Radiographic risk factors for degenerative lumbar spondylolisthesis: A comparison with healthy control subjects
ObjectiveTo evaluate the radiologic parameters of degenerative lumbar spondylolisthesis (DLS) and determine the radiographic risk factors for DLS by making comparisons with healthy control subjects.MethodsSeventy-five patients with L4/5 DLS (Meyerding grade I) and 53 healthy control subjects were an...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.956696/full |
| _version_ | 1811339098077528064 |
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| author | Zheng Wang Yonghao Tian Chao Li Donglai Li Yakubu Ibrahim Suomao Yuan Xia Wang Juan Tang Shijun Zhang Lianlei Wang Xinyu Liu |
| author_facet | Zheng Wang Yonghao Tian Chao Li Donglai Li Yakubu Ibrahim Suomao Yuan Xia Wang Juan Tang Shijun Zhang Lianlei Wang Xinyu Liu |
| author_sort | Zheng Wang |
| collection | DOAJ |
| description | ObjectiveTo evaluate the radiologic parameters of degenerative lumbar spondylolisthesis (DLS) and determine the radiographic risk factors for DLS by making comparisons with healthy control subjects.MethodsSeventy-five patients with L4/5 DLS (Meyerding grade I) and 53 healthy control subjects were analyzed. The L1-S1 disc height index (DHI), L4/5 facet joint angle (FJA), and relative cross-sectional area (RCSA) of paravertebral muscles were measured in both groups. The initial L4/5 DHI (iDHI) before the onset of DLS were estimated based on the L3/4 DHI of the DLS group and DHI of the control group. The sagittal parameters of DLS were also included in this study.ResultsThe DHI of L4/5 was lower in the DLS group than in the control group (P < 0.05), but the DHI of the L1-L4 segments were much higher than in the control group (P < 0.05). The initial L4/5 DHI and FJA of the DLS group were significantly higher than those of the control group (P < 0.05). The RCSA of the paravertebral muