从总体上对这些参数进行分类,便于理解和分析,同时找出目前研究的趋势和进展。[方法]通过检索CNKI、Pub Med和ELSEVIER数据库,总结近几年脊柱矢状面平衡参数方面的研究成果,对比和分析相关参数。[结果]主要将矢状面平衡参数分为了6个部分:常用的矢状面整体平衡参数;特殊的矢状面整体平衡参数;常用的矢状面局部平衡参数;特殊的矢状面局部平衡参数;常用的骨盆参数;特殊的骨盆参数。[结论](1)脊柱矢状面平衡参数测量方法正逐渐由距离测量向角度和面积测量的变化;(2)多个参数与SVA关系密切;(3)脊柱外科手术计划的制定应充分考虑矢状面平衡参数。尽管有大量的文献报道,但大多数参数缺乏高质量的证据支持,需要进一步的研究从而更好的指导临床工作。
关键词(KeyWords): 矢状面;矢状面平衡;脊柱;骨盆
基金项目(Foundation):
作者(Author): 朱文艺;藏磊;海涌;李健;孔晓川;周预;
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DOI:
参考文献(References):
- [1]Johnson RD,Valore A,Villaminar A,et al.Sagittal balance and pelvic parameters-a paradigm shift in spinal surgery[J].J Clin Neurosci,2013,20(2):191-196.
- [2]Barrey C,Roussouly P,Perrin G,et al.Sagittal balance disorders in severe degenerative spine.Can we Identify the compensatory mechanisms[J].Eur Spine J,2011,20(15):626-633.
- [3]邱勇.重视成人脊柱畸形矫形中脊柱-骨盆矢状面平衡的重建[J].中国脊柱脊髓杂志,2012,22(3):193-195.
- [4]乔军,邱勇,朱峰,等.T1骨盆角与退变性脊柱侧凸患者脊柱骨盆矢状面平衡以及生活质量的相关性分析[J].中国脊柱脊髓杂志,2014,24(8):686-690.
- [5]Schwab FJ,Blondel B,Bess S,et al.Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity:a prospective multicenter analysis[J].Spine(Phila Pa 1976),2013,38(13):803-812.
- [6]Ryan DJ,Protopsaltis TS,Ames CP,et al.T1pelvic angle(TPA)effectively evaluates sagittal deformity and assesses radiographical surgical outcomes longitudinally[J].Spine(Phila Pa 1976),2014,39(15):1203-1210.
- [7]Moon M,Kim S,Lee B,et al.Sagittal spinal alignment and its clinical implications[J].Spine,2013,27(4):201-214.
- [8]Jackson PR.Congruent spinopelvic alignment on standing lateral radiographs of adult volunteers[J].Spine(Phila Pa 1976),2000,25(21):2808-2815.
- [9]Vitovec T,Janssen MMA,Likar B,et al.A review of methods for evaluating the quantitative parameters of sagittal pelvic alignment[J].Spine J,2012,12(5):433-446.
- [10]Janssen MMA,Vincken KL,van Raak SM,et al.Sagittal spinal profile and spinopelvic balance in parents of scoliotic children[J].Spine J,2013,13(12):1789-1800.
- [11]Schlsser TPC,Shah SA,Reichard SJ,et al.Differences in early sagittal plane alignment between thoracic and lumbar adolescent idiopathic scoliosis[J].Spine J,2014,14(2):282-290.
- [12]Schwab FJ,Smith VA,Biserni M,et al.Adult scoliosis:a quantitative radiographic and clinical analysis[J].Spine(Phila Pa 1976),2002,27(4):387-392.
- [13]Knott PT,Mardjetko SM,Techy F.The use of the T1sagittal angle in predicting overall sagittal balance of the spine[J].Spine J,2010,10(11):994-998.
- [14]Deinlein D,Bhandarkar A,Vernon P,et al.Correlation of pelvic and spinal parameters in adult deformity patients with neutral sagittal balance[J].Spine Deformity,2013,1(6):458-463.
- [15]Gardocki RJ,Watkins RG,Williams LA.Measurements of lumbopelvic lordosis using the pelvic radius technique as it correlates with sagittal spinal balance and sacral translation[J].Spine J,2002,2(6):421-429.
- [16]Tebet MA.Current concepts on the sagittal balance and classification of spondylolysis and spondylolisthesis[J].Rev Bras Ortop,2014,1:3-12.
- [17]Pellet N,Aunoble S,Meyrat R,et al.Sagittal balance parameters influence indications for lumbar disc arthroplasty or ALIF[J].Eur Spine J,2011,20(5):647-662.
- [18]Schwab F,Lafage V,Patel A,et al.Sagittal plane considerations and the pelvis in the adult patient[J].Spine(Phila Pa 1976),2009,17:1828-1833.
- [19]刘辉,郑召民,李思贝,等.重度成人特发性脊柱侧凸脊柱-骨盆矢状面特点分析[J].中国脊柱脊髓杂志,2014,24(8):691-698.
- [20]陈宗霖,夏磊.脊柱侧弯患者术前术后骨盆矢状位参数分析[J].河南医学研究,2012,21(1):29-31.
- [21]陈涛,黎观保,梁科友,等.脊柱-骨盆矢状面平衡及其在脊柱疾病治疗中的作用[J].中国组织工程研究,2013,16(13):2423-2430.