| 于俊龙,李雪萍,陈安亮,程 凯,林爱翠,安恒远,高明霞.原发性骨质疏松患者的腰椎前凸角、骶骨倾斜角的变化特征[J].中国康复医学杂志,2011,26(11):1039~1042 |
| 原发性骨质疏松患者的腰椎前凸角、骶骨倾斜角的变化特征 点此下载全文 |
| 于俊龙 李雪萍 陈安亮 程 凯 林爱翠 安恒远 高明霞 |
| 南京医科大学附属南京第一医院康复医学科，南京，210006 |
| 基金项目：南京市医学科技发展项目（YKK08087）；南京医科大学科技发展基金项目（08NMUZ046） |
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| 摘要
目的：探讨原发性骨质疏松症患者腰椎前凸角、骶骨倾斜角的变化特征。
方法：85例腰背痛患者入选本项研究， 选择39例原发性骨质疏松症患者为观察组，其中男性27例，女性12例，年龄最大77岁，最小50岁，平均年龄（62.35±6.57）岁。同期经检查骨量正常者46例为对照组，男性27例，女性19例，年龄最大72岁，最小53岁，平均年龄（61.56±6.24）岁，研究对象均接受腰椎X线摄片和双能X线骨密度（BMD）检查，测量其腰椎X线片的腰椎前凸角、腰骶椎间盘角、骶骨倾斜角，并进行统计学分析。
结果：观察组腰椎前凸角（35.00±19.91）、腰骶椎间盘角（13.87±4.26）、骶骨倾斜角（27.56±7.13），分别与对照组腰椎前凸角（37.61±5.32）、腰骶椎间盘角（17.46±3.29）、骶骨倾斜角（30.07±5.28）相比均偏小，差异均有显著性意义（P＜0.05）；观察组与对照组腰椎BMD与腰椎前凸角、腰骶椎间盘角、骶骨倾斜角均呈正相关（P＜0.05）。
结论：腰椎BMD与腰椎前凸角、骶骨倾斜角存在相关性，原发性骨质疏松患者的腰椎前凸角、骶骨倾斜角呈减小趋势，提示原发性骨质疏松有较高的发生腰椎骨折及腰背痛的危险性。 |
| 关键词：骨质疏松 腰椎 骨密度 生物力学 |
| Characteristics of lumbar lordosis angle and sacral inclination angle of patients with primary osteoporosis Download Fulltext |
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| Rehabilitation Department of Nanjing First Hospital, Nanjing, 210006 |
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| Abstract: |
| Abstract
Objective: To research the characteristics of lumbar lordosis angle and sacral inclination angle of patients with primary osteoporosis.
Method: Eighty-five patients with low back pain were selected. The observation group included 39 patients with primary osteoporosis, of which 27 male and 12 female, 50—77 years old (62.35±6.57). The control group included 46 patients with normal bone content, of which 27 male and 19 female, 53—72 years old (61.56±6.24). All the patients of the two groups accepted X-ray bone mineral density(BMD) and Dual energy X-ray tests. The lumbar lordosis angle, lumbosacral disc angle and sacral inclination angle were analyzed.
Result: The lumbar lordosis angle (35.00±19.91 vs 37.61±5.32), lumbosacral disc angle (13.87±4.26 vs 17.46±3.29) and sacral inclination angle (27.56±7.13 vs 30.07±5.28) decreased significantly in observation group than those in control group (P＜0.05). There were positive correlations between lumbar BMD and lumbar lordosis angle, lumbosacral disc angle as well as sacral inclination angle respectively both in observation group and control group(P<0.05).
Conclusion: There is correlations between lumbar BMD and lumbar lordosis angle, lumbar BMD and sacral inclination angle. The lumbar lordosis angle and sacral inclination angle show a decrease trend in patients with primary osteoporosis. It suggest primary osteoporosis patients maybe have a high possibility to suffer from vertebral fractures and low back pain. |
| Keywords:osteoporosis lumbar bone mineral density biomechanics |
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