| 腰椎节段性失稳的概念及诊断进展 |
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投稿时间：2006-07-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 顾勇杰 |
GU Yong-jie |
浙江大学医学院附属第二医院骨科,浙江杭州310009 |
Department of Orthopaedics,the 2nd Hospital Affiliated to Medical College of Zhejiang University,Hangzhou 310009,Zhejiang,China |
gyj1982@hotmail.com |
| 陈其昕 |
CHEN Qi-xin |
浙江大学医学院附属第二医院骨科,浙江杭州310009 |
Department of Orthopaedics,the 2nd Hospital Affiliated to Medical College of Zhejiang University,Hangzhou 310009,Zhejiang,China |
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| 期刊信息：《中国骨伤》2006年，第19卷，第11期，第697-699页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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| 中文摘要:在整个脊柱运动范围中存在着一个中性区域,在这个区域内,脊柱活动时受到的阻力较小。腰椎节段性失稳的定义是在生理载荷下,脊柱的稳定系统将脊柱运动的中性区域维持在生理范围内的能力减退,从而出现脊柱的畸形、神经症状和不能忍受的疼痛。脊柱的稳定系统由被动系统、主动系统和神经控制系统组成。腰椎节段性失稳是腰椎退变过程中一个暂时的阶段。腰椎屈伸侧位片拍摄的是腰椎活动的最后阶段,只反应了脊柱被动系统的功能,而没有反应主动系统和神经控制系统的功能。因为临床表现、腰椎正侧位片和体格检查可以反应脊柱的中性区城和稳定系统,所以能作为诊断腰椎节段性失稳的依据。 |
| 【关键词】腰椎 关节不稳定性 诊断 |
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| Advanced progress of conception and diagnosis for lumbar segmental instability |
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| ABSTRACT The neutral zone is the initial portion of the total range of motion of a spinal motion segment during which spinal motion is produced against minimal internal resistance.Lumbar segmental instability is defined as a decrease in the capacity of the stabilizing system of the spine of maintaining the spinal neutral zone within physiological limits,so that there are neurological deficit,majo deformity and incapacitating pain. The stabilizing system of the spine consists of passive,active and neutral control subsystems.Lumbar segmental instability is a temporary phase in the degenerative process of the lumbar spine. Flexion-extension radiographs taken at the end-range of movement will capture only the function of the passive stabilizing subsystem and fail to address the active and neural control subsystems.Diagnosis of lumbar segmental instability may also be based on the patient’s history,plain radiographs and examination findings,as they can address the neutral zone and the stabilizing system. |
| KEY WORDS Lumbar vertebrae Joint instability Diagnosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 顾勇杰,陈其昕.腰椎节段性失稳的概念及诊断进展[J].中国骨伤,2006,19(11):697~699 |
| 英文格式: | GU Yong-jie,CHEN Qi-xin.Advanced progress of conception and diagnosis for lumbar segmental instability[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(11):697~699 |
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