The role of spinopelvic factors in lumbar intervertebral disc prolapse: An analysis
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 5, Pages 287-295
AbstractAim and Background: In general, sacral slope, pelvic tilt, and pelvic incidence are used to describe the anatomy and orientation of the sacropelvis. Degenerative alterations in the lumbar spine can be influenced by the pelvis' orientation and morphology. As a result, we looked into how different sagittal spinopelvic characteristics related to young adults' disc degeneration levels.
Methods: 50 patients were included in a cross-sectional study conducted at a hospital. The study comprised patients who had prolapsed discs on magnetic resonance imaging (MRI) and reported back or leg pain. A standing X-ray of the LS spine was taken from the dorsolumbar junction to mid-thigh. Many spinopelvic parameters were evaluated from the scannogram.
Result and Discussion: 39.27 years old was the average age. Level L5S1 was the most prevalent. PT, PI, and LL exhibited a positive connection with disc pathologies at the L1L2, L2L3, and L4L5 levels. PT and LL had a positive connection with disc disease at the L5S1 level. Data with P=0.023 revealed a statistically significant connection between SS and degenerative spondylolisthesis at L4L5. Degenerative spondylolisthesis at L4L5 is statistically more likely to develop with an increase in SS. The disc pathology at L1L2 will worsen when PT, PI, and LL rise. At L2L3, disc pathology will grow with an increase in SS, PT, PI, and LL. At L4L5, disc pathology will worsen when SS, PT, PI, and LL increase. The disc pathology at L5S1 will worsen as PT and LL increase.
Conclusions: For the purpose of measuring spinopelvic parameters, a standing lateral view radiograph from the dorso lumbar junction to the middle of the thigh is considered to be on par with a standing whole spine radiograph. An increase in SS has been found to have a statistically significant link with degenerative spondylolisthesis at the L4L5 level.
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