PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH
Abstract Although retrolisthesis is not a well-known condition by many medical specialists dealing with back problems and it has been regarded as a radiological incidental finding with no clinical significance, a growing prove is now evolving stating that retrolisthesis could be a cause of many bac...
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| Format: | Article |
| Language: | English |
| Published: |
university of basrah
2015-06-01
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| Series: | Basrah Journal of Surgery |
| Subjects: | |
| Online Access: | https://bjsrg.uobasrah.edu.iq/article_102884_8bb28d2bea8ea4c5e74a7021bf7f2637.pdf |
| _version_ | 1818289542621298688 |
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| author | Thamer A Hamdan Yas khudair Hadood Mubder A Mohammed Saeed |
| author_facet | Thamer A Hamdan Yas khudair Hadood Mubder A Mohammed Saeed |
| author_sort | Thamer A Hamdan |
| collection | DOAJ |
| description | Abstract
Although retrolisthesis is not a well-known condition by many medical specialists dealing with back problems and it has been regarded as a radiological incidental finding with no clinical significance, a growing prove is now evolving stating that retrolisthesis could be a cause of many backache complaints and a sequelae of an altered spine biomechanics.
Objectives: to study and analyze the various biomechanical characteristics of retrolisthesis and its relationship with various radiological parameters of the lumbar spine and other patient’s factors. Patients and Method: Forty patients, twenty six males, and fourteen females with an age range from 40–66 years with radiological evidence of significant lumbar spine retrolisthesis (slip > 3 millimeters) were evaluated clinically and radiologically by plain radiography and MRI in Basra General Hospital and Ibn AL-Bittar Private Hospital, during the period from the 1st of August 2014 to the 1st of March 2015. After a thorough history and physical examination, various radiological parameters were obtained including the lumbar lordosis, sacral slop, pelvic incidence, pelvic tilt, all those measurements were done digitally. A statistical analysis was made via IBM SPSS ver.17 and the results were compared with that of similar studies. Results: The retrolisthesis was found to be more common with more slip distance in males than in females, males=26 (65%), females=14 (35%), P-value=0.026, the mean of slip in mm in males was (4.002) and in females was (3.71). The patients had a mean BMI equal to (26.025= overweight). The most common level at which retrolisthesis occur in this study was the L5-S1 (40%) then L4-L5 (22.5%).
All the radiological parameters (the lumbar lordosis, sacral slop, pelvic incidence, and pelvic tilt) were lower than the known normal values in healthy subjects. Conclusion: It seems that retrolisthesis is not just an incidental finding, it may be a kind of a compensatory reaction for an abnormal spine biomechanics. The males are affected more frequently than females with a more slip distance.
The L5-S1 followed by the L4-L5 are the most common sites in both sexes. The degenerative spinal disease is the main cause of retrolisthesis in all patient’s groups regardless of sex or age. |
| first_indexed | 2024-12-13T02:13:56Z |
| format | Article |
| id | doaj.art-bce53484436e4a4ab2c40931ea90e140 |
| institution | Directory Open Access Journal |
| issn | 1683-3589 2409-501X |
| language | English |
| last_indexed | 2024-12-13T02:13:56Z |
| publishDate | 2015-06-01 |
| publisher | university of basrah |
| record_format | Article |
| series | Basrah Journal of Surgery |
| spelling | doaj.art-bce53484436e4a4ab2c40931ea90e1402022-12-22T00:02:58Zenguniversity of basrahBasrah Journal of Surgery1683-35892409-501X2015-06-0121121110.33762/bsurg.2015.102884102884PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAHThamer A HamdanYas khudair HadoodMubder A Mohammed SaeedAbstract Although retrolisthesis is not a well-known condition by many medical specialists dealing with back problems and it has been regarded as a radiological incidental finding with no clinical significance, a growing prove is now evolving stating that retrolisthesis could be a cause of many backache complaints and a sequelae of an altered spine biomechanics. Objectives: to study and analyze the various biomechanical characteristics of retrolisthesis and its relationship with various radiological parameters of the lumbar spine and other patient’s factors. Patients and Method: Forty patients, twenty six males, and fourteen females with an age range from 40–66 years with radiological evidence of significant lumbar spine retrolisthesis (slip > 3 millimeters) were evaluated clinically and radiologically by plain radiography and MRI in Basra General Hospital and Ibn AL-Bittar Private Hospital, during the period from the 1st of August 2014 to the 1st of March 2015. After a thorough history and physical examination, various radiological parameters were obtained including the lumbar lordosis, sacral slop, pelvic incidence, pelvic tilt, all those measurements were done digitally. A statistical analysis was made via IBM SPSS ver.17 and the results were compared with that of similar studies. Results: The retrolisthesis was found to be more common with more slip distance in males than in females, males=26 (65%), females=14 (35%), P-value=0.026, the mean of slip in mm in males was (4.002) and in females was (3.71). The patients had a mean BMI equal to (26.025= overweight). The most common level at which retrolisthesis occur in this study was the L5-S1 (40%) then L4-L5 (22.5%). All the radiological parameters (the lumbar lordosis, sacral slop, pelvic incidence, and pelvic tilt) were lower than the known normal values in healthy subjects. Conclusion: It seems that retrolisthesis is not just an incidental finding, it may be a kind of a compensatory reaction for an abnormal spine biomechanics. The males are affected more frequently than females with a more slip distance. The L5-S1 followed by the L4-L5 are the most common sites in both sexes. The degenerative spinal disease is the main cause of retrolisthesis in all patient’s groups regardless of sex or age.https://bjsrg.uobasrah.edu.iq/article_102884_8bb28d2bea8ea4c5e74a7021bf7f2637.pdfpattern of degenerativelumbarretrolisthesis |
| spellingShingle | Thamer A Hamdan Yas khudair Hadood Mubder A Mohammed Saeed PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH Basrah Journal of Surgery pattern of degenerative lumbar retrolisthesis |
| title | PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
| title_full | PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
| title_fullStr | PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
| title_full_unstemmed | PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
| title_short | PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
| title_sort | pattern of degenerative lumbar retrolisthesis in basrah |
| topic | pattern of degenerative lumbar retrolisthesis |
| url | https://bjsrg.uobasrah.edu.iq/article_102884_8bb28d2bea8ea4c5e74a7021bf7f2637.pdf |
| work_keys_str_mv | AT thamerahamdan patternofdegenerativelumbarretrolisthesisinbasrah AT yaskhudairhadood patternofdegenerativelumbarretrolisthesisinbasrah AT mubderamohammedsaeed patternofdegenerativelumbarretrolisthesisinbasrah |