Correlation Between Direction of Prolapsed Intervertebral Disc (PIVD) And Lumbar Vertebral Alignment

Yıl 2024, Cilt: 7 Sayı: 2, 315 - 325, 25.03.2024

Sachi Jain Sandeep Shinde Pooja Jain

https://doi.org/10.33438/ijdshs.1380877

Öz

Abstract


Purpose: The purpose of this research was to establish a link between direction of a prolapsed intervertebral disc (PIVD) and lumbar vertebral alignment. Methods: This cross-sectional study included 102 participants with prolapsed intervertebral discs in the lumbar segment and lumbar vertebral mal-alignment of both sexes between the ages of 30 and 50 who had undergone MRI and X-ray for the lumbo-sacral spine. The Numerical Pain Rating Scale (NPRS) was used to assess outcome, MRI scans were used to determine the direction and amount of PIVD, and lumbar spinal alignment was assessed using X-rays in the AP and lateral views. SPSS version 26.0 was used for statistical analysis. Findings: Among the 102 participants, The study found that only 2.94% of 102 participants had Prolapsed Intracranial Disc Disease (PID) at the L1-2 level, with many on multiple levels. Prolapsed intervertebral discs were prevalent in 46.07% of individuals, with scoliosis in 33.33%, exaggerated lumbar lordosis in 4 subjects, and anterolisthesis in 20.59%. The study found a significant correlation between posterocentral and anterolisthesis, biforaminal and flatback, right paracentral and left paracentral prolapse and scoliosis (p<0.0001), with biforaminal direction being particularly significant for anterolisthesis and retrolisthesis (p=0.0050, 0.0014). The lumbosacral angle had a mean value of 31.79, and the mean of pain on rest was 1.99±1.38 and during activity was 5.51±1.66. Conclusion: It concluded that there was a significant relationship between the direction of prolapsed intervertebral disc (PIVD) and lumbar vertebral alignment.

Anahtar Kelimeler

Anterolisthesis, Lumbar lordosis, Lumbosacral angle, Pain, Scoliosis

Etik Beyan

The research related to human use has been complied with all the relevant national regulations, institutional policies and in accordance the tenets of the Helsinki Declaration, and has been approved by the Ethical Committee of Krishna Vishwa Vidyapeeth, Karad. (Protocol number- 049/2022-2023).

Destekleyen Kurum

Krishna Vishwa Vidyapeeth, Krishna Institute of Medical Sciences Deemed to be University, Karad, Maharashtra, India

Proje Numarası

049/2022-2023

Teşekkür

We acknowledge the guidance Dr. G. Varadharajulu, Dean, Krishna College of Physiotherapy,KIMSDU Karad and Dr.Kakade SV, for statistical help.

