The effects of vertebral rotation on the position of the aorta relative to the spine in patients with adult degenerative scoliosis.
The effects of vertebral rotation on the position of the aorta relative to the spine in patients with adult degenerative scoliosis.
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DOI：
10.1177/20406223211027108
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发表时间：
2021
影响因子：
3.5
通讯作者：
Mao K
中科院分区：
文献类型：
--
作者：
Liang Y;Xu S;Zhao Y;Liu H;Mao K
本研究旨在探讨椎体旋转对主动脉相对于椎弓根和腰椎位置的影响，并确定成人退行性脊柱侧凸（ADS）患者椎体旋转的危险因素。将71例ADS患者分为左侧侧凸（LS）组（n = 40例）和右侧侧凸（RS）组（n = 31例），人口统计学匹配良好。x线测量顶点椎体、Cobb角（°）、冠状水平运动、胸腰椎后凸（TLK）和Nash-Moe旋转分型。在T2-MRI上对椎间盘各节段建立笛卡尔坐标系，其中对MRI上T12-L1至L3-L4节段各节段的主动脉-椎体角（α）、主动脉-椎体距离(d)和椎体旋转角（γ）在笛卡尔坐标系内进行定义。LS组与RS组的根椎分布无统计学差异。两组间Nash-Moe分型差异无统计学意义。当Cobb角和冠状面水平运动增大时，LS组γ增大，RS组γ减小（p < 0.001）。γ、α、d在LS组（p = 0.908、0.661）和RS组（p = 0.738、0.289）均无相关性。LS组Nash-Moe分型与Cobb角、冠状运动及TLK相关。RS组与Cobb角、冠状运动相关。Cobb角是RS组Nash-Moe分型的危险因素，LS组未发现危险因素。冠状动脉运动是LS组γ的独立危险因素（p = 0.003）。RS组γ受Cobb角（p = 0.001）和冠状水平运动（p = 0.006）的影响。ADS患者的椎体旋转可通过x线测量Cobb角或冠状位水平运动来预测，ADS患者的主动脉保持相对正常的位置。
This study aimed to explore the effects of vertebral rotation on the position of the aorta relative to the thracolumbar and lumbar spine, and to identify risk factors for vertebral rotation in patients with adult degenerative scoliosis (ADS). A total of 71 patients with ADS were divided into left scoliosis (LS) group (n = 40 cases) and right scoliosis (RS) group (n = 31cases) with well-matched demographics. Apical vertebrae, Cobb angle (°), coronal horizontal movement, thoracolumbar kyphosis (TLK) and Nash–Moe rotation classification were measured on X-ray. The Cartesian coordinate system was established on T2-MRI for each level of intervertebral disc on thracolumbar and lumbar spine, where aorta–vertebrae angle (α), aorta–vertebrae distance (d), and vertebral rotation angle (γ) for each level of T12-L1 to L3-L4 on MRI were defined within the Cartesian coordinate system. There was no statistical difference in the distribution of apical vertebrae between LS and RS groups. Nash–Moe classification was of no significance between the two groups. When there was a larger Cobb angle and coronal horizontal movement, a greater γ in LS group and a lower γ in RS group were noted (both p < 0.001). There was no correlation among γ, α, and d in LS group (p = 0.908 and 0.661, respectively) nor in RS group (p = 0.738 and 0.289, respectively). In LS group, Nash–Moe classification correlated to Cobb angle, coronal movement and TLK. In RS group, it correlated to Cobb angle and coronal movement. Cobb angle was the risk factor for Nash–Moe classification in RS group while no factors were identified in LS group. Coronal movement was independent risk factor for γ (p = 0.003) in LS group. Moreover, γ was affected by Cobb angle (p = 0.001) and coronal horizontal movement (p = 0.006) in RS group. Vertebral rotation could be predicted by Cobb angle or coronal horizontal movement measured on X-ray in ADS patients and aorta maintained in a relatively normal position in patients with ADS.
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影响因子：
3
作者：
Chang, Dong-Gune;Yang, Jae Hyuk;Lee, Jung-Hee
通讯作者：
Lee, Jung-Hee
影响因子：
2.8
作者：
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通讯作者：
Acaroglu, Emre
影响因子：
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通讯作者：
Czaprowski, Dariusz
影响因子：
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通讯作者：
Sucato, Daniel J.
影响因子：
3
作者：
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通讯作者：
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