Low lordosis is a common finding in young lumbar disc herniation patients
Abstract Purpose The sagittal alignment of the lumbar spine and pelvis can be classified into several subtypes. It has been suggested that the risk of developing certain pathologies, such as a lumbar disc herniation (LDH) is affected by spinal sagittal profiles. The main aim of this study was to inv...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-05-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40634-020-00253-7 |
| _version_ | 1797332937006383104 |
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| author | Joel Beck Helena Brisby Adad Baranto Olof Westin |
| author_facet | Joel Beck Helena Brisby Adad Baranto Olof Westin |
| author_sort | Joel Beck |
| collection | DOAJ |
| description | Abstract Purpose The sagittal alignment of the lumbar spine and pelvis can be classified into several subtypes. It has been suggested that the risk of developing certain pathologies, such as a lumbar disc herniation (LDH) is affected by spinal sagittal profiles. The main aim of this study was to investigate the sagittal profile in young patients surgically treated for a lumbar disc herniation and if a discectomy would alter the sagittal parameters. Methods Sixteen active young patients (mean age 18.3 ± 3.2 SD) with a lumbar disc herniation having a discectomy were included. A classification according to Roussouly of the sagittal parameters was made by two senior spinal surgeons, both pre-operatively and post-operatively on radiographs. The distribution of sagittal parameters and spinopelvic profiles were analysed and compared to a previous established healthy normal population. Results This series of active young patients with LDH exhibited a low lumbar lordosis dominance, with Roussouly sagittal profiles type 1 and type 2 accounting for more than 75% of the examined patients. An analysis of the erect radiographs revealed no significant changes in the post-operative sagittal profile. Conclusions This study showed that sagittal spinal alignment according to Roussouly in a young population with LDH is skewed compared with a normal population cohort. Furthermore, the lack of post-operative correction is suggestive of a non-ephemeral response to a LDH. Roussouly type 2 spinal sagittal profile may be a risk factor in young individuals suffering a disc herniation. |
| first_indexed | 2024-03-08T07:55:32Z |
| format | Article |
| id | doaj.art-3ffd90d699a842aca323e23655252058 |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-03-08T07:55:32Z |
| publishDate | 2020-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-3ffd90d699a842aca323e236552520582024-02-02T13:42:26ZengSpringerOpenJournal of Experimental Orthopaedics2197-11532020-05-01711610.1186/s40634-020-00253-7Low lordosis is a common finding in young lumbar disc herniation patientsJoel Beck0Helena Brisby1Adad Baranto2Olof Westin3Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, and Sahlgrenska University HospitalDepartment of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, and Sahlgrenska University HospitalDepartment of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, and Sahlgrenska University HospitalDepartment of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, and Sahlgrenska University HospitalAbstract Purpose The sagittal alignment of the lumbar spine and pelvis can be classified into several subtypes. It has been suggested that the risk of developing certain pathologies, such as a lumbar disc herniation (LDH) is affected by spinal sagittal profiles. The main aim of this study was to investigate the sagittal profile in young patients surgically treated for a lumbar disc herniation and if a discectomy would alter the sagittal parameters. Methods Sixteen active young patients (mean age 18.3 ± 3.2 SD) with a lumbar disc herniation having a discectomy were included. A classification according to Roussouly of the sagittal parameters was made by two senior spinal surgeons, both pre-operatively and post-operatively on radiographs. The distribution of sagittal parameters and spinopelvic profiles were analysed and compared to a previous established healthy normal population. Results This series of active young patients with LDH exhibited a low lumbar lordosis dominance, with Roussouly sagittal profiles type 1 and type 2 accounting for more than 75% of the examined patients. An analysis of the erect radiographs revealed no significant changes in the post-operative sagittal profile. Conclusions This study showed that sagittal spinal alignment according to Roussouly in a young population with LDH is skewed compared with a normal population cohort. Furthermore, the lack of post-operative correction is suggestive of a non-ephemeral response to a LDH. Roussouly type 2 spinal sagittal profile may be a risk factor in young individuals suffering a disc herniation.http://link.springer.com/article/10.1186/s40634-020-00253-7Spinal sagittal alignmentLumbar disc herniationRoussouly classification |
| spellingShingle | Joel Beck Helena Brisby Adad Baranto Olof Westin Low lordosis is a common finding in young lumbar disc herniation patients Journal of Experimental Orthopaedics Spinal sagittal alignment Lumbar disc herniation Roussouly classification |
| title | Low lordosis is a common finding in young lumbar disc herniation patients |
| title_full | Low lordosis is a common finding in young lumbar disc herniation patients |
| title_fullStr | Low lordosis is a common finding in young lumbar disc herniation patients |
| title_full_unstemmed | Low lordosis is a common finding in young lumbar disc herniation patients |
| title_short | Low lordosis is a common finding in young lumbar disc herniation patients |
| title_sort | low lordosis is a common finding in young lumbar disc herniation patients |
| topic | Spinal sagittal alignment Lumbar disc herniation Roussouly classification |
| url | http://link.springer.com/article/10.1186/s40634-020-00253-7 |
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