青少年腰椎间盘突出症风险评估的研究进展

Research progress in risk assessment of lumbar disc herniation in adolescents

摘要:

青少年腰椎间盘突出症被越来越多的人所关注，目前对罹患青少年腰椎间盘突出症的风险因素研究也越来越受到重视，学者们发现青少年腰椎间盘突出症的主要风险因素有运动及创伤、腰骶移行椎、髂嵴间连线长度、L5椎体横突长度、小关节稳定性、腰骶角度参数、BMI 和腰臀比、吸烟、性别与职业等。如何利用这些风险因素来预测个体发生青少年腰椎间盘突出症的概率，以及能否用风险因素量表的方式为特殊职业人员的选用进行预测，这方面的工作还不多。本文就 ALDH 的主要危险因素及其评估的研究现状进行综述。

Abstract:

Adolescent lumbar disc herniation is now a growing concerned issue; more and more attention has been paid to the risk fac- tors of adolescent lumbar disc herniation. Scholars have found the main risk factors for adolescent lumbar disc herniation involving exercise and trauma, lumbosacral transition vertebra, the length of intercrestal line, the length of L5 transverse process, facet joint stability, lumbosa- cral angle, BMI and waist-hip ratio, smoking, gender and occupation, etc. However, how to use these risk factors to predict the probability of individual occurrence of lumbar disc herniation, and whether the risk factor scale can be used to predict the selection of special occupations remains a lot works to do. This article mainly reviews the research status of the main risk factors of adolescent lumbar disc herniation and rel- ative assessment.