Kaynakça

• Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of pain research, 11, 851–856. [PubMed]
• Al Qaraghli MI, De Jesus O. Lumbar Disc Herniation. 2023 Aug 14. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32809713. [PubMed]
• Amin, R. M., Andrade, N. S., & Neuman, B. J. (2017). Lumbar Disc Herniation. Current reviews in musculoskeletal medicine, 10(4), 507–516. [PubMed]
• Andersen, S. B., Birkelund, R., Andersen, M. Ø., Carreon, L. Y., Coulter, A., & Steffensen, K. D. (2019). Factors Affecting Patient Decision-making on Surgery for Lumbar Disc Herniation. Spine, 44(2), 143–149. [PubMed]
• Antoniades, S. B., Hammerberg, K. W., & DeWald, R. L. (2000). Sagittal plane configuration of the sacrum in spondylolisthesis. Spine, 25(9),1085–1091.[PubMed]
• Avaghade, R. R., Shinde, S. B., & Dhane, S. B. (2023). Effectiveness of McKenzie approach and segmental spinal stabilization exercises on neck pain in individuals with cervical postural syndrome: An experimental study. Journal of education and health promotion, 12, 225. [PubMed]
• Berge C. (1998). Heterochronic processes in human evolution: an ontogenetic analysis of the hominid pelvis. American journal of physical anthropology, 105(4), 441–459. [PubMed]
• Berven, S., & Wadhwa, R. (2018). Sagittal Alignment of the Lumbar Spine. Neurosurgery clinics of North America, 29(3), 331–339. [PubMed]
• Brinjikji, W., Luetmer, P. H., Comstock, B., Bresnahan, B. W., Chen, L. E., Deyo, R. A., Halabi, S., Turner, J. A., Avins, A. L., James, K., Wald, J. T., Kallmes, D. F., & Jarvik, J. G. (2015). Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR. American journal of neuroradiology, 36(4), 811–816. [PubMed]
• Coşkun Benlidayı, İ., Başaran, S., & Seydaoğlu, G. (2016). Lumbosacral morphology in lumbar disc herniation: a "chicken and egg" issue. Acta orthopaedica et traumatologica turcica, 50(3), 346–350. [CrossRef]
• Davis, D., Maini, K., & Vasudevan, A. (2023). Sciatica. 2022 May 6. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. [PubMed]
• de Carvalho, M. E., de Carvalho, R. M., Jr, Marques, A. P., de Carvalho Lucio, L. M., de Oliveira, A. C., Neto, O. P., Villaverde, A. B., & de Lima, C. J. (2016). Low intensity laser and LED therapies associated with lateral decubitus position and flexion exercises of the lower limbs in patients with lumbar disk herniation: clinical randomized trial. Lasers in medical science, 31(7), 1455–1463. [PubMed]
• Demirel, A., Yorubulut, M., & Ergun, N. (2017). Regression of lumbar disc herniation by physiotherapy. Does non-surgical spinal decompression therapy make a difference? Double-blind randomized controlled trial. Journal of back and musculoskeletal rehabilitation, 30(5), 1015–1022. [PubMed]
• Endo, K., Suzuki, H., Tanaka, H., Kang, Y., & Yamamoto, K. (2010). Sagittal spinal alignment in patients with lumbar disc herniation. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 19(3), 435–438. [PubMed]
• Gadiya, A., Borde, M., Patel, P., Bhojraj, S., Nagad, P., & Prabhoo, T. (2016). Lumbar prolapsed intervertebral disc a treatment algorithm. J Clin Orthop, 1, 29-35.
• Harper, R., & Klineberg, E. (2019). The evidence-based approach for surgical complications in the treatment of lumbar disc herniation. International orthopaedics, 43(4), 975–980. [PubMed]
• Heliövaara M. (1987). Occupation and risk of herniated lumbar intervertebral disc or sciatica leading to hospitalization. Journal of chronic diseases, 40(3), 259–264. [PubMed]
• Huang, W., Han, Z., Liu, J., Yu, L., & Yu, X. (2016). Risk Factors for Recurrent Lumbar Disc Herniation: A Systematic Review and Meta-Analysis. Medicine, 95(2), e2378. [PubMed]
• Jensen, M. C., Brant-Zawadzki, M. N., Obuchowski, N., Modic, M. T., Malkasian, D., & Ross, J. S. (1994). Magnetic resonance imaging of the lumbar spine in people without back pain. The New England journal of medicine, 331(2), 69–73. [PubMed]
• Jordan, J., Konstantinou, K., & O'Dowd, J. (2009). Herniated lumbar disc. BMJ clinical evidence, 2009, 1118. [PubMed] Kapetanakis, S., Gkantsinikoudis, N., & Charitoudis, G. (2019). The Role of Full-Endoscopic Lumbar Discectomy in Surgical Treatment of Recurrent Lumbar Disc Herniation: A Health-Related Quality of Life Approach. Neurospine, 16(1), 96–104. [PubMed]
• Kotwal, P. P., & Mittal, K. (2020). Joshi and Kotwal's Essentials of Orthopedics and Applied Physiotherapy-E-book. Elsevier Health Sciences.
• Koslosky, E., & Gendelberg, D. (2020). Classification in Brief: The Meyerding Classification System of Spondylolisthesis. Clinical orthopaedics and related research, 478(5), 1125–1130. [PubMed]
