特发性脊柱侧凸患者颈椎曲度改变原因初探

摘要

目的 探索特发性脊柱侧凸患者颈椎曲度改变,并分析其矢状面形态形成原因.方法 2014-05-2015-06,我们对明确诊断的特发性脊柱侧凸患者30例进行比对研究,行脊柱站立位全长X线片检查,分别测量骨盆入射角、骶骨倾斜角、腰椎前凸、胸椎后凸及颈椎前凸角度,采用相关分析及回归分析的方法来评价颈椎曲度形成与其他诸测量变量的相关性.结果 组内患者颈椎前凸最小值(-22.)、最大值(25.),均值为(4.7±10.58).,相关分析显示,颈椎与胸椎曲度相关性P=0.019＜0.05,回归分析结果以颈椎前凸角为因变量时,自变量胸椎后凸角度标准系数为0.454,t=2.263,P=-0.033＜0.05,认为回归系数有显著意义.结论 特发性脊柱侧凸患者颈椎生理前凸消失与胸椎后凸减小相关.通过改善患者的平背畸形,有利于改善颈椎后凸,但必须通过大宗病例进行研究.%Objective To investigate the changes of curvature of the cervical spine in patients with scoliosis,and analyze the reasons for the formation of the sagittal structure.Methods The pelvic incidence angle,sacral slope,lumbar lordosis,thoracic kyphosis and cervical lordosis in X-ray results of 30 scoliosis patients were measured.The correlation analysis and regression analysis were used to analyze the relevance of sagittal parameters by SPSS.Results The minimum value of cervical lordosis was-22°,and the maximum value was 25° in 30 cases,the mean value was (4.7 ±10.58)°.The correlation between cervical lordosis and thoracic kyphosis was statistically significant by correlation analysis (P=0.019＜0.05) and regression analysis (P=0.033＜0.05).Conclusion Cervical lordosis is related to thoracic kyphosis in scoliosis patients.It is possible to reduce cervical lordosis by reposition flat back deformity,but this must be proved by a large case study.