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颈椎矢状面曲度的研究进展

翟吉良 胡建华

翟吉良, 胡建华. 颈椎矢状面曲度的研究进展[J]. 协和医学杂志, 2019, 10(6): 647-653. doi: 10.3969/j.issn.1674-9081.2019.06.017
引用本文: 翟吉良, 胡建华. 颈椎矢状面曲度的研究进展[J]. 协和医学杂志, 2019, 10(6): 647-653. doi: 10.3969/j.issn.1674-9081.2019.06.017
Ji-liang ZHAI, Jian-hua HU. The Study of Sagittal Curvature of Cervical Spine[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 647-653. doi: 10.3969/j.issn.1674-9081.2019.06.017
Citation: Ji-liang ZHAI, Jian-hua HU. The Study of Sagittal Curvature of Cervical Spine[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 647-653. doi: 10.3969/j.issn.1674-9081.2019.06.017

颈椎矢状面曲度的研究进展

doi: 10.3969/j.issn.1674-9081.2019.06.017
详细信息
    通讯作者:

    胡建华 电话:010-69152800, E-mail:jianhuahu@163.com

  • 中图分类号: R68

The Study of Sagittal Curvature of Cervical Spine

More Information
  • 摘要: 深入认识颈椎矢状面曲度对进一步研究颈椎病、邻椎病的发病机制以及提高手术疗效具有重要作用。但既往文献中, 关于胸腰椎曲度与患者生活质量或功能状态关系的研究较多, 而有关颈椎曲度的研究相对较少, 有必要进行大宗病例的前瞻性研究。本文对颈椎曲度的测量方法、颈椎正常曲度、颈椎曲度对颈椎病及邻椎病的影响、颈椎曲度与临床疗效的关系等进行综述, 以期为脊柱外科医生了解和治疗颈椎疾病提供参考。
    利益冲突  无
  • 图  1  颈椎前凸角测量方法

    A.Cobb角法;B.Jackson应力切线法;C.Harrison后缘切线法

    图  2  C2-7 SVA为C7椎体后上缘与经过C2椎体中央或齿突的铅垂线之间的距离,COG-C7 SVA为C7椎体后上缘与头颅重力线之间的垂直距离

    SVA:矢状面垂直轴;COG:重力线

    图  3  颈部倾斜、胸廓入口角及下倾斜角测量方法

    表  1  150例未成年人不同节段颈椎正常曲度(°)[11]

    年龄(岁) O~C2 C1~C2 C2~C7 C1~C7 C7
    3.6~10.9 -15.2±6.7 -26.0±6.2 -6.5±11.7 -32.7±11.3 21.7±6.9
    11~18 -18.3±6.1 -30.3±6.0 -0.7±11.0 -30.5±10.1 17.4±6.6
    下载: 导出CSV

    表  2  1230例成人颈椎正常曲度(°)[12]

    年龄(岁) 男性 女性
    20~29 10.8±11.6 5.2±11.4
    30~39 10.7±10.9 7.0±11.2
    40~49 14.1±10.4 9.9±11.2
    50~59 18.4±12.8 15.7±12.2
    60~69 18.4±11.6 16.9±10.8
    70~79 20.7±12.0 18.7±10.6
    下载: 导出CSV
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  • 收稿日期:  2017-05-22
  • 刊出日期:  2019-11-30

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