Relationship of lumbosacral spine morphometrics and lumber disc degenerative disease in young adults using magnetic resonance imaging

Khodair, Sameh Ahmad; Ghieda, Usama Elsaied; Eltomey, Mohamed Adel

doi:10.1016/j.ejrnm.2014.02.005

Cited by 5 publications

(8 citation statements)

References 32 publications

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“…However, previous studies mainly assessed sagittal imbalance and pelvic parameters in LBP or spondylolisthesis, while few of them are interested these issues of disc degeneration. 13 , 21 – 38 Because discogenic pain is one of the important causes of LBP, 24 evaluating its associated factors, such as alteration in lumbar lordosis and sacral parameters, seems invaluable. Most studies on lumbosacral morphology have been conducted on populations with LBP 25 , 26 or on isthmic spondylolisthesis, 27 , 28 but the number of studies on individuals with intervertebral disc degeneration or disc herniation is considerably low.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies on lumbosacral morphology have been conducted on populations with LBP 25 , 26 or on isthmic spondylolisthesis, 27 , 28 but the number of studies on individuals with intervertebral disc degeneration or disc herniation is considerably low. 13 The normal orientation of lumbosacropelvic building plays an important role in the specification of shear and compressive forces applied on the anterior (intervertebral discs and corpus vertebrae) and posterior (facet joints) structures of lumbarvertebral column. 29 The sacrum of humans is not positioned posteriorly at birth and it is during the first few years that the sacrum moves dorsally in relation with the progressive attainment of erect posture and the ontogeny of bipedal propulsion.…”

Section: Resultsmentioning

confidence: 99%

“…Our study is not a review of articles, but we pay serious attention to the results of other studies in the field of communication between lumbosacral sagittal alignment and disc degeneration. Khodair et al 13 evaluated the relationship between lumbosacral morphological parameters and intervertebral disc degenerative disease. They showed that there was no statistically significant difference between normal population and patients with disc pathology in regards to the lumbar lordosis angle ( P > 0.05), while a statistically significant difference was observed in regards to both sacral kyphosis angle and sacral table angle.…”

Section: Resultsmentioning

confidence: 99%

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The Relation Between Sacral Angle and Vertical Angle of Sacral Curvature and Lumbar Disc Degeneration

et al. 2016

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The purpose of this study is to determine the reliability and validity of a goniometric measurement of the vertical angle of the sacrum and sacral angle (SA), and their relationships to lumbar degeneration.A herniated lumbar disc is one of the most frequent medical issues. Investigators in a number of studies have reported associated risk factors for prevalent disc degeneration. Atypical lumbosacral angles and curvature are thought to contribute to the degradation of the spine by many researchers. This study analyzed 360 patients referred to our clinic from 2013 to 2015 due to low back pain. A cross-sectional case–control study was designed in order to compare the sagittal alignment of the lumbosacral area in 3 groups of patients suffering from LBP. A total 120 patients were in a control group with a normal lumbar magnetic resonance imaging (MRI), 120 patients had lumbar disk herniation (LDH), and 120 patients had spinal stenosis. From the sagittal plan of lumbar MRI, SA and vertical angle of sacral curvature (VASC) were determined and then analyzed.The means of VASC in these groups were: 38.98 (SD: 6.36 ± 0.58), 40.89 (SD: 7.69 ± 0.69), and 40.54 (SD: 7.13 ± 0.92), respectively (P = 0.089). Moreover, studies of SA in 3 groups showed that the means of SA were: 39.30 (SD: 6.69 ± 0.63), 40.52 (SD: 7.47 ± 0.65), and 35.63 (SD: 6.07 ± 0.79), respectively. Relation between SA and spinal stenosis was just statistically significant (P ≤ 0.05).One significant limitation of our study is the lack of standing MRI for increased accuracy of measurement. However, we were reluctant to give patients needless exposure to radiation from conventional X-ray, and instead used MRI scans. We did not find any significant correlation between the VASC and LDH in lumbar MRI. Also, SA is not an independent risk factor for LDH in men and women. We suggested that there are several biomechanical factors involved in LDH.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Relation Between Sacral Angle and Vertical Angle of Sacral Curvature and Lumbar Disc Degeneration

et al. 2016

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“…Mechanical loading over the spine has been identified as a major extrinsic factor in the onset and progression of intervertebral disc degeneration. 9 In this study, all the patients are less than 35yr of age and sufferer of chronic low back pain. The purpose of this study is to find out the causes of early onset of degenerative changes by detailed history (personal and professional) and to find out spectrum of degeneration by MR imaging.…”

