Effect of Spinopelvic Balance and Spinal Degeneration on the Developmentof Degenerative Lumbar Spinal Stenosis

Prodan, A I; Khvysyuk, Aleksey; Perepechay, Oleg; Chernyshev, Aleksandr; Balan, Sergey

doi:10.14531/ss2010.1.49-56

Hir. pozvonoč.

2010

DOI: 10.14531/ss2010.1.49-56

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Effect of Spinopelvic Balance and Spinal Degeneration on the Developmentof Degenerative Lumbar Spinal Stenosis

A I Prodan¹,

Aleksey Khvysyuk²,

Oleg Perepechay³

et al.

Abstract: Objective. To study the effect of spinopelvic balance parameters and degeneration of spinal segments on the development of degenerative lumbar spinal stenosis. Material and Methods. Spinopelvic balance parameters, severity of degeneration of anterior and posterior column, severity of zygapophyseal, interspinous, and apicoarcual arthroses, degree of central, lateral, and foraminal spinal canal stenosis, and cumulative severity of spinal canal narrowing were measured on radiographs, CT and MRI scans of 100 patie… Show more

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Cited by 2 publications

References 12 publications

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

Nikitin

Грин

2018

Nejrohirurgiâ (Mosk.)

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Features of Formation of Contractures of a Hip Joint at Patients With a Hip-Lumbar Syndrome

Galuzinsky

Zayets

Osadchuk

et al. 2021

The Problems of Traumatology and Osteosynthesis

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Resume. With significant destructive changes in the hip joints, endoprosthesis is the main method of surgical treatment of coxarthrosis. However, according to the Swedish and Canadian registries, 17-20% of patients have pain after arthroplasty. The cause of residual pain may be a concomitant lesion of the spine, and the study of issues related to the clinical features of the hip-lumbar syndrome are relevant from a scientific and practical point of view. The purpose of the study: to analyze the clinical and radiological picture of patients with coxarthrosis with concomitant pathology of the spine, to investigate the dependence of the severity of flexion contracture of the hip, variable parameters (pelvic angle RT and lumbar lordosis GLL) from constant angle and angle; to study the features of the clinical course of hip-lumbar syndrome. Materials and methods. An analysis of the results of examination of 150 patients with stage III-IV idiopathic coxarthrosis who under-went hip arthroplasty in the clinic of orthopedics and traumatology of adults of the State Institution "ITO NAMS of Ukraine" was performed. Hip pain and functional impairment were assessed according Harris and Womac scales also before hip arthroplasty and 3 months after surgery. Results. Analysis of the obtained data shows that with an increase in the angle of inclination of the pelvis and flexion contracture, the values of the parameters of the angle of pelvic deviation increase, which causes a statistically significant increase in the angle of lumbar lordosis. The correlation coefficients between the parameters PI-PT and PI-GLL were 0.65±0.15 and 0.74±0.11, respectively. Conclusions. Pain in patients with small contracture of the hip joint is associated with neuro-dystrophic syndrome in osteochondrosis of the lumbar spine, in patients with larger contracture - with spondyloarthritis. In the vertical position of the sacrum - GLL - the smallest, least pro-nounced and flexion contracture of the hip joint. On the contrary, in the horizontal position of the sacrum in patients with hyperlordosis and significant, more than 10 ° contracture in the hip joints.

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Effect of Spinopelvic Balance and Spinal Degeneration on the Developmentof Degenerative Lumbar Spinal Stenosis

Cited by 2 publications

References 12 publications

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

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

Features of Formation of Contractures of a Hip Joint at Patients With a Hip-Lumbar Syndrome

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