摘要
[目的]探讨椎间盘退变在成人峡部裂性腰椎滑脱病理进展中的作用。[方法]随访156例峡部裂和峡部裂性腰椎滑脱患者,男86例,女70例。所有患者因腰部不适或下腰痛而拍摄X线片,发现峡部裂或滑脱。依据Meyerding滑脱分级,峡部裂而无滑脱患者68例,Ⅰ度滑脱患者88例。全部患者采用非手术治疗或不干预措施,观察病情的进展。依据Boxall等定义的滑脱进展指标,有40名患者,男24名,女16名,出现滑脱进展和椎间盘退变加重。[结果]随访时间3～9年,平均6.3年。椎体滑移增加程度为11%～30%(平均18.5%)。滑脱节段椎间盘高度降低45%～90%(平均72%)。采用x2双向有序分类资料的关联性检验进行统计学处理,椎间盘退变程度加重与滑脱病理进展有显著关联性。[结论]峡部裂性腰椎滑脱在成年人中也有一定的进展,椎间盘的退变可能是滑脱病理进展的原因之一。
[ Objective] To analyze the correlation hetween disk degeneration and development of isthmic spondylolisthesis in adults. [Method] Totally 156 patients who had spoondvlolvsis and spondylolisthesis were follow-up. There were 86 males and 70 females. All patients were made radiographs for lumbar discomfort or low hack pain. Spondylolysis and spondylolisthesis were discovered. According to Meyerding slip degree; 68 cases were spondylolysis, 88 cases were spondylolisthesis in degree Ⅰ . All patients were under conservative treatment and observed the development of the disease. According to Boxall defined the development of spondylolisthesis. There were 40 patients with development of spondylolisthesis and aggravation of dies degeneration. 24 males, 16 females. [Result] All the patients were followed-up for 3 -9 years, with an average of 6. 3 years. Lumbar vertebra slippage increased about 11% -30% （average 18.5% ）, the height of intervertebral disk decreased about 45% - 90% （ average 72% ） in the level of spondylolysis, x^2 test was used for statistical treatment, There was a significant positive correlation between development of isthmic spondylolisthesis in adults and aggravation of disk degeneration. [ Conclusion] There are development in adults of spondylolysis and spondylolisthesis, may be correlated to the disc degeneration.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2007年第17期1287-1289,共3页
Orthopedic Journal of China
关键词
腰椎滑脱
进展
病因
椎间盘
退变
spondylolisthesis
development
etiopathology
intervertebra disk
degeneration
