目的利用中高场MRI对腰骶移行椎人群髂腰韧带的解剖、形态学表现及其与腰椎节段的关系进行分析。方法分析261例腰骶移行椎人群的MRI影像资料,其中S1腰化153例,L5骶化108例,利用冠状位及轴位MRI图像观察髂腰韧带的解剖、形态表现及与腰椎节段的关系。结果解剖形态走行:①单束走行63例;②双束走行182例;③少见型11例,其均发自横突末端、止于髂脊内后缘或髂后上棘内缘。S1腰化人群中有146例双侧髂腰韧带发自L6横突,7例双侧髂腰韧带发自L5横突。L5骶化人群中有94例双侧髂腰韧带发L4横突,9例双侧髂腰韧带发自骶化的L5横突,5例显示不清。结论腰骶移行椎中髂腰韧带多发自移行的椎体,中高场MRI腰椎轴位及冠状位成像能清晰显示其解剖、形态学特点。
ObjectiveTo study the anatomic and morphological features of the iliolumbar ligaments and its relationship with lumbar segment by high field strength magnetic resonance. MethodsMRI imaging data of 261 patients with lumbar sacral vertebra were retrospectively studied. The DR images of 153 patients with S1, 108 patients with L5 and patients with MRI were observed. ResultsThe anatomical morphology: ①single beam 63 cases; ②double beam 182 cases; ③rare type in 11 cases, all of them originate from the transverse end, stop at the edge of the spine after iliac crest in the trailing edge or iliac. Among the S1 lumbar group, there were 146 cases of bilateral iliolumbar ligament originated from L6 transverse process, and 7 cases of bilateral iliolumbar ligament from L5 transverse process. Among the L5 sacralization group there were 94 cases of bilateral iliolumbar ligament originated from L4 transverse process, and 9 cases of bilateral iliolumbar ligaments from L5 transverse process, and 5 cases showed no clear. ConclusionThe middle and high field MRI lumbar axial and coronal imaging can clearly show the anatomic and morphological characteristics of the lumbar and sacral vertebra of the vertebral body.