Section: Introductionmentioning

confidence: 91%

“…Intervertebral disc degeneration of lumbar spine is a major dominant factor in the etiology of low back pain. 9 Although disc degeneration is an age related process and may arise due to any of several pathological conditions such as spinal trauma or an inflammatory response, but it is influenced by many factors such as genetics and systemic disorders (e.g. atherosclerosis, high cholesterol, diabetes mellitus and inadequate nutrient supply to the disc).…”

Section: Introductionmentioning

confidence: 99%

Senile Degenerative Changes in Adult Lumbar Spine! - A Prospective Study

Singh¹,

Gaur²,

Mehra³

2015

jebmh

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BACKGROUND: Low back pain (LBP) is a common presenting complaint affecting mostly middle aged and older person and traditionally considered as ageing process, but now-a-days large number of younger people are also affected by this debilitating chronic disorder. The cause of early onset of degenerative spine disease is multifactorial, but genetical predisposition plays very important role. AIMS AND OBJECTIVE: To find out association between genetic predisposition and degenerative spine disease in adult patients and to assess the pattern of MRI findings of various degenerative diseases in lumbo-sacral spine. MATERIAL AND METHOD: The present cross-sectional study had been performed among 100 selected patients in 1yr period, who presented with chief complaint of chronic low back pain. After taking detailed clinical and professional history, MRI of lumbosacral spine had been performed. Total 100 patients were divided in two groups on the basis of genetical predisposition. Prevalence and spectrum of degenerative changes were compared between both groups. RESULTS: Hundred patients of 20 to 35-year age had been selected with mean age of 27yr. Out of 100 patients; 47 were male and 53 were female. The most common degenerative findings were desiccation of disc (95%) followed by disc bulge, herniation, spinal canal stenosis, ligamentum flavum hypertrophy, facet joint hypertrophy and modic changes. L4-L5 and L5-S1 were the most commonly involved spinal levels for any degenerative pathology. CONCLUSION: Good association is seen between early onset of degenerative spine disease and genetical predisposition in patients who have history of similar type degenerative spine disease in one or more first degree relatives in comparison to those patients who do not have any genetical predisposition. So it can be concluded that heredity play important role in early onset of degenerative spine disease in adults.

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Differentiation of face and auricular shape resulting from diabetes and hypertension in the elderly

2021

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The prevalence global of noncommunicable chronic diseases as diabetes and hypertension worldwide has been disregarded until recently by policy makers. In addition, these diseases have growing with the aging of the population. This study sought to identify changes in face shape from the frontal and side views in elderly people diagnosed with diabetes and hypertension. 205 individuals were studied, with 60 years or more, from both sexes, with different ethnicities, and cognition intact. With a digital camera, photos were taken of the front and side and based on these images landmarks for measurement were determined. For statistical analysis, ANOVA, Canonical Variates Analysis, Mahalanobis distance and Thin-Plate Spline were realized. Given sexual dimorphism, the sexes were analyzed separately. From the ANOVA, significant differences (p<0.01) for individuals with diabetes, hypertension, and patients with both or neither of the diseases were observed. The groups were separated by the Canonical Variates and Mahalanobis distance and independent of edentulism, sex or ethnicity. A morphofacial characteristics for the front and side views (especially in the ear region) that identified individuals with these chronic diseases was observed. This methodology can contribute in a specific manner to the identification of at risk populations and help to promote preventative measures for these conditions.

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Relationship of lumbosacral spine morphometrics and lumber disc degenerative disease in young adults using magnetic resonance imaging

Cited by 5 publications

References 32 publications

The Relation Between Sacral Angle and Vertical Angle of Sacral Curvature and Lumbar Disc Degeneration

The Relation Between Sacral Angle and Vertical Angle of Sacral Curvature and Lumbar Disc Degeneration

Senile Degenerative Changes in Adult Lumbar Spine! - A Prospective Study

Differentiation of face and auricular shape resulting from diabetes and hypertension in the elderly

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