腰骶部移行椎对脊柱–骨盆–髋关节复合体矢状面平衡参数的影像学研究进展
Advances in Imaging Research on the Impact of Lumbosacral Transitional Vertebra on Sagittal Balance Parameters of the Lumbopelvic-Hip Complex
DOI: 10.12677/acm.2025.1561735, PDF,   
作者: 杜 琳：重庆医科大学附属第一医院放射科，重庆；重庆市铜梁区中医院放射科，重庆；杨海涛*：重庆医科大学附属第一医院放射科，重庆
关键词: 腰骶部移行椎；矢状面平衡；脊柱–骨盆–髋关节复合体；脊柱生物力学；Lumbosacral Transitional Vertebra； Sagittal Balance； Lumbopelvic-Hip Complex； Spinal Biomechanics
摘要: 腰骶部移行椎(Lumbosacral Transitional Vertebra, LSTV)是一种常见的先天性脊柱变异，表现为腰椎骶化或骶椎腰化。LSTV通过改变腰骶部解剖结构及生物力学特性，影响脊柱–骨盆–髋关节复合体(Lumbopelvic-Hip Complex, LPHC)的矢状面平衡参数，且LSTV患者骶骨终板测量基准选择存在争议，严重影响临床术前评估及患者预后疗效。本文系统综述LSTV对LPHC矢状面平衡参数的影响及研究进展，旨在为术前手术方案的制定以及预后评估提供理论依据。
Abstract: Lumbosacral Transitional Vertebra (LSTV) is a common congenital spinal variation, characterized by either lumbarization of the cranial sacral vertebrae or sacralization of the caudal lumbar vertebrae. LSTV affects the sagittal balance parameters of the lumbopelvic-hip complex (LPHC) by altering the anatomical structure and biomechanical properties of the lumbosacral region. Additionally, controversy persists regarding the selection of measurement references for the sacral endplate in LSTV patients, which significantly impacts clinical preoperative assessments and postoperative prognostic outcomes. This article systematically reviews the effects of LSTV on sagittal balance parameters of the LPHC and summarizes recent research advances, aiming to provide a theoretical basis for optimizing surgical planning and prognostic evaluation.
文章引用：杜琳, 杨海涛. 腰骶部移行椎对脊柱–骨盆–髋关节复合体矢状面平衡参数的影像学研究进展[J]. 临床医学进展, 2025, 15(6): 370-376. https://doi.org/10.12677/acm.2025.1561735

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