Spinal stability is improved by inducing a lumbar lordosis in boys with Duchenne Muscular Dystrophy: A pilot study

Kerr, Tim; Lin, Jean-Pierre; Gresty, Michael A.; Morley, Tim; Robb, Stephanie

doi:10.1016/j.gaitpost.2007.10.008

Cited by 13 publications

(8 citation statements)

References 15 publications

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“…In many of these cases, the individuals adapt a compensatory lordotic posture to maintain spinal stability (via the locking mechanism of the posterior articular joints) and delay postural malformation [84].…”

Section: Discussionmentioning

confidence: 99%

Degenerative lumbar spinal stenosis and lumbar spine configuration

et al. 2010

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As life expectancy increases, degenerative lumbar spinal stenosis (DLSS) becomes a common health problem among the elderly. DLSS is usually caused by degenerative changes in bony and/or soft tissue elements. The poor correlation between radiological manifestations and the clinical picture emphasizes the fact that more studies are required to determine the natural course of this syndrome. Our aim was to reveal the association between lower lumbar spine configuration and DLSS. Two groups were studied: the first included 67 individuals with DLSS (mean age 66 ± 10) and the second 100 individuals (mean age 63.4 ± 13) without DLSS-related symptoms. Both groups underwent CT images (Philips Brilliance 64) and the following measurements were performed: a crosssection area of the dural sac, vertebral body dimensions (height, length and width), AP diameter of the bony spinal canal, lumbar lordosis and sacral slope angles. All measurements were taken at L3 to S1. Vertebral body lengths were significantly greater in the DLSS group at all levels compared to the control, whereas anterior vertebral body heights (L3, L4, L5) and middle vertebral heights (L3, L5) were significantly smaller in the LSS group. Lumbar lordosis, sacral slope and bony spinal canal were significantly smaller in the DLSS compared to the control. We conclude that the size and shape of vertebral bodies and canals significantly differed between the study groups. A tentative model is suggested to explain the association between these characteristics and the development of degenerative spinal stenosis.

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Section: Discussionmentioning

confidence: 99%

Degenerative lumbar spinal stenosis and lumbar spine configuration

et al. 2010

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“…This allows patients to tolerate a better lateral load and helps to prevent low back pain from a slumped position. Unfortunately this does not have any effect on the development of the scoliosis in the long term (17).…”

Section: Interventions Before Surgerymentioning

confidence: 99%

Duchenne muscular dystrophy: the management of scoliosis

et al. 2016

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This study summaries the current management of scoliosis in patients with Duchenne Muscular Dystrophy.A literature review of Medline was performed and the collected articles critically appraised. This literature is discussed to give an overview of the current management of scoliosis within Duchenne Muscular Dystrophy.Importantly, improvements in respiratory care, the use of steroids and improving surgical techniques have allowed patients to maintain quality of life and improved life expectancy in this patient group.

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“…The possible role of trunk disease seems an interesting lead worth exploring. In primary muscle dystrophy, muscle weakness is associated with lordosis in order to increase spinal stability when the articular facet joints are locked [14]. This adaptation occurs in young people with intact facet joints but probably not in older individuals with degenerative lesions.…”

Section: Discussionmentioning

confidence: 99%

Painful camptocormia: the relevance of shaking your patient’s hand

et al. 2009

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Camptocormia is an abnormal posture with marked flexion of thoracolumbar spine that abates in the recumbent position. Camptocormia has been described in various neurological (Parkinsonism), muscular (myopathy), psychogenic or orthopedic disorders. There are several hypotheses that can explain this impaired posture but they are usually related to the concomitant pathologies. We report the first case of a patient with confirmed myotonic dystrophy addressed to our medical center for impaired posture who underwent extensive medical exams and explorations because of a myotonic hand. Axial weakness and muscle atrophy, validated by CT-scan imaging, are discussed independent of the concomitant pathology (Parkinson, myopathy).

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Spinal stability is improved by inducing a lumbar lordosis in boys with Duchenne Muscular Dystrophy: A pilot study

Cited by 13 publications

References 15 publications

Degenerative lumbar spinal stenosis and lumbar spine configuration

Degenerative lumbar spinal stenosis and lumbar spine configuration

Duchenne muscular dystrophy: the management of scoliosis

Painful camptocormia: the relevance of shaking your patient’s hand

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