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腰椎侧弯患者关节突关节形态及其临床意义
引用本文:杨卫新,章稼,何怀,昝云强. 腰椎侧弯患者关节突关节形态及其临床意义[J]. 中国康复医学杂志, 2003, 18(11): 656-658
作者姓名:杨卫新  章稼  何怀  昝云强
作者单位:1. 苏州大学附属第一医院康复医学科,215006
2. 苏州卫生学校康复医学教研室
摘    要:目的:研究下腰痛患者关节突关节形态与腰椎侧弯的关系。方法:37例腰椎侧弯的下腰痛患者,通过X线摄片和CT轴向扫描,测量L3/4、LA/5、L5/S1关节突关节形态。26例正常者作为对照。结果:在腰椎侧弯患者中L4/5节段关节突关节不对称为72%,L5/S1节段为49%。结论:腰椎侧弯与关节突关节不对称有关,可能是侧方不稳、滑脱的原因。

关 键 词:腰椎侧弯 关节突关节形态 下腰痛 X线摄片 CT轴向扫描
修稿时间:2003-07-26

The facet joint morphology of lumbar lateral curvature and clinical significance
YANG Weixin,ZHANG J ia,HE Huai,et al.. The facet joint morphology of lumbar lateral curvature and clinical significance[J]. China Journal of Rehabilitation Medicine, 2003, 18(11): 656-658
Authors:YANG Weixin  ZHANG J ia  HE Huai  et al.
Affiliation:YANG Weixin,ZHANG J ia,HE Huai,et al.Author' s address Department of Rehabilitation Medicine,The First Affiliated Hospital of Suzhou University,Suzhou,215006
Abstract:Objective:To study the relationship between facet joint mophorlogy and lumbar lateral curvature in patients with low back pain.Method:37subjects aged42years with lumbar lateral curvature at lower lumbar spine and26normal subjects were examined.Computed tomographic scans and X-ray films were defined the morphology of the facet joint.Result:Subjects with facet tropism had a significantly higher prevalence of lumbar lateral curvature.There was significant difference in the distribution of the more coronally facing joints with respect to the side of lateral curvature and spondylolisthesis.Conclusion:Lateral curvature at lower lumbar spine is associated with facet joint morphology and may be the cause of lateral instability and spondylolisthesis.
Keywords:facet tropism  lumbar lateral curvature  low back pain
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