Comparison of lumbosacral alignment in Geriatric and Non-Geriatric patients suffering low back pain

Koçyiğit, Burhan Fatih; Berk, Ejder

doi:10.12669/pjms.342.13969

Cited by 8 publications

(8 citation statements)

References 31 publications

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“…Changes in the position of the spine lead to disturbances in the biomechanics of the body and gait. This affects the quality of life, body balance and increases the risk of falls in the elderly (Kocyigit, Berk, 2018). Back pain patients show a variety of kinetic changes when walking on flat ground and when climbing stairs.…”

Section: Discussionmentioning

confidence: 99%

Possibilities of using outpatient physiotherapy in the process of rehabilitation of people with degenerative disc disease in the lumbosacral spine

Bolach¹,

Walowska²,

Chabraszewska

et al. 2021

Central European Journal of Sport Sciences and Medicine

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Degenerative disc disease (DDD) in the lumbosacral spine is one of the most common causes of pain and the significant associated limitations in physical activity and daily functioning, with the vast majority of patients requiring long-term physiotherapy. Hence, the significance of proper diagnostics, locating the cause of the ailment, implementation of appropriate therapy and prevention. The aim of the study was to investigate the efficacy of outpatient physiotherapy on reducing pain and improving the function of the lumbosacral spine. The research group comprised 95 people (50 women and 45 men) with an average age of 53 years, all patients with DDD in the lumbosacral spine. They underwent 3 physical treatments: magnetotherapy, laser therapy, and systemic cryotherapy, as well as gymnastic exercises, aimed at improving physical fitness, and strengthening the muscular corset. The research methods included the Schober test, the Thomayer test (finger-ground test), the Visual Analogue Scale scale, Laitinen's pain questionnaire, and calculation of BMI. Physiotherapeutic treatments significantly reduced the patients' pain symptoms, significantly increased the range of motion in the lumbosacral spine and improved physical fitness. Better results of the therapy were observed in patients with lower BMI.

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Section: Discussionmentioning

confidence: 99%

Possibilities of using outpatient physiotherapy in the process of rehabilitation of people with degenerative disc disease in the lumbosacral spine

Bolach¹,

Walowska²,

Chabraszewska

et al. 2021

Central European Journal of Sport Sciences and Medicine

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“…As for the lumbar curvature, the LLA increased by 27.63%, while the LSA increased by 21.79% after LCT in the midsagittal image, both showing an increasing trend and having significant differences after LCT. Anatomically, the LLA and LSA can indirectly reflect the stability of the lumbar spine [ 40 , 41 ]. If the LLA or LSA is too large, it will affects the balance of the spinal system, increases the load on structures such as the paraspinal muscles and IVDs, and increases the probability of injury [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Spine system changes in soldiers after load carriage training in a plateau environment: a prediction model research

et al. 2020

Military Med Res

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Background Low back pain is the most common spinal disorder among soldiers, and load carriage training (LCT) is considered the main cause. We aimed to investigate changes in the spine system of soldiers after LCT at high altitudes and the change trend of the lumbar spine and surrounding soft tissues under different load conditions. Methods Magnetic resonance imaging scans of the lumbar spines of nine soldiers from plateau troops were collected and processed. We used ImageJ and Surgimap software to analyze changes in the lumbar paraspinal muscles, intervertebral discs (IVDs), intervertebral foramina, and curvature. Furthermore, the multiple linear regression equation for spine injury owing to LCT at high altitudes was established as the mathematical prediction model using SPSS Statistics version 23.0 software. Results In the paraspinal muscles, the cross-sectional area (CSA) increased significantly from 9126.4 ± 691.6 mm2 to 9862.7 ± 456.4 mm2, and the functional CSA (FCSA) increased significantly from 8089.6 ± 707.7 mm2 to 8747.9 ± 426.2 mm2 after LCT (P < 0.05); however, the FCSA/CSA was not significantly different. Regarding IVD, the total lumbar spine showed a decreasing trend after LCT with a significant difference (P < 0.05). Regarding the lumbar intervertebral foramen, the percentage of the effective intervertebral foraminal area of L3/4 significantly decreased from 91.6 ± 2.0 to 88.1% ± 2.9% (P < 0.05). For curvature, the lumbosacral angle after LCT (32.4° ± 6.8°) was significantly higher (P < 0.05) than that before LCT (26.6° ± 5.3°), while the lumbar lordosis angle increased significantly from 24.0° ± 7.1° to 30.6° ± 7.4° (P < 0.05). The linear regression equation of the change rate, △FCSA% = − 0.718 + 23.085 × load weight, was successfully established as a prediction model of spinal injury after LCT at high altitudes. Conclusion The spinal system encountered increased muscle volume, muscle congestion, tissue edema, IVD compression, decreased effective intervertebral foramen area, and increased lumbar curvature after LCT, which revealed important pathophysiological mechanisms of lumbar spinal disorders in soldiers following short-term and high-load weight training. The injury prediction model of the spinal system confirmed that a load weight < 60% of soldiers’ weight cannot cause acute pathological injury after short-term LCT, providing a reference supporting the formulation of the load weight standard for LCT.

