The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young Adults
Abstract Objectives The present study aims to characterize the spinal balance (SB) in young adults with Schmorl nodes (SN). Methods A cross-sectional study was conducted on a sample of 47 young adults. Lumbar magnetic resonance imaging (MRI) was used to divide the patients into an SN group and a c...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-11-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000500815&lng=en&tlng=en |
| _version_ | 1797225663838552064 |
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| author | Joana Gomes da Silva Mário Baptista Bruno Direito-Santos Pedro Varanda Rui M. Duarte |
| author_facet | Joana Gomes da Silva Mário Baptista Bruno Direito-Santos Pedro Varanda Rui M. Duarte |
| author_sort | Joana Gomes da Silva |
| collection | DOAJ |
| description | Abstract Objectives The present study aims to characterize the spinal balance (SB) in young adults with Schmorl nodes (SN). Methods A cross-sectional study was conducted on a sample of 47 young adults. Lumbar magnetic resonance imaging (MRI) was used to divide the patients into an SN group and a control group. Standing full spine radiographs were used to compare the spinopelvic SB parameters between groups: sagittal vertical axis, thoracic kyphosis, lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS). Results The LL and SS values were significantly lower in patients with SN when compared with the control group (54.5° versus 64.3°; 36.2° versus 41.4°, respectively). No significant differences were observed for the other parameters. Significant correlations were found in both groups between LL and SS; PI and PT; and PI and SS. Conclusions Young adults with SN have associated SB modifications, particularly lower LL and SS values, when compared with a control group. This flatter profile resembles that observed in patients with lower back pain and early disc pathology. We believe that SNs are relevant clinical findings that should prompt the study of the SB of a patient, as it may uncover variations associated with early disc degeneration. Level of Evidence III |
| first_indexed | 2024-03-08T08:12:09Z |
| format | Article |
| id | doaj.art-10bcb5dc04cc4be7b365544d65521d46 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-04-24T14:12:36Z |
| publishDate | 2022-11-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-10bcb5dc04cc4be7b365544d65521d462024-04-03T08:58:21ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782022-11-0157581582010.1055/s-0042-1744501The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young AdultsJoana Gomes da Silvahttps://orcid.org/0000-0003-0257-3593Mário Baptistahttps://orcid.org/0000-0003-2363-2185Bruno Direito-Santoshttps://orcid.org/0000-0003-3263-9127Pedro Varandahttps://orcid.org/0000-0002-7214-5773Rui M. Duartehttps://orcid.org/0000-0002-7714-3865Abstract Objectives The present study aims to characterize the spinal balance (SB) in young adults with Schmorl nodes (SN). Methods A cross-sectional study was conducted on a sample of 47 young adults. Lumbar magnetic resonance imaging (MRI) was used to divide the patients into an SN group and a control group. Standing full spine radiographs were used to compare the spinopelvic SB parameters between groups: sagittal vertical axis, thoracic kyphosis, lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS). Results The LL and SS values were significantly lower in patients with SN when compared with the control group (54.5° versus 64.3°; 36.2° versus 41.4°, respectively). No significant differences were observed for the other parameters. Significant correlations were found in both groups between LL and SS; PI and PT; and PI and SS. Conclusions Young adults with SN have associated SB modifications, particularly lower LL and SS values, when compared with a control group. This flatter profile resembles that observed in patients with lower back pain and early disc pathology. We believe that SNs are relevant clinical findings that should prompt the study of the SB of a patient, as it may uncover variations associated with early disc degeneration. Level of Evidence IIIhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000500815&lng=en&tlng=enlordosislumbar vertebraespinal fusionyoung adult |
| spellingShingle | Joana Gomes da Silva Mário Baptista Bruno Direito-Santos Pedro Varanda Rui M. Duarte The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young Adults Revista Brasileira de Ortopedia lordosis lumbar vertebrae spinal fusion young adult |
| title | The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young Adults |
| title_full | The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young Adults |
| title_fullStr | The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young Adults |
| title_full_unstemmed | The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young Adults |
| title_short | The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young Adults |
| title_sort | influence of schmorl nodes in spinal sagittal balance in young adults |
| topic | lordosis lumbar vertebrae spinal fusion young adult |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000500815&lng=en&tlng=en |
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