Correlation between sagittal spinopelvic balance parameters and degenerative changes of the lower lumbar spinal segments

Prodan, A I; Khvysyuk, Aleksey

doi:10.14531/ss2007.1.44-51

Cited by 6 publications

(3 citation statements)

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“…Продан, А.Н. Хвисюк [4], проведя клинико-рентгенологическое обследование 100 пациентов с хронической люмбалгией и люмбоишалгией, выявили следующую закономерность: у лиц с гиполордотической осанкой выше риск дегенерации переднего опорного комплекса поясничных позвоночно-двигательных сегментов, а риск дегенеративных заболеваний заднего опорного комплекса существенно меньше. Мы при сравнении параметров центрального угла лордоза поясничного отдела позвоночника выявили, что рецидивные пациенты склонны к гиполордотическим изменениям (центральный угол лордоза -32,80° ± 5,73°), в отличие от пациентов без рецидива (47,10° ± 8,15°).…”

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The Role of Radiological Parameters of Spinal Motion Segment in the Outcome of Surgical Treatment for Lumbar Intervertebral Disc Hernia

Krutko¹,

Baikov²

2013

Hir. pozvonoč.

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To assess a spectrum of X-ray biomechanical parameters of the spine kinematic chain and to determine their influence on the outcome of surgical treatment for lumbar intervertebral disc hernia. Material and Methods. A retrospective analysis of data on 332 patients operated on for intervertebral disc hernias at the L4-L5 and L5-S1 levels was performed. Patients were distributed into two groups: I-patients with hernia recurrence, and II-without recurrence. Preoperative X-ray parameters were compared. Results. Hernia recurrence was observed within 10.40 ± 1.18 months after primary surgery. Intervertebral disc height index was 0.35±0.06 mm in Group I and 0.26 ± 0.03 mm in Group II. This determined a significant difference between groups (P = 0.001) and meaningful correlation (ρ = 0.44). Sagittal range of motion was 10.20° ± 1.84° in Group I and 7.60° ± 1.74° in Group II (P = 0.001, ρ = 0.35); central lordosis angle was 32.80° ± 5.73° in Group I and 47.10° ± 8.15° in Group II (P = 0.001, ρ =-0.46). Recurrence correlated with Pfirrmann grade III degeneration (ρ = 0.42) and articular cartilage degeneration grade according to Grogan (ρ = 0.32). The slope of a chord, Modic changes, hernia types, subchondral sclerosis according to Grogan classification, lumbalization, and retrolisthesis did not correlate with recurrence, though significantly differed in the studied groups. Conclusion. Analysis of data on radiological parameters can help to optimize the surgical approach and improve the outcome of treatment for lumbar intervertebral disc hernias.

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Section: Discussionunclassified

The Role of Radiological Parameters of Spinal Motion Segment in the Outcome of Surgical Treatment for Lumbar Intervertebral Disc Hernia

Krutko¹,

Baikov²

2013

Hir. pozvonoč.

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“…Аверкиев и др. Сагиттальные позвоночно-тазовые взаимоотношения при коксовертебральном синдроме ния, возникающие из-за патологических изменений вертикальной осанки и позвоночно-тазового баланса [2,3,10]. В зарубежной научной литературе симптомокомплекс при данном заболевании получил название «hipspine syndrome» и был описан Оffierski, MacNab в 1983 г.…”

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“…Анатомические параметры являются постоянными, а позиционные носят переменный характер и изменяются при нарушении осанки, позиционной установке, изменении положения тела [10]. Нормальные показатели сагиттальных позвоночно-тазовых взаимоотношений у детей, юношей и взрослых людей широко представлены в научных публикациях [3,8,9,12,14,17,18,23]. Имеются сообщения об изменении позвоночно-тазового баланса у лиц с различной патологией позвоночника [6,11,13,20,22].…”

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Features of Sagittal Spino-Pelvic Relations in Patients With Hip-Spine Syndrome

Averkiev¹,

Kudyashev²,

Artyukh³

et al. 2012

Hir. pozvonoč.

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To analyze principal parameters of sagittal spinopelvic relations in patients with hip-spine syndrome. Material and Methods. Clinical examination protocols and X-ray images of 42 patients with unilateral or bilateral grade 3 hip arthrosis and vertebrogenic pain syndrome were analyzed. Four principal sagittal parameters of spino-pelvic balance were measured, statistically processed, and compared with normal values. Results. The positive correlation was found between the sacral slope and the lumbar lordosis. Normal spino-pelvic relations were noted in 6 (14.3 %) cases, an excessive anteversion of the pelvis with compensatory hyperlordosis-in 34 (81.0 %), and retroversion of the pelvis with flattening of the lumbar lordosis-in 2 (4.7 %) cases. Conclusion. Changes in hip joints cause compensatory responses of the spine. Unilateral or bilateral hip joint arthrosis in most cases leads to excessive anteversion of the pelvis and hyperlordosis of the lumber spine with overloading of its segments. Another variant of compensatory posture is retroversion of the pelvis with a loss of lumbar lordosis. Both types of compensatory vertical posture are associated with vertebrogenic pain syndrome and degenerative-dystrophic changes in the spine.

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Combination of degenerative lumbar spinal stenosis and spinal deformity. Literature review

Nikitin

Грин

2018

Nejrohirurgiâ (Mosk.)

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The study objective is to analyze currently available publications on spinal deformity in patients with degenerative lumbar spinal stenosis.Materials and methods. We analyzed 90 manuscripts published between 1980 and 2017.Results. We describe the parameters used to assess spinal deformity and evaluate their role for predicting the course of degenerative spinal disease. We provide the results of latest studies assessing the impact of spinal deformity on the outcome of surgical treatment in patients with degenerative lumbar spinal stenosis. We identified the following risk factors for scoliosis progression: wedge-shaped intervertebral disc in the frontal projection, low middle sacral axis, lateral spondylolisthesis, small L vertebral body, vertebral rotation, Cobb angle >20°, and sagittal imbalance.Conclusion. We recommend decompressive interventions with facet joint preservation in patients with spinal deformity and degenerative lumbar spinal stenosis with no risk factors for scoliosis progression and radicular symptoms only (without pronounced low back pain). In patients with no risk factors for scoliosis progression, radicular symptoms, and low back pain, it is advisable to combine decompression with short fixation. For individuals at risk of scoliosis progression, we recommend supplementing decompression with long fixation exceeding scoliosis curve.

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Correlation between sagittal spinopelvic balance parameters and degenerative changes of the lower lumbar spinal segments

Cited by 6 publications

References 0 publications

The Role of Radiological Parameters of Spinal Motion Segment in the Outcome of Surgical Treatment for Lumbar Intervertebral Disc Hernia

The Role of Radiological Parameters of Spinal Motion Segment in the Outcome of Surgical Treatment for Lumbar Intervertebral Disc Hernia

Features of Sagittal Spino-Pelvic Relations in Patients With Hip-Spine Syndrome

Combination of degenerative lumbar spinal stenosis and spinal deformity. Literature review

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