지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 335 - 342 (8page)
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초록· 키워드
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Study Design: Cross sectional study. Purpose: To clarify the difference in position of the psoas muscle between adult spinal deformity (ASD) and lumbar spinal stenosis (LSS). Overview of Literature: Although it is known that the psoas major muscle deviates in ASD patients, no report is available regarding the difference in comparison with LSS patients. Methods: This study investigates 39 patients. For evaluating spinal alignment, pelvic tilt (PT), pelvic incidence (PI), sacral slope, lumbar lordosis (LL), PI–LL, Cobb angle, and the convex side, the lumbar curves were measured. For measuring the position of the psoas major at the L4/5 disk level, magnetic resonance imaging was used. The displacements of psoas major muscle were measured separately in the anterior–posterior and lateral directions. We examined the relationship between the radiographic parameters and anterior displacement (AD) and lateral displacement (LD) of the psoas major muscle. Results: AD was demonstrated in 15 cases with ASD and nine cases with LSS (p >0.05). LD was observed in 13 cases with ASD and no cases with LSS (p <0.01). The Cobb angle was significantly greater in cases with AD than in those without AD (p =0.04). PT, LL, PI– LL, and Cobb angle were significantly greater in cases with LD (p <0.05). All cases with LD had AD, but no case without AD had LD (p <0.001). The side of greater displacement at L4/5 and the convex side of the lumbar curve were consistent in all cases. Conclusions: Despite AD being observed in LSS as well, LD was observed only in the ASD group. Radiographic parameters were worse when LD was seen, rather than AD.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Takemitsu Y / 1988 / Lumbar degenerative kyphosis: clinical, radiological and epidemiological studies / Spine (Phila Pa 1976) 13:1317~1326
Santaguida PL / 1995 / The psoas major muscle: a three-dimensional geometric study / J Biomech 28:339~345
Benglis DM / 2008 / Minimally invasive anterolateral approaches for the treatment of back pain and adult degenerative deformity / Neurosurgery 63(3 Suppl):191~196
Davis TT / 2011 / Lumbar plexus anatomy within the psoas muscle: implications for the transpsoas lateral approach to the L4-L5 disc / J Bone Joint Surg Am 93:1482~1487
Kepler CK / 2011 / Anatomy of the psoas muscle and lumbar plexus with respect to the surgical approach for lateral transpsoas interbody fusion / Eur Spine J 20:550~556
Santaguida PL / 1995 / The psoas major muscle: a three-dimensional geometric study / J Biomech 28:339~345
Benglis DM / 2008 / Minimally invasive anterolateral approaches for the treatment of back pain and adult degenerative deformity / Neurosurgery 63(3 Suppl):191~196
Davis TT / 2011 / Lumbar plexus anatomy within the psoas muscle: implications for the transpsoas lateral approach to the L4-L5 disc / J Bone Joint Surg Am 93:1482~1487
Kepler CK / 2011 / Anatomy of the psoas muscle and lumbar plexus with respect to the surgical approach for lateral transpsoas interbody fusion / Eur Spine J 20:550~556
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