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史洪洋△,赵天翌△,孙晨曦,侯洋,史国栋*.腰椎椎间隙高度与上位椎体高度的比值与椎间盘退行性变Pfirrmann分级的相关性[J].脊柱外科杂志,2023,21(1):40-43,67.
腰椎椎间隙高度与上位椎体高度的比值与椎间盘退行性变Pfirrmann分级的相关性     点此下载全文 (Fulltext)
史洪洋△  赵天翌△  孙晨曦  侯洋  史国栋*
海军军医大学长征医院骨科, 上海 200003
基金项目:长征医院院级教学成果培育重点项目(JXPY2021B09)长征医院院级军事医学科研专项(2019CZJS209)
DOI:10.3969/j.issn.1672-2957.2023.01.007
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摘要:
      目的 探讨腰椎椎间隙高度与上位椎体高度的比值与椎间盘退行性变程度之间的关系,为腰椎椎间盘退行性疾病的诊断和治疗提供客观准确的依据。方法 回顾性分析2019年1月—2019年6月来本院就诊的61例腰椎椎间盘退行性变患者临床资料。在腰椎侧位X线片上测量腰椎椎间隙及相应上位椎体的高度,并计算椎间隙高度与上位椎体高度的比值;在腰椎矢状位MRI上评估腰椎椎间盘退行性变Pfirrmann分级;比较不同Pfirrmann分级椎间盘的椎间隙高度与上位椎体高度比值的差异,并采用Spearman相关分析研究椎间隙高度与上位椎体高度比值与相应节段椎间盘Pfirrmann分级之间的相关性。结果 除L1/L2节段,其余各节段椎间隙高度与上位椎体高度比值均随着Pfirrmann分级增加而逐渐减小,差异均有统计学意义(P < 0.05)。相同Pfirrmann分级的不同节段椎间盘之间椎间隙高度与上位椎体高度比值差异无统计学意义(P > 0.05)。Spearman相关分析结果显示,L2/L3、L3/L4、L4/L5、L5/S1节段Pfirrmann分级与椎间隙高度与上位椎体高度比值呈负相关(r =-0.568,P < 0.05)。结论 临床上测量L2/L3、L3/L4、L4/L5、L5/S1节段椎间隙高度与上位椎体高度比值对腰椎椎间盘退行性疾病的诊断可能具有重要意义。
关键词:腰椎  椎间盘退行性变  摄影测量法
Correlation between ratio of lumbar intervertebral space height to upper vertebral body height and Pfirrmann grading of intervertebral disc degeneration    Fulltext
Shi Hongyang△  Zhao Tianyi△  Sun Chenxi  Hou Yang  Shi Guodong*
Department of Orthopaedics, Changzheng Hospital, Naval Medical University, Shanghai 200003, China
Fund Project:
Abstract:
      Objective To explore the relationship between the ratio of lumbar intervertebral space height to superior vertebral body height and the degree of intervertebral disc degeneration, so as to provide an objective and accurate basis for the diagnosis and treatment of lumbar intervertebral disc degenerative diseases. Methods The data of 61 patients with lumbar intervertebral disc degeneration from January 2019 to June 2019 were analyzed retrospectively. The height of the lumbar intervertebral space and the corresponding superior vertebral body was measured on the lumbar lateral roentgenograph to calculate the ratio of lumbar intervertebral space height to superior vertebral body height, and the Pfirrmann grading of lumbar intervertebral disc degeneration was performed on the sagittal MRI. The difference in the ratio of lumbar intervertebral space height to superior vertebral body height was compared between different Pfirrmann grading groups, and Spearman correlation analysis was used to analyze the correlation between the ratio of lumbar intervertebral space height to superior vertebral body height and the Pfirrmann grading of intervertebral disc at the corresponding segments. Results Except L1/L2 segment, the ratio of intervertebral space height to superior vertebral body height in other segments decreased gradually with the increase of Pfirrmann grading, and the difference was statistically significant(P < 0.05). There was no significant difference in the ratio of intervertebral space height to superior vertebral body height between different segments of intervertebral discs with the same Pfirrmann grading(P > 0.05). Spearman correlation analysis showed that Pfirmann grading of intervertebral disc degeneration at L2/L3, L3/L4, L4/L5, L5/S1 segments was negatively correlated with the ratio of lumbar intervertebral space height to superior vertebral body height(r =-0.568, P < 0.05). Conclusion It is important to measure the ratio of lumbar intervertebral space height to superior vertebral body height for the diagnosis of lumbar intervertebral disc degenerative diseases.
Keywords:Lumbar vertebrae  Intervertebral disc degeneration  Photogrammetry
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