全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

X线与CT影像学测量成人颈椎矢状面参数的差异

, PP. 1997-2000

Keywords: 颈椎,矢状面参数,影像测量

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的分析成人颈椎X线与CT重建图像中矢状面参数的差异及相关性。方法收集67例因轻微头颈部症状在我院行颈椎X线及颈椎CT检查的患者资料,测量并比较两种检查方法中C2~C7的Cobb角、Gore角、颈椎曲率指数(CCI)、胸廓入口角(TIA)、T1倾斜角(T1S)及颈倾斜角(NT);利用Pearson相关检验进行各对应参数的相关性分析。结果颈椎X线测量的Cobb角、Gore角及T1S均大于CT图像中的数据,而NT小于CT的测量结果(P<0.05);两种测量方法的CCI和TIA参数之间的差异无统计学意义(P>0.05)。观察者间对各参数测量的一致性均为良好。各项参数所对应的两种影像学测量数据之间均呈正相关(P<0.05)。结论成人颈椎X线与CT图像中所测量的矢状面参数存在一定差异,临床评估中应引起关注。

References

[1]  Scheer J K,? Tang J A,? Smith J S, et al. Cervical spine alignment,? sagittal deformity,? and clinical implications:? a review[J]. J Neurosurg Spine,? 2013,? 19(2): 141-159. [2]Ames C P,? Blondel B,? Scheer J K, et al. Cervical radiographical alignment:? comprehensive assessment techniques and potential importance in cervical myelopathy[J]. Spine (Phila Pa 1976),? 2013,? 38(22 Suppl 1):? S149-S160. [3]Park S M,? Song K S,? Park S H, et al. Does whole-spine lateral radiograph with clavicle positioning reflect the correct cervical sagittal alignment?[J]. Eur Spine J,? 2015,? 24(1): 57-62. [4]Takeshita K,? Murakami M,? Kobayashi A, et al. Relationship between cervical curvature index (Ishihara) and cervical spine angle (C2-7) [J]. J Orthop Sci,? 2001,? 6(3):? 223-226. [5]Lee S H,? Kim K T,? Seo E M, et al. The influence of thoracic inl?et al?ignment on the craniocervical sagittal balance in asymptomatic adults[J]. J Spinal Disord Tech,? 2012,? 25(2): E41-E47. [6]刘辉,? 郑召民,? 李思贝,? 等. 脊柱-骨盆曲线和谐角在脊柱畸形矢状面评价中的应用[J]. 中华骨科杂志,? 2014,? 34(8):? 831-838. [7]Villavicencio A T,? Babuska J M,? Ashton A, et al. Prospective,? randomized,? double-blind clinical study evaluating the correlation of clinical outcomes and cervical sagittal alignment[J]. Neurosurgery,? 2011,? 68(5): 1309-1316. [8]Lee J S,? Youn M S,? Shin J K, et al. Relationship between cervical sagittal alignment and quality of life in ankylosing spondylitis[J]. Eur Spine J,? 2015,? 24(6):? 1199-203. [9]Knott P T,? Mardjetko S M,? Techy F. The use of the T1 sagittal angle in predicting overall sagittal balance of the spine[J]. Spine J,? 2010,? 10(11): 994-998. [10]吴炳轩,? 刘宝戈,? 刘振宇,? 等. 颈椎曲度和活动度参数的影响因素[J]. 中华骨科杂志,? 2014,? 34(4): 380-386. [11]Park J H,? Cho C B,? Song J H, et al. T1 Slope and Cervical Sagittal Alignment on Cervical CT Radiographs of Asymptomatic Persons[J]. J Korean Neurosurg Soc,? 2013,? 53(6): 356-359. [12]Lee S H,? Son E S,? Seo E M, et al. Factors determining cervical spine sagittal balance in asymptomatic adults:? correlation with spinopelvic balance and thoracic inl?et al?ignment[J]. Spine J,? 2015,? 15(4): 705-712. [13]Kim T H,? Lee S Y,? Kim Y C, et al. T1 slope as a predictor of kyphotic alignment change after laminoplasty in patients with cervical myelopathy[J]. Spine (Phila Pa 1976),? 2013,? 38(16): E992-E997.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133