Objective: Lumbosacral alignment is a crucial factor for an appropriate spinal function. Changes in spinal alignment lead to diminished body biomechanics. Additionally, lumbosacral alignment may affect quality of life, sagittal balance and fall risk in elderly. In this study, we aimed to compare lumbosacral alignment in geriatric and non-geriatric patients suffering from low back pain.
Methods: A total of 202 (120 male and 82 female) patients who visited to physical medicine and rehabilitation clinic with low back pain between January 2017 and August 2017 were enrolled in this study. Standing lateral lumbar radiographs were obtained from the electronic hospital database. Lumbar lordosis angle, sacral tilt, lumbosacral angle and lumbosacral disc angle were calculated on lateral standing lumbar radiographs.
Results: The mean age of the non-geriatric group was 43.02 ± 13.20 years, the geriatric group was 71.61 ± 6.42 years. In geriatric patients, lumbar lordosis angle, sacral tilt and lumbosacral disc angle were significantly smaller (p = 0.042, p = 0.017 and p = 0.017). No significant differences were observed in lumbosacral angle between the groups (p = 0.508).
Conclusion: Our study indicates the specific changes in lumbosacral alignment with aging. Identifying these changes in lumbosacral alignment in the geriatric population will enable to create proper rehabilitation strategies.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954365 | PMC |
| http://dx.doi.org/10.12669/pjms.342.13969 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Lateral Transpsoas Interbody Fusion.
Int J Spine Surg
January 2025
Ronald DeWald Endowed Professor of Spinal Deformities, Rush University Medical Center, Chicago, IL, USA.
The lateral transpsoas approach to lumbar interbody fusion has gained widespread adoption for a variety of indications. This approach to the interbody space allows for a favorable fusion environment, disc and neuroforaminal height restoration, and powerful alignment correction. Despite its minimally invasive nature, this procedure carries unique risks, the most severe of which include bowel injury, major vascular injury, and lumbosacral plexopathy.
View Article and Find Full Text PDFEffects of combining sensory-motor exercises with transcranial direct current stimulation on cortical processing and clinical symptoms in patients with lumbosacral radiculopathy: An exploratory randomized controlled trial.
PLoS One
December 2024
Physical Therapy Department, Tehran University of Medical Sciences, Tehran, Iran.
Background: Chronic low back pain (CLBP) is linked to reduced excitability in the primary motor (M1) and sensory (S1) cortices. Combining sensory-motor exercises with transcranial direct current stimulation (tDCS) to boost M1 and S1 excitability may improve treatment outcomes. This combined approach aligns with the neurophysiological mechanisms underlying CLBP and may target the neuroplastic changes induced by low back pain.
View Article and Find Full Text PDFLumbar spine coronal balance parameters as a predictor of rehabilitation management outcomes in patients with radiculopathy due to lumbar disc herniation: A multicenter prospective case series study.
Heliyon
December 2024
CBP Nonprofit (a spine research foundation), Eagle, ID, USA.
This prospective consecutive case series was conducted in 5 physiotherapy clinics in the UAE from January 2021-March 2023 to assess coronal lumbar spine radiographic parameters as a predictor of conservative therapy outcomes in patients suffering from low back and leg pain due to lumbar herniated nucleus pulposus (HNP). Ninety patients (mean age 44 yrs., 54 % male) with lumbar HNP underwent conservative therapy.
View Article and Find Full Text PDFFractional curve following adult idiopathic scoliosis correction: impact of curve magnitude on postoperative outcomes.
J Neurosurg Spine
November 2024
1Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Objective: The goal of this study was to assess the impact of fractional curve (FC) severity on curve progression and postoperative outcomes in patients undergoing adult idiopathic scoliosis (AdIS) correction.
Methods: Patients with AdIS who had preoperative coronal plane deformity and who had undergone thoracolumbar fusion with a lowermost instrumented vertebra (LIV) between L1 and L4 were included. Patients were stratified by 6-week postoperative FC severity (small FC, ≤ 40th percentile, large FC, ≥ 60th percentile of the entire cohort; calculated as the Cobb angle between LIV and S1) and age groups.
Proximal Lumbar Anterior Column Realignment for Iatrogenic Sagittal Plane Adult Spinal Deformity Correction: A Retrospective Case Series.
World Neurosurg
November 2024
Department of Neurosurgery, Duke University School of Medicine, Durham, North Carolina, USA.
Article Synopsis
- Anterior column realignment (ACR) is a minimally invasive technique used to correct spinal alignment in adults with deformities, showing promising results similar to more invasive surgeries but with less blood loss.
- A study analyzed 19 patients who underwent ACR for flatback deformity, noting significant improvements in spinal alignment and reduced back pain after surgery over an average follow-up of 19 months.
- The procedure had a major complication rate of 15.8%, with no serious long-term neurological or vascular injuries observed, supporting ACR as a safe option for correcting spinal issues in patients with previous surgeries.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!