关节突关节角矢向化与退变性腰椎滑脱的关系

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摘要目的探讨关节突关节角（FJO）矢向化与退变性腰椎滑脱（DLS）的关系。方法选取内蒙古医科大学第二附属医院2017年1月～2019年11月腰4椎体向前I°滑脱住院患者100例，作为DLS组；另选取同期未发生腰椎滑脱患者100例，作为对照组。所有患者均行腰椎间盘CT（包含L3~S1各间隙）扫描。将扫描数据导入后处理工作站进行后处理，采用Meyerding方法对椎体滑脱程度进行分级。测量经椎弓根中央层面关节突关节与椎体冠状面夹角余角、关节突关节与棘突夹角，标为α1和α2，二者取平均值为该椎间隙FJO。结果 DLS组L3/4、L4/5、L5/S1 FJO均小于对照组，差异有统计学意义（P ＜ 0.05）。DLS组L4/5左右两侧FJO α1和α2差值大于对照组，差异有统计学意义（P ＜ 0.05）；DLS组L3/4、L5/S1左右两侧FJO α1和α2差值与对照组比较，差异无统计学意义（P ＞ 0.05）。结论腰椎FJO矢向化与腰椎滑脱密切相关，且滑脱椎体的相邻椎体的FJO具有矢向化趋势；滑脱椎体的左右FJO不对称度明显。

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	王宗博1 王宇光1 祝勇2 张志勇1

关键词 ：退变, 脊椎滑脱, 关节突关节角, 矢向化

Abstract：Objective To investigate the relationship between sagittal facet joint angle (FJO) and degenerative lumbar spondylolisthesis (DLS). Methods A total of 100 inpatients with anteriorⅠ° spondylolisthesis of the lumbar 4 vertebral body from January 2017 to November 2019 in the Second Affiliated Hospital of Inner Mongolia Medical University were selected as the DLS group, while another 100 cases without lumbar spondylolisthesis were selected as control group. All patients underwent lumbar disc CT (including L3-S1 space) scanning. The scanning data was imported into postprocessing workstation for postprocessing, and the degree of spondylolisthesis was graded using the Meyerding method. The angle between the articular process joint of the transpedicular pedicle and the coronal plane of the vertebral body, the angle between the articular process joint and the spinous process were measured which were marked as α1 and α2, respectively, and the average value of the two is the intervertebral space FJO. Results The FJO of L3/4, L4/5, L5/S1 in DLS group were smaller than those in control group, and the differences were statistically significant (P ＜ 0.05). The difference value of FJO α1 and α2 on the left and right sides of L4/5 in the DLS group were greater than those of the control group, and the differences were statistically significant (P ＜ 0.05); compared with the control group, the difference value of FJO α1 and α2 on the left and right sides of L3/4, L5/S1 in the DLS group were not statistically significant (P ＞ 0.05). Conclusion Lumbar vertebrae FJO sagittal is closely related to lumbar spondylolisthesis, and the FJO of the adjacent vertebral body of the spondylolisthesis body has a sagittal tendency; the left and right FJO asymmetry of the spondylolisthesis body is obvious.

Key words： Degeneration Spondylolysis Articular facet joint angle Sagittal

基金资助:内蒙古自治区自然科学基金资助项目（2019LH 08018）；
内蒙古医科大学科技百万（联合）项目[YKD2016KJ BW（LH）022]；
内蒙古医科大学青年创新基金项目（YKD201 7QNCX058）。

通讯作者: 王宇光（1976-），男，博士；研究方向：骨肌影像。

作者简介: 王宗博（1986-），男，硕士；研究方向：骨肌影像。

引用本文:

王宗博1 王宇光1 祝勇2 张志勇1. 关节突关节角矢向化与退变性腰椎滑脱的关系[J]. 中国医药导报, 2020, 17(18): 24-27.
WANG Zongbo1 WANG Yuguang1 ZHU Yong2 ZHANG Zhiyong1. The relationship between sagittal facet joint angle and degenerative lumbar spondylolisthesis. 中国医药导报, 2020, 17(18): 24-27.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2020/V17/I18/24

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