站位活动腰椎小关节三维CT测量
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陈焕雄,副主任医师,研究方向:脊柱外科,(电话)13111941188,(电子信箱)chenhuanxiong86@163.com

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R681.57

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国家自然科学基金项目(编号:82160435)


Three-dimensional CT measurement of lumbar facet joints in standing activities
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    摘要:

    [目的] 分析站立活动时腰椎小关节 (lumbar facet joint, LFJ) 在体三维运动学特征。[方法] 招募 10 名无腰椎疾病的志愿者。通过高分辨 CT 获取志愿者腰椎模型并与双荧光透视成像系统获取的图像相匹配,可再现 LFJ 瞬时运动状态,并分析其位移和旋转角度等运动学特征。[结果]屈伸运动中,在 L4~L5节段的旋转范围最大(3.6±2.7)°(P>0.05)。平移范围在 L5S1 节段最大 (P>0.05)。左右平移范围在前后方向上 (Y 轴方向) L3~L4右侧显著大于左侧 [(0.9±0.5)mm vs (0.4±0.5)mm, P<0.05], L4~L5节段左侧显著大于右侧 [(1.6±0.8)mm vs (1.1±0.4)mm, P<0.05]。侧弯运动中,在 L3~L4节段的旋转范围最大(4.9±4.4)° (P< 0.05)。平移范围在 L3~4节段最大(P>0.05)。L4~L5水平的左右 LFJ 平移范围在左右方向(X 轴方向)左侧显著大于右侧 [(0.7±0.5) mm vs (0.6±0.4)mm, P<0.05]。旋转运动中,L3~L4节段的旋转范围最大(2.6±1.7)°,L3~L4水平的左右 LFJ 平移范围在左右方向上 (X 轴方向)右侧显著大于左侧 [(0.7±0.5)mm vs (0.6±0.4)mm, P<0.05]。[结论]LFJ 在体运动特征与其运动方式有关,复杂姿势以耦合运动为主。

    Abstract:

    [Objective] To analyze the three-dimensional kinematic characteristics of the lumbar facet joint (LFJ) activity when stand- ing. [Methods] Ten volunteers without lumbar disease were recruited, and underwent high- resolution CT and dural fluoroscopy examina- tions. The lumbar spine model of the volunteers was established matched with the images obtained by the dural fluoroscopic imaging system to reproduce the instantaneous motion state of LFJ, and analyze its kinematic characteristics, such as displacement and rotation angle. [Results] In term of flexion and extension, the maximum rotation range was (3.6±2.7)° at L4~L5 segments (P<0.05), while the maximum transla- tion range was at L5S1 segments (P<0.05). The left-right translation range at L3~L4 was significantly greater on the right side than on the left side [(0.9±0.5)mm vs (0.4±0.5)mm, P<0.05], while which at L4~L5 segment proved greater on the left than the right [(1.6±0.8)mm vs (1.1±0.4) mm, P<0.05]. In term of lateral bending motion, the maximum rotation range was (4.9±4.4)° in L3~L4 segments (P<0.05), while the maximum translation range was at L3-4 segments (P<0.05). The translational range of LFJ at the L4~L5 level was significantly greater on the left than on the right [(0.7±0.5)mm vs (0.6±0.4)mm, P<0.05]. In term of rotation motion, the rotation range of L3~L4 was the largest (2.6±1.7)°, and the translation range of L3~L4 was significantly larger on the right than the left [(0.7±0.5)mm vs (0.6±0.4)mm, P<0.05]. [Conclusion] The move- ment characteristics of LFJ are related to its movement mode, with complex postures dominated by coupled motion.

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引用本文

陈焕雄,文王强,李国军,等. 站位活动腰椎小关节三维CT测量[J]. 中国矫形外科杂志, 2023, 31 (9): 828-832. DOI:10.3977/j. issn.1005-8478.2023.09.12.
CHEN Huan-xiong, WEN Wang-qiang, LI Guo-jun, et al. Three-dimensional CT measurement of lumbar facet joints in standing activities[J]. Orthopedic Journal of China , 2023, 31 (9): 828-832. DOI:10.3977/j. issn.1005-8478.2023.09.12.

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  • 收稿日期:2022-10-18
  • 最后修改日期:2023-02-27
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  • 在线发布日期: 2023-05-25
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