Compensatory classification in spine sagittal malalignment with lumbar degeneration
Abstract Objective To generate a compensatory classification to evaluate sagittal spinal malalignment with lumbar degeneration. Methods We included 162 patients with low back pain who underwent full-length spinal radiography in our hospital from August 2019 to October 2021. Using full-length spine X...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06310-3 |
| _version_ | 1797854058327834624 |
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| author | Yu Wang Xiang-Yu Li Wei-Guo Zhu Cheng-Xin Liu Chao Kong Shi-Bao Lu |
| author_facet | Yu Wang Xiang-Yu Li Wei-Guo Zhu Cheng-Xin Liu Chao Kong Shi-Bao Lu |
| author_sort | Yu Wang |
| collection | DOAJ |
| description | Abstract Objective To generate a compensatory classification to evaluate sagittal spinal malalignment with lumbar degeneration. Methods We included 162 patients with low back pain who underwent full-length spinal radiography in our hospital from August 2019 to October 2021. Using full-length spine X-rays, we measured pelvic tilt (PT), sacral slope (SS), pelvic incidence (PI), thoracic kyphosis (TK), lumbar lordosis (LL), C7 slope (C7S), thoracolumbar kyphosis (TLK), and C7 sagittal vertical axis (SVA). We also recorded the Oswestry Disability Index (ODI) and visual analog scale (VAS). Patients were divided into four groups based on the SRS-Schwab classification and four other groups based on the compensatory classification. Results ODI correlated with age, SS, LL, TK, C7-SVA, SRS-Schwab classification, and compensatory classification. Lumbar VAS score correlated with LL, TK, C7-SVA, SRS-Schwab classification, and compensatory classification. Leg VAS score only correlated with LL. Hidden imbalance and imbalance with compensation had more significant PT and larger TK than balance patients. The symptoms of the four compensatory classification groups gradually worsened. Conclusion The spinal-pelvic sagittal balance in patients with lumbar degeneration based on pelvic and thoracic compensation can reflect spinal balance and symptoms. This parameter might help evaluate spine sagittal alignment in elderly patients with lumbar degeneration. |
| first_indexed | 2024-04-09T20:00:56Z |
| format | Article |
| id | doaj.art-790c2fe0c4d44270a90be5cbcc3c4241 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-09T20:00:56Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-790c2fe0c4d44270a90be5cbcc3c42412023-04-03T05:13:33ZengBMCBMC Musculoskeletal Disorders1471-24742023-03-012411810.1186/s12891-023-06310-3Compensatory classification in spine sagittal malalignment with lumbar degenerationYu Wang0Xiang-Yu Li1Wei-Guo Zhu2Cheng-Xin Liu3Chao Kong4Shi-Bao Lu5Department of Orthopedics, Xuanwu Hospital, Capital Medical UniversityDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityDepartment of Orthopedics, Xuanwu Hospital, Capital Medical UniversityAbstract Objective To generate a compensatory classification to evaluate sagittal spinal malalignment with lumbar degeneration. Methods We included 162 patients with low back pain who underwent full-length spinal radiography in our hospital from August 2019 to October 2021. Using full-length spine X-rays, we measured pelvic tilt (PT), sacral slope (SS), pelvic incidence (PI), thoracic kyphosis (TK), lumbar lordosis (LL), C7 slope (C7S), thoracolumbar kyphosis (TLK), and C7 sagittal vertical axis (SVA). We also recorded the Oswestry Disability Index (ODI) and visual analog scale (VAS). Patients were divided into four groups based on the SRS-Schwab classification and four other groups based on the compensatory classification. Results ODI correlated with age, SS, LL, TK, C7-SVA, SRS-Schwab classification, and compensatory classification. Lumbar VAS score correlated with LL, TK, C7-SVA, SRS-Schwab classification, and compensatory classification. Leg VAS score only correlated with LL. Hidden imbalance and imbalance with compensation had more significant PT and larger TK than balance patients. The symptoms of the four compensatory classification groups gradually worsened. Conclusion The spinal-pelvic sagittal balance in patients with lumbar degeneration based on pelvic and thoracic compensation can reflect spinal balance and symptoms. This parameter might help evaluate spine sagittal alignment in elderly patients with lumbar degeneration.https://doi.org/10.1186/s12891-023-06310-3Spine-pelvic sagittal morphologyBalanceLumbar degeneration |
| spellingShingle | Yu Wang Xiang-Yu Li Wei-Guo Zhu Cheng-Xin Liu Chao Kong Shi-Bao Lu Compensatory classification in spine sagittal malalignment with lumbar degeneration BMC Musculoskeletal Disorders Spine-pelvic sagittal morphology Balance Lumbar degeneration |
| title | Compensatory classification in spine sagittal malalignment with lumbar degeneration |
| title_full | Compensatory classification in spine sagittal malalignment with lumbar degeneration |
| title_fullStr | Compensatory classification in spine sagittal malalignment with lumbar degeneration |
| title_full_unstemmed | Compensatory classification in spine sagittal malalignment with lumbar degeneration |
| title_short | Compensatory classification in spine sagittal malalignment with lumbar degeneration |
| title_sort | compensatory classification in spine sagittal malalignment with lumbar degeneration |
| topic | Spine-pelvic sagittal morphology Balance Lumbar degeneration |
| url | https://doi.org/10.1186/s12891-023-06310-3 |
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