• Kreiner, D. S., Hwang, S. W., Easa, J. E., Resnick, D. K., Baisden, J. L., Bess, S., Cho, C. H., DePalma, M. J., Dougherty, P., 2nd, Fernand, R., Ghiselli, G., Hanna, A. S., Lamer, T., Lisi, A. J., Mazanec, D. J., Meagher, R. J., Nucci, R. C., Patel, R. D., Sembrano, J. N., Sharma, A. K., North American Spine Society (2014). An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. The spine journal : official journal of the North American Spine Society, 14(1), 180–191. [PubMed]
• Okpala F. (2014). Measurement of lumbosacral angle in normal radiographs: a retrospective study in southeast Nigeria. Annals of medical and health sciences research, 4(5), 757–762. [PubMed]
• Ozturk, B., Gunduz, O. H., Ozoran, K., & Bostanoglu, S. (2006). Effect of continuous lumbar traction on the size of herniated disc material in lumbar disc herniation. Rheumatology international, 26(7), 622–626. [PubMed]
• Pourahmadi, M. R., Taghipour, M., Ebrahimi Takamjani, I., Sanjari, M. A., Mohseni-Bandpei, M. A., & Keshtkar, A. A. (2016). Motor control exercise for symptomatic lumbar disc herniation: protocol for a systematic review and meta-analysis. BMJ open, 6(9), e012426. [PubMed]
• Ranganatha Babu Kurupati DV, Sadalagi PS, Lokesh BV, Sujai S. Functional outcome of chronic low back ache due to a prolapsed inter-vertebral disc treated with caudal epidural steroid injection–a prospective study. International Journal of Orthopaedics. 2020;6(3):237-40. [CrossRef]
• Ropper, A. H., & Zafonte, R. D. (2015). Sciatica. The New England journal of medicine, 372(13), 1240–1248. [PubMed]
• Satpute, K., Hall, T., Bisen, R., & Lokhande, P. (2019). The Effect of Spinal Mobilization With Leg Movement in Patients With Lumbar Radiculopathy-A Double-Blind Randomized Controlled Trial. Archives of physical medicine and rehabilitation, 100(5), 828–836. [PubMed]
• Sharrak S, Al Khalili Y. Cervical disc herniation. StatPearls. Treasure Island, FL: StatPearls Publishing; 2022. [PubMed]
• Shenoy, K., Stekas, N., Donnally, C. J., 3rd, Zhao, W., Kim, Y. H., Lurie, J. D., & Razi, A. E. (2019). Retrolisthesis and lumbar disc herniation: a postoperative assessment of outcomes at 8-year follow-up. The spine journal : official journal of the North American Spine Society, 19(6), 995–1000. [PubMed]
• Shinde, S. B., & Bhende, R. P. (2023). Estimation of Spinal Muscle Performance in Work From Home Information Technology Professionals of Karad, India in 2021. Indian journal of occupational and environmental medicine, 27(2), 138–142. [PubMed]
• Shinde, S. B., Manpreet, B., & Bhore, P. R. (2022). Effect of spinal extension exercises on mechanical low back pain in work from home IT professionals in India. International Journal of Occupational Safety and Health, 12(2), 75-80.
• Takatalo, J., Karppinen, J., Niinimäki, J., Taimela, S., Näyhä, S., Mutanen, P., Sequeiros, R. B., Kyllönen, E., & Tervonen, O. (2011). Does lumbar disc degeneration on magnetic resonance imaging associate with low back symptom severity in young Finnish adults?. Spine, 36(25), 2180–2189. [PubMed]
• Tenny S, Gillis CC. Spondylolisthesis. 2023 May 22. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 28613518. [PubMed]
• Thackeray, A., Fritz, J. M., Brennan, G. P., Zaman, F. M., & Willick, S. E. (2010). A pilot study examining the effectiveness of physical therapy as an adjunct to selective nerve root block in the treatment of lumbar radicular pain from disk herniation: a randomized controlled trial. Physical therapy, 90(12), 1717–1729. [PubMed]
• Van der Windt DA. An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. Cochrane Db Syst Rev 2010;2: CD007431. [PubMed]
• Wang, J. C., Dailey, A. T., Mummaneni, P. V., Ghogawala, Z., Resnick, D. K., Watters, W. C., 3rd, Groff, M. W., Choudhri, T. F., Eck, J. C., Sharan, A., Dhall, S. S., & Kaiser, M. G. (2014). Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: lumbar fusion for disc herniation and radiculopathy. Journal of neurosurgery. Spine, 21(1), 48–53. [PubMed]
• Wang, X., Liu, H., Wang, W., Sun, Y., Zhang, F., Guo, L., Li, J., & Zhang, W. (2022). Comparison of multifidus degeneration between scoliosis and lumbar disc herniation. BMC musculoskeletal disorders, 23(1), 891. [PubMed] Wu, L., & Cruz, R. (2022). Lumbar Spinal Stenosis. StatPearls. Treasure Island (FL). [PubMed]
• Wu, W., Chen, Y., Yu, L., Li, F., & Guo, W. (2019). Coronal and sagittal spinal alignment in lumbar disc herniation with scoliosis and trunk shift. Journal of orthopaedic surgery and research, 14(1), 264. [PubMed]
• Zhang, A. S., Xu, A., Ansari, K., Hardacker, K., Anderson, G., Alsoof, D., & Daniels, A. H. (2023). Lumbar Disc Herniation: Diagnosis and Management. The American journal of medicine, 136(7), 645–651. [PubMed]