CORRELATION BETWEEN SAGITTAL SPINOPELVIC BALANCE PARAMETERS AND DEGENERATIVE CHANGES OF THE LOWER LUMBAR SPINAL SEGMENTS
https://doi.org/10.14531/ss2007.1.44-51
Abstract
Objective. To study correlation between spinopelvic balance parameters and degenerative changes in the low lumbar spinal segments.
Material and Methods. Clinical and radiological findings in 100 patients (32 women, 68 man; mean age 38.7 ± 9.7 years) with chronic lumbodynia and lumbar ischialgia were analysed. Pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT) and global lumbar lordosis (GLL) were measured from lateral radiographs. The severity of degenerative changes in three lower lumbar segments: disk, facet, anterior and posterior supportive columns was assessed using a specially developed scale. The obtained data were statistically processed.
Results. It was revealed that disk and anterior supportive column degenerations correlate negatively with parameters of PI, SS and GLL, whereas facet and posterior supportive column degenerations demonstrate positive correlation with the same parameters. Age does not effect disk and anterior supportive column degenerations, but degenerations of facet and posterior supportive column increase severely with age (r = 0.564 and r = 0.467, respectively).
Conclusion. Degenerative disc changes predominate in patients with low values of PI, SS, and GLL. Degeneration of facet joints and summaraized severity of posterior supportive column degeneration predominate in patients with high values of PI, SS, and GLL.
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
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Review
For citations:
Prodan A.I., Khvisyuk A.N. CORRELATION BETWEEN SAGITTAL SPINOPELVIC BALANCE PARAMETERS AND DEGENERATIVE CHANGES OF THE LOWER LUMBAR SPINAL SEGMENTS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2007;(1):044-051. (In Russ.) https://doi.org/10.14531/ss2007.1.44-51
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