Sacralisation: A Predisposing Factor of Lumbosacral Degenerative Changes in Young Population
Introduction: Low Back Pain (LBP) is a most common symptom affecting about 80% of the population in their lifetime and results from numerous causes but the role of sacralisation in causing LBP is still controversial. Sacralisation of L5 may leads to stress concentration, which accentuates the d...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2018-01-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/article_fulltext.asp?issn=0973-709x&year=2018&month=January&volume=7&issue=1&page=RO18-RO22&id=2355 |
| Summary: | Introduction: Low Back Pain (LBP) is a most common
symptom affecting about 80% of the population in their
lifetime and results from numerous causes but the role
of sacralisation in causing LBP is still controversial.
Sacralisation of L5 may leads to stress concentration,
which accentuates the degenerative changes and also
development of degenerative spondylolisthesis. Therefore,
the following study was planned.
Aim: To determine whether the presence of sacralisation at
L5 level influences radiological findings of the degenerative
changes and LBP in young population.
Materials and Methods: Fifty patients of both sexes,
aged between 20-40 years with chronic LBP were
included in the study and all showed the presence of
sacralisation. They were subjected to both radiography
and MRI examination, after taking detailed clinical history.
All patients were assessed for radiographic parameters
of degenerative changes like anterior slippage of L4 on
L5 (% slip), facet osteoarthritis (by Fujiwara’s criteria 1-4
grades) and disc degeneration (by Frymoyer’s criteria
grades 1-5) of L4-L5.
Results: Total 50 patients were observed out of which
majority were between 30-34 years age group. Anterior
slippage of L4 on L5 was observed among 66% (p=0.033),
facet osteoarthritis (p=0.480) among 56% or disc
degeneration (p=0.007) among 70% of the patients.
Conclusion: The present study showed that sacralisation
is a predisposing factor of lumbar degenerative changes in
in significant number of young patients with LBP. Further
studies with large population are required to clarify the role
of sacralisation in influence of degenerative changes. |
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| ISSN: | 2277-8543 2455-6874 |