Abstract:Objective To analyze the influencing factors of lumbar disc herniation in young people and the influence of multiple joint laxity on lumbar spine stability in patients with lumbar disc herniation.Methods According to the inclusion and exclusion criteria,60 patients with lumbar disc herniation in our hospital from December 2019 to November 2020 were selected as the observation group,and 60 healthy volunteers as the control group.In the observation group,there were 32 males and 28 females;the average age was (33.87±4.31)years;21 cases had body mass index(BMI)<24 kg/m2,and 39 cases≥24 kg/m2.In the control group,there were 29 males and 31 females;the average age was (34.46±3.16)years;29 cases had BMI<24kg/m2 and 31 cases≥24 kg/m2.The general information and Beighton scores of the two groups were statistically analyzed.At the same time,measure the angular displacement,horizontal displacement,pelvic incidence(PI),pelvic tilt(PT),sacral slope(SS),and anterior lumbar disc herniation on X-ray films.Lump(lumbar lordosis,LL).According to the Beighton score,patients with lumbar disc herniation were divided into nonmultiple joint laxity group and multiple joint laxity group,and their general data and imaging parameters were analyzed in subgroups.Results There were no statistically significant differences in gender,age,smoking history between the observation group and the control group (P>0.05).The observation group had a higher BMI,and the difference was statistically significant compared with the control group (P<0.05).The incidence of multiple joint laxity in the control group was 35.00%,which was much higher than the control group's 15.00%,and the difference was statistically significant (P<0.05).In the multivariate logistic analysis,high BMI and multiple joint laxity were risk factors for lumbar disc herniation.In the subgroup analysis,there were 39 cases in the non-multiple joint relaxation group and 21 cases in the multiple joint relaxation group.There was no significant difference in gender,age,smoking history,BMI,and course of disease between the two groups (P>0.05);horizontal displacement in the multiple joint relaxation group Angular displacement and SS were larger than those in the non-multiple joint laxity group (P<0.05).There was no significant difference between the PI,LL,and PT groups (P>0.05).Conclusion Multiple joint laxity is an important risk factor for lumbar disc herniation in young patients,and it has a negative impact on the stability of the lumbar spine.
廖仕川 1,王一 1*,蔚浩 1,戴国钢 1,杜万里 1,张继芳 1,陈君蓉 2,李旭雪 2. 青年人群腰椎间盘突出症与多发性关节松弛的相关性研究[J]. 实用骨科杂志, 2021, 27(8): 673-677.
Liao Shichuan,Wang Yi *,Wei Hao,et al. Study on the Relationship Between Lumbar Disc Herniation and Multiple Joint Laxity in Young People. sygkzz, 2021, 27(8): 673-677.