EN
The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration
Abstract
Objectives: We investigated the relationship between the lumbosacral morphology and degree of intervertebral disc degeneration in a large sample of young patients. In addition, the relation between various morphological parameters (sacral table angle and sacral kyphosis) and lumbar disc herniation or degeneration was also evaluated.
Methods: The magnetic resonance imaging (MRI) of low back pain patients referred to our department in 2008-2009 were retrospectively evaluated. Patients with prior lumbar spinal surgery, serious congenital anomalies on MRI, incomplete or complete lumbosacral trancision, severe scoliosis, spondylolysis, or spondylolisthesis were excluded from the study. A sample of 131 females between 20-30 years of age was studied. Patients were evaluated for the presence of intervertebral disc herniation or degeneration, and the degree of degeneration was assessed. Angles of lumbar lordosis, sacral table, and sacral kyphosis were also measured for each patient.
Results: The degree of intervertebral disc degeneration increased in parallel to the decrease in the sacral kyphosis and lumbar lordosis angles, and to the increase in sacral table angle. A statistically significant difference with regard to the angles of lumbar lordosis, sacral kyphosis, and sacral table was determined between individuals with (23.37±7.09°, 163.09±9.48°, 104.34±5.47°, respectively) and without intervertebral disc degeneration (26.94±7.39°, 168.94±10.52°, 100.83±4.32°; p=0.006, p=0.001, p=0.0001, respectively). In addition, a statistically significant difference with regard to the angles of lumbar lordosis, sacral kyphosis, and sacral table was determined between individuals with (22.82±6.94°, 162.23±9.53°, 104.94±5.19°, respectively) and without intervertebral disc herniation (27.25±7.26°, 169.39±9.96°, 100.48±4.33°; p=0.001, p=0.0001, p=0.0001, respectively).
Conclusion: The degree and risk of intervertebral disc degeneration and herniation increases in parallel to the decrease in sacral kyphosis and lumbar lordosis, and to the increase in sacral surface angle.
Methods: The magnetic resonance imaging (MRI) of low back pain patients referred to our department in 2008-2009 were retrospectively evaluated. Patients with prior lumbar spinal surgery, serious congenital anomalies on MRI, incomplete or complete lumbosacral trancision, severe scoliosis, spondylolysis, or spondylolisthesis were excluded from the study. A sample of 131 females between 20-30 years of age was studied. Patients were evaluated for the presence of intervertebral disc herniation or degeneration, and the degree of degeneration was assessed. Angles of lumbar lordosis, sacral table, and sacral kyphosis were also measured for each patient.
Results: The degree of intervertebral disc degeneration increased in parallel to the decrease in the sacral kyphosis and lumbar lordosis angles, and to the increase in sacral table angle. A statistically significant difference with regard to the angles of lumbar lordosis, sacral kyphosis, and sacral table was determined between individuals with (23.37±7.09°, 163.09±9.48°, 104.34±5.47°, respectively) and without intervertebral disc degeneration (26.94±7.39°, 168.94±10.52°, 100.83±4.32°; p=0.006, p=0.001, p=0.0001, respectively). In addition, a statistically significant difference with regard to the angles of lumbar lordosis, sacral kyphosis, and sacral table was determined between individuals with (22.82±6.94°, 162.23±9.53°, 104.94±5.19°, respectively) and without intervertebral disc herniation (27.25±7.26°, 169.39±9.96°, 100.48±4.33°; p=0.001, p=0.0001, p=0.0001, respectively).
Conclusion: The degree and risk of intervertebral disc degeneration and herniation increases in parallel to the decrease in sacral kyphosis and lumbar lordosis, and to the increase in sacral surface angle.
Keywords
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
December 29, 2010
Submission Date
March 11, 2014
Acceptance Date
-
Published in Issue
Year 2010 Volume: 44 Number: 4
APA
Ergun, T., Lakadamyali, H., & Sahin, M. (2010). The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration. Acta Orthopaedica et Traumatologica Turcica, 44(4), 293-299. https://izlik.org/JA78EA45XT
AMA
1.Ergun T, Lakadamyali H, Sahin M. The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration. Acta Orthopaedica et Traumatologica Turcica. 2010;44(4):293-299. https://izlik.org/JA78EA45XT
Chicago
Ergun, Tarkan, Hatice Lakadamyali, and Mehmet Sahin. 2010. “The Relation Between Sagittal Morphology of the Lumbosacral Spine and the Degree of Lumbar Intervertebral Disc Degeneration”. Acta Orthopaedica et Traumatologica Turcica 44 (4): 293-99. https://izlik.org/JA78EA45XT.
EndNote
Ergun T, Lakadamyali H, Sahin M (December 1, 2010) The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration. Acta Orthopaedica et Traumatologica Turcica 44 4 293–299.
IEEE
[1]T. Ergun, H. Lakadamyali, and M. Sahin, “The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration”, Acta Orthopaedica et Traumatologica Turcica, vol. 44, no. 4, pp. 293–299, Dec. 2010, [Online]. Available: https://izlik.org/JA78EA45XT
ISNAD
Ergun, Tarkan - Lakadamyali, Hatice - Sahin, Mehmet. “The Relation Between Sagittal Morphology of the Lumbosacral Spine and the Degree of Lumbar Intervertebral Disc Degeneration”. Acta Orthopaedica et Traumatologica Turcica 44/4 (December 1, 2010): 293-299. https://izlik.org/JA78EA45XT.
JAMA
1.Ergun T, Lakadamyali H, Sahin M. The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration. Acta Orthopaedica et Traumatologica Turcica. 2010;44:293–299.
MLA
Ergun, Tarkan, et al. “The Relation Between Sagittal Morphology of the Lumbosacral Spine and the Degree of Lumbar Intervertebral Disc Degeneration”. Acta Orthopaedica et Traumatologica Turcica, vol. 44, no. 4, Dec. 2010, pp. 293-9, https://izlik.org/JA78EA45XT.
Vancouver
1.Tarkan Ergun, Hatice Lakadamyali, Mehmet Sahin. The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration. Acta Orthopaedica et Traumatologica Turcica [Internet]. 2010 Dec. 1;44(4):293-9. Available from: https://izlik.org/JA78EA45XT