摘要
作者对脊柱的运动及椎体间力的平衡关系进行了临床研究。提出,损伤和/或退变使脊柱内外平衡失调是腰椎间盘突出症发病的理论基础;单(多)个椎体位移是其主要病理改变;髓核突出后,使下腰段脊柱失稳。机体为减轻疼痛建立新的椎间力学平衡。相继出现腰曲变平,腰骶上移,旋盆翘臀,旋腰挺胸四步规律性“腰型”变化及腰区局部“四大体征”。建立了新诊治方法。验证了施脊柱(定点)旋转复位法治疗后鞘膜囊形态和张力变化在治疗中的意义。
Studies on the spinal column movement and the stress interrelationship between the vertebral bodies were carried out. Derangement of the stress interrelationship between the vertebral bodies due to injury and/or degenerative changes might be the chief cause of lumbar disc herniation and subluxation of the vertebral body or bodies the main pathological change of disc herniation. As a result the lower lumbar spine becomes unstable. In order to reduce pain, the spine will readjust to establish a new biomechanical balance. In full bloom cases, a typical 4-step deformity would occur. These are a flat lower back, an uprising of the lumbosacral joint, a tilt pelvis and lastly a rotation of trunk with protrusion of chest on one side. Consequently, 4 cardinal signs could be detected at the lumbosacral region through palpation. Manual manipulation to rerotate the vertebral body or bodies to its normal position has been advocated in the management of lumbar disc herniation with great clinical success.
出处
《空军总医院学报》
1990年第3期127-131,共5页
Journal of General Hospital of Air Force,PLA
