Lordose lombar: estudo dos valores angulares e da participação dos corpos vertebrais e discos intervertebrais

Damasceno, Luiz Henrique Fonseca; Catarin, Silvio Ricardo Guarnieri; Campos, Antonìo; Defino, Helton Luíz Aparecido

doi:10.1590/s1413-78522006000400003

Cited by 51 publications

(23 citation statements)

References 25 publications

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“…The literature reports that, on average, the normal thoracic curvature is 40º (Harrison, Harrison, Troyanovich & Harmon, 2000), while that of the lumbar curvature ranges from 45º to 50º (Damasceno, Catarin, Campos & Defino, 2006), with some variation according to the population investigated. However, in general, the studies show highly variable results, with wide confidence intervals (Table 3), compromising the classification process.…”

Section: Discussionmentioning

confidence: 99%

“…This issue is raised in the studies by Champain et al (2006) and Damasceno et al (2006) which analyze the same sample using different methods (Table 3). 200936±8.9 58.5±9.6 Gonçalves (2008) 44.4±6.9 57.5±6.1 Champain (2006) 42.5±18.4 49±18 57±22 Damasceno (2006) 45.1±10.8 60.9±10.7 Cil (2005) 46±10.8 53.3±9.1 50.1±10.8 54.6±9.8 Vialle 200540.6±10 43±11.2 Hammerberg (2003) 52.5±12.2 57.4±13.7 Boseker (2000) 33±10.6 33±10.6 Korovessis (1999) 36.5±9 49±13.9 62.5±13 62±20.9 Chernukha (1998) 39±8.6 51.1±8.8 52.6±11.6 Jackson (1998) 47±9.7 62.1±10.8 Korovessis (1998) 41.8±13 45.7±12 Vedantam (1998) 38±10 64±10 Hardacker (1997) 49.4±10.9 60.1±12. 1 Troyanovich (1997) 65±10.6 Kasai (1996) 13.5±4.7 14.3±6.6 Gelb (1995) 34±11 34±11 64±10 64±10 Lin (1992) 33.2±12.1 Wright (1991) 35±10 Singer (1990) 33 Reference values for Cobb angles | 121…”

Section: Flow Of Studies Through the Reviewmentioning

confidence: 99%

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Reference values for Cobb angles when evaluating the spine in the sagittal plane: a systematic review with meta-analysis

Furlanetto¹,

Sedrez²,

Candotti³

et al. 2018

motricidade

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The present systematic review of observational studies with meta-analysis aim to identify the reference values of the spinal curvatures in the sagittal plane, as evaluated using the Cobb angle in X-rays, in healthy individuals. Electronic searches were undertaken in MEDLINE, Scopus, ScienceDirect and LILACS. Studies that evaluated the spinal curvature of healthy children, adolescents, adults, and elderly using Cobb method and presented reference values for those curvatures were incluced. Thirty-one studies were eligible for inclusion. The reference values found (confidence interval 95%) were: for children, thoracic (28.7°-37.9°), lumbar L1-L5 (34.5o-44.8º), and lumbar L1-S1 (41.7o-54.1o); for adolescents: thoracic (31.5o-39.2o), lumbar L1-L5 (39.8o-45.6o), and lumbar L1-S1 (51.9o-59.1o); for adults: thoracic (33.7o-40.3o), lumbar L1-L5 (38.1o-45.6o), and lumbar L1-S1 (54.2o-61.7o); and for the elderly: thoracic (37.7º-50.4o), and lumbar L1-S1 (56.6º-65.9o). For the cervical region, it was impossible to establish consistent reference values. The present study supports that precise reference intervals were identified for the sagittal curvatures of the thoracic and lumbar spine in healthy children, adolescents, adults and elderly, as evaluated by means of the Cobb Method.