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“…A normal intervertebral facet joint was defined as a joint with no degeneration and in which the intervertebral facet joint gap could be distinguished ( 15 ) ( Figure 4 ). (V) LSA: this was defined as the angle formed along the superior endplate of S1 relative to the horizontal plane ( 20 ) ( Figure 3 ). (VI) IFH: this parameter was measured as the distance between the lower margin of the superior pedicle and the upper margin of the inferior pedicle ( 21 ) ( Figure 3 ).…”

Section: Methodsmentioning

confidence: 99%

Evaluation and analysis of surgical treatment for single-level or multi-level lumbar degenerative disease based on radiography

Liu,

Zhao,

Sun

et al. 2024

Quant Imaging Med Surg

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Background Radiography has a low level of radiation exposure while providing valuable information. Due to its cost effectiveness and widespread availability, the preoperative radiographic imaging examination is a valuable approach for assessing patients with spinal disease. This study aimed to examine the influence of preoperative X-ray evaluation on the surgical treatment of patients with single- or multi-level lumbar degenerative disease (LDD). Methods A retrospective cohort analysis was conducted of 172 patients diagnosed with LDD who underwent transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) surgery between December 2021 and February 2023 at the Shanghai Changzheng Hospital. Various parameters were measured on preoperative radiographs, including the iliac crest height, median iliac angle (MIA), lumbar lordosis (LL), intervertebral facet joint degeneration, lumbosacral angle (LSA), intervertebral foramen height (IFH), and surgical segment. The surgical treatment was evaluated based on the operative time, intraoperative blood loss, and postoperative complications. A correlation analysis and independent sample t -tests were used to assess the relationship between preoperative radiographic variables and surgical treatments. Further, a multivariate linear regression analysis was employed to identify the risk factors affecting the clinical outcomes. Results The correlation analysis and t -test results showed that the MIA, height of the iliac crest, intervertebral facet joint degeneration, and surgical segment were significantly correlated with the surgical treatments (P<0.05). Specifically, the height of the iliac crest, intervertebral facet joint degeneration, and surgical segment were positively correlated with the surgical treatments. Conversely, the MIA was negatively correlated with the surgical treatments. However, no significant differences were observed between the IFH, LSA, and LL in relation to posterior lumbar surgery (P>0.05). The multiple linear regression analysis showed that the height of the iliac crest, MIA, intervertebral facet joint degeneration, and surgical segment were independent factors affecting the surgical treatments of patients with single- or multi-level LDD. These findings highlight the importance of considering these factors when planning and performing lumbar surgery. Conclusions The measurements taken from radiographs, including the height of the iliac crest, MIA, intervertebral facet joint degeneration, and surgical segment, demonstrate potential influences on the treatment of single- and multi-level lumbar spine surgery. These variables can be captured in plain film imaging and can provide valuable insights into the surgical procedure and offer guidance for the operation. By analyzing these radiographic measurements, surgeons can gain a better understanding of a patient’s condition an...

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Comparison of lumbosacral alignment in Geriatric and Non-Geriatric patients suffering low back pain

Cited by 8 publications

References 31 publications

Possibilities of using outpatient physiotherapy in the process of rehabilitation of people with degenerative disc disease in the lumbosacral spine

Possibilities of using outpatient physiotherapy in the process of rehabilitation of people with degenerative disc disease in the lumbosacral spine

Spine system changes in soldiers after load carriage training in a plateau environment: a prediction model research

Evaluation and analysis of surgical treatment for single-level or multi-level lumbar degenerative disease based on radiography

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