机构:[1]Peking Univ First Hosp, Dept Orthopaed, 8 Xishiku St, Beijing 100034, Peoples R China[2]Capital Med Univ, Xuanwu Hosp, Beijing, Peoples R China首都医科大学宣武医院[3]Peking Univ First Hosp, Dept Med Imaging, Beijing, Peoples R China
Study Design: Retrospective radiological study. Objectives: Physical examination reveals sciatic scoliotic list (SSL) in some patients with lumbar disc herniation (LDH). We aimed to evaluate the coronal and sagittal parameters of the SSL curve, describe their characteristics, and establish a new classification system. Methods: We retrospectively reviewed 230 patients (SSL group = 96; non-SSL group = 134) diagnosed with single-segment LDH from January 2018 to December 2020. The control group comprised 70 healthy volunteers. Radiographic parameters were compared between the groups. Results: In the SSL group, the Cobb's angle was 12.5 +/- 5.3 degrees (4.2-31.2), trunk shift 26.2 +/- 17.9 mm (.0-88.2 mm), and apical vertebral translation 31.7 +/- 16.0 mm (1.18-8.58 mm). Further, 62.5% of patients had L4/5 disc herniation, 76.0% had disc herniation at the convex side of the lumbosacral scoliosis, and 81.3% had disc herniation at the opposite side of the trunk shift. Compared to the control group, lumbar lordosis and thoracic kyphosis decreased, pelvic tilt increased, and the sagittal vertical axis moved forward in the other patients. The sagittal imbalance in the SSL group exacerbated. Using the positional relationship between vertebrae and the central sacral vertical line (CSVL), we identified two main SSL patterns with which 95.8% of the patients were defined as Type 1. Conclusions: The SSL curve is characterized by a long thoracic or thoracolumbar curve, with a relatively straight sagittal profile and little rotation. Further, the lumbar and thoracic vertebrae shifts are on the same side as the CSVL. These features of the SSL curve differentiate it from other types of structural scoliosis.
基金:
capital health research and development of special fund [2022-2Z-40713]
第一作者机构:[1]Peking Univ First Hosp, Dept Orthopaed, 8 Xishiku St, Beijing 100034, Peoples R China
通讯作者:
通讯机构:[1]Peking Univ First Hosp, Dept Orthopaed, 8 Xishiku St, Beijing 100034, Peoples R China[*1]Department of Orthopedics, Peking University First Hospital, No. 8 Xishiku Street, Beijing 100034, China.
推荐引用方式(GB/T 7714):
Zhao Yao,Qi Longtao,Ding Chenyuan,et al.Characteristics of Sciatic Scoliotic List in Lumbar Disc Herniation[J].GLOBAL SPINE JOURNAL.2024,14(3):894-901.doi:10.1177/21925682221126123.
APA:
Zhao, Yao,Qi, Longtao,Ding, Chenyuan,Quan, Shuo,Xu, Beiyu...&Li, Chunde.(2024).Characteristics of Sciatic Scoliotic List in Lumbar Disc Herniation.GLOBAL SPINE JOURNAL,14,(3)
MLA:
Zhao, Yao,et al."Characteristics of Sciatic Scoliotic List in Lumbar Disc Herniation".GLOBAL SPINE JOURNAL 14..3(2024):894-901