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Section: Discussionmentioning

confidence: 99%

Section: Flow Of Studies Through the Reviewmentioning

confidence: 99%

Reference values for Cobb angles when evaluating the spine in the sagittal plane: a systematic review with meta-analysis

Furlanetto¹,

Sedrez²,

Candotti³

et al. 2018

motricidade

View full text Add to dashboard Cite

show abstract

“…Lumbar lordosis is an important factor in decreasing longitudinal stiffness, improvement of muscle movement and control of different mechanical tensions in the lumbar spine, the normal curvature of the lumbar spine visible in the sagittal plane [ 1 , 2 ]. Some factors have been suggested to influence its degree as age, gender, race, occupation, weight, height, abdominal and back muscles' strength, lifestyle, physical activity, hormonal factors, deformity of spine, and changes in the inter-spinals discs and sacrum [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Correlation between Radiologic Sign of Lumbar Lordosis and Functional Status in Patients with Chronic Mechanical Low Back Pain

et al. 2014

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Study DesignA cross-sectional study.PurposeTo describe the correlation between lumbar lordosis angle and functional status of patients with chronic mechanical low back pain (CMLBP).Overview of LiteratureThere are different and conflicting opinions regarding the relationship between the degree of lumbar lordosis and functional status of patients with low back pain. Nonetheless, the severity of lordosis is still one of the routine physical exams considered in rehabilitation clinics.MethodsThe degree of lumbar lordosis of 150 patients with CMLBP was measured by means of Cobb's method using sagittal standing spinal radiographs. Subjects with probable secondary causes of low back pain (trauma, congenital anomaly, spinal infection, rheumatologic problems and history of spinal surgery) were excluded. Besides recording demographic data, their score of functional disability was estimated using Oswestry Disability Questionnaire, one of the most useful and reliable questionnaires. Comparison between these data was made regarding different age and gender groups.ResultsIn this study, 119 subjects were female and 31 male, with an age range of 19-85 years. The average degree of lumbar lordosis was 44.69±11.43 and that of Oswestry disability index (ODI) 30.52%. Although we found a significant direct relationship between age and degree of lumbar lordosis (Pearson's correlation coefficient, p=0.016, r=0.197), while insignificant correlation was seen between the degree of lumbar lordosis and ODI (p=0.129).ConclusionsThere was no significant correlation between the degree of lumbar lordosis and the score of functional disability with regards to different age groups and gender.

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“…16 Gore et al 17 referem que, embora as radiografias apresentem anormalidades na coluna vertebral não necessariamente os indivíduos serão sintomáticos.…”

Section: Discussionunclassified

<b> ESTUDO RETROSPECTIVO DAS CURVATURAS DA COLUNA VERTEBRAL E DO POSICIONAMENTO PÉLVICO EM IMAGENS RADIOGRÁFICAS </b>

2011

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RESUMO:Este estudo caracterizase em uma pesquisa documental retrospectiva, do tipo descritiva, com o objetivo de verificar o posicionamento da pelve e das curvaturas da coluna vertebral. Foram analisadas 104 imagens radiográficas de perfil, em adultos de ambos os sexos.Verificouse em centímetros o desnível pélvico e utilizouse o método Cobb e a razão entre a distância e a altura para analisar as curvaturas da coluna. Os resultados apontam a prevalência de retroversão pélvica, com mediana de 0,6 (1,50). Na coluna os segmentos da cervical e lombar apresentaram padrão de normalidade (39,5°± 13,9, 46,89°± 9,63) e a torácica apresentou padrão entre normal e hipercifose (45,05°± 9,83). Descritores: Coluna vertebral; Pelve; Radiografia Retrospective analysis of the spine curvatures and pelvic positioning on radiographic imagesABSTRACT: This study is characterized by a retrospective documentary research, descriptive, aiming to check the positioning of the pelvis and the curvature of the spine. 104 radiographs were analyzed in profile, in adults of both sexes. In a centimeter scale, the pelvic gap was verified and the Cobb method and the ratio between the distance and height were used to analyze the curvature of the spine. The results indicate the prevalence of pelvic retroversion, with a median of 0.6 (1,50). In the column, the cervical and lumbar spine segments showed normal range (39.5°± 13.9, 46.89°± 9.63) and the thoracic segment showed a pattern between normal and hyperkyphosis (45.05°± 9.83).

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Lordose lombar: estudo dos valores angulares e da participação dos corpos vertebrais e discos intervertebrais

Cited by 51 publications

References 25 publications

Reference values for Cobb angles when evaluating the spine in the sagittal plane: a systematic review with meta-analysis

Reference values for Cobb angles when evaluating the spine in the sagittal plane: a systematic review with meta-analysis

Correlation between Radiologic Sign of Lumbar Lordosis and Functional Status in Patients with Chronic Mechanical Low Back Pain

<b> ESTUDO RETROSPECTIVO DAS CURVATURAS DA COLUNA VERTEBRAL E DO POSICIONAMENTO PÉLVICO EM IMAGENS RADIOGRÁFICAS </b>

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