EFFECT OF SPINOPELVIC BALANCE AND SPINAL DEGENERATION ON THE DEVELOPMENTOF DEGENERATIVE LUMBAR SPINAL STENOSIS
https://doi.org/10.14531/ss2010.1.49-56
Abstract
Objective. To study the effect of spinopelvic balance parameters and degeneration of spinal segments on the development of degenerative lumbar spinal stenosis.
Material and Methods. Spinopelvic balance parameters, severity of degeneration of anterior and posterior column, severity of zygapophyseal, interspinous, and apicoarcual arthroses, degree of central, lateral, and foraminal spinal canal stenosis, and cumulative severity of spinal canal narrowing were measured on radiographs, CT and MRI scans of 100 patients with chronic lumbalgia. Descriptive statistics, correlation and regression analyses were used.
Results. Degenerative narrowing of spinal canal positively correlates with age, pelvic incidence, and lumbar lordosis, with zygapophyseal, interspinous, and apicoarcual arthroses, as well as with posterior spinal column degeneration. In addition, the correlation was revealed between narrowing severity in different spinal canal regions and spinopelvic balance, zygapophyseal, interspinous and apicoarcual arthroses, posterior spinal column degeneration and age.
Conclusion. Probability of occurrence and severity of degenerative narrowing of central, lateral, and foraminal regions of the spinal canal, and cumulative severity of degenerative spinal stenosis positively correlates with spinopelvic balance parameters and with severity of posterior spinal column degeneration.
About the Authors
Aleksandr Ivanovich Prodan
Institute of Spine and Joint Pathology n.a. M.I.Sitenko, Kharkov
Russian Federation
Russian Federation
Aleksey Nikolayevich Khvisyuk
Kharkov Medical Academy of Postgraduate Education
Russian Federation
Russian Federation
Oleg Alekseyevich Perepechay
Institute of Spine and Joint Pathology n.a. M.I.Sitenko, Kharkov
Russian Federation
Russian Federation
Aleksandr Gennadyevich Chernyshev
Institute of Spine and Joint Pathology n.a. M.I.Sitenko, Kharkov
Russian Federation
Russian Federation
Sergey Ivanovich Balan
Ivano-Frankovsk Regional Hospital, Ukraine
Russian Federation
Russian Federation
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Review
For citations:
Prodan A.I., Khvisyuk A.N., Perepechay O.A., Chernyshev A.G., Balan S.I. EFFECT OF SPINOPELVIC BALANCE AND SPINAL DEGENERATION ON THE DEVELOPMENTOF DEGENERATIVE LUMBAR SPINAL STENOSIS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2010;(1):049-056. (In Russ.) https://doi.org/10.14531/ss2010.1.49-56
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