A change in the sagittal balance in elderly and senile patients with degenerative stenosis of the lumbar spine

Василенко,; Vs, Klimov; Av, Evsyulov; Ea, Loparev; Rv, Khalepa; Gi, Moysak; Da, Rzaev

doi:10.17116/neiro2015795102-107

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Therefore, the compensatory response of the pelvis occurs simultaneously with the change of the legs as the imbalance increases. The effect of compensatory mechanism is appeared more prevalent in the pelvis and lower extremities, and the adaptive response in the thoracic alignment is less [14,16] . However, this compensatory mechanism is also related age.…”

Section: Discussionmentioning

confidence: 96%

“…The effect of compensatory mechanism is appeared more prevalent in the pelvis and lower extremities, and the adaptive response in the thoracic alignment is less. [14,16] However, this compensatory mechanism is also related age. In the course of "natural cascade of degeneration," the elderly secures the stability of the spine by restabilization process including facet joint hypertrophy, bony overgrowth, and ossification of the anterior and posterior longitudinal ligament.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the older the age, it is harder to correct the spinal-pelvic imbalance by this compensatory mechanism. [16] The younger the age, the faster correction of spinal pelvic imbalance is needed.…”

Section: Discussionmentioning

confidence: 99%

“…In the course of “natural cascade of degeneration,” the elderly secures the stability of the spine by restabilization process including facet joint hypertrophy, bony overgrowth, and ossification of the anterior and posterior longitudinal ligament. Therefore, the older the age, it is harder to correct the spinal-pelvic imbalance by this compensatory mechanism [16] . The younger the age, the faster correction of spinal pelvic imbalance is needed.…”

Section: Discussionmentioning

confidence: 99%

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The radiographic assessments of spino-pelvic compensation using IoT-based real-time ischial pressure adjustment

Sohn¹,

Lee²,

Lee³

et al. 2022

Medicine

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In malalignment syndrome, the spino-pelvic alignment correction with foot orthotics can be applied only to a standing position in the coronal plane. Considering the fact that the average time Koreans spend sitting in a chair is 7.5 hours per day, studies on spino-pelvic correction in sitting position is needed. The purpose of this study is to investigate the pressure changes and radiographic assessment of spino-pelvic alignment using a chair equipped with a height-adjustable seat-plate. This study was conducted on 30 participants with spinopelvic malalignment. All participants were subjected to measure buttocks interface pressure while seated using a smart chair in three consecutive steps:1. on initial seated, 2. on balancing seated, and then 3. on 1 hour balancing seated.Radiographically, the five spino-pelvic parameters such as shoulder height differences (SHD), iliac crest height differences (ICHD), leg length discrepancy (LLD), pelvic oblique angle (POA), and coronal imbalance were analyzed to investigate the effect of pelvic imbalance compensation on spino-pelvic alignment. Statistical analysis was performed using ANOVA and paired t test. The pressure discrepancy improvement between buttocks from 36.4 ± 32.3 mm on initial seated to 15.7 ± 20.3 mm on balancing, 12.7 ± 10.9 mm on 1hr balancing seated (V, P = .008). The radiographic results of pelvic imbalance compensation during seated show a statistical improvement of average SHD (from À0.9 to À0.8 mm, P = .005) and average ICHD (from 9.5 to 2.5 mm, P = .037). For a standing posture after use of smart chair, average SHD value (À3.0 to À1.0 mm, P = .005), ICHD (from 1.8 to 0.8 mm, P = .016), and average LLD value (0.8-0.1 mm, P = .033) were statistically significant improved.Spine-pelvic malalignment can be improved by individually customized pelvic compensation using balanced seat plate height adjustments under the real-time pressure sensing and monitoring on the buttocks while seated.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The radiographic assessments of spino-pelvic compensation using IoT-based real-time ischial pressure adjustment

Sohn¹,

Lee²,

Lee³

et al. 2022

Medicine

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Treatment of High-Impact Injuries of Thoracic and Lumbar Spine

Сабыралиев

Сулайманов

Минасов

et al. 2019

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Surgical treatment of patients with spinal injuries with traumatic spinal canal stenosis is an important and widely discussed problem of contemporary vertebrology. Injuries to the spine in the incidence structure of isolated or combined injuries occupy a special place due to their high social and clinical significance. Long-term outcomes of traumatic disease in patients with combined trauma to the thoracic and lumbar spine are studied, as before, by ever larger groups of researchers in connection to the new generations of spinal fixation devices being introduced.Materials and methods. 111 patients with various thoracolumbar spine injuries treated surgically were included in the study. In 40 patients, the post-traumatic stenosis was treated with the use of ligamentotaxis and transpedicular osteosynthesis. Thll–Thl2, Th12–L1 and L1–L2 were the most frequent localisations of the level of injury in the study group.Results and discussion. The immediate treatment outcomes observed were as follows — good in 33 (82.5%) cases, satisfactory in 6 (15.0%), unsatisfactory — in 1 (2.5%). Long-term outcomes with follow-up longer than a year were recorded in 27 (67.5%) patients with good outcomes in 20 (74.1%) and satisfactory in 7 (25.9%).Conclusion. A correct stabilisation with metal systems makes it possible to verticalize the patient quickly and shorten the rehabilitation period in all patients including those of active working age, as well as minimize the risks in the long term.

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Spinal lumbar stenosis (analysis of the literature and own results)

Yarikov¹,

Шпагин

Meredzhi

et al. 2021

Vestnik Nevrologii, Psihiatrii I Nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)

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The article is devoted to the issues of etiology, pathophysiology and clinical manifestations of spinal stenosis of the lumbar spine. The possibilities of modern instrumental diagnostics of the disease are described, the differential clinical diagnosis of lumbar stenosis is presented. The paper presents a detailed classification of spinal stenosis. The modern therapeutic tactics of the disease are described, indications for the surgical treatment of the disease are given. Modern methods of surgical treatment of stenosis are briefly and schematically described: decompression (microsurgical and endoscopic), interspinous fixation, stabilization (dorsal and ventral) and epidural stimulation of the spinal cord. The data on the immediate and long-term results of surgical methods of treatment are presented. The authors also presented their experience in the treatment of spinal stenosis of the lumbar spine. The use of differentiated surgical treatment tactics in 85–90 % of cases provides good and excellent results in the treatment of lumbar stenosis.

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A change in the sagittal balance in elderly and senile patients with degenerative stenosis of the lumbar spine

Cited by 4 publications

References 15 publications

The radiographic assessments of spino-pelvic compensation using IoT-based real-time ischial pressure adjustment

The radiographic assessments of spino-pelvic compensation using IoT-based real-time ischial pressure adjustment

Treatment of High-Impact Injuries of Thoracic and Lumbar Spine

Spinal lumbar stenosis (analysis of the literature and own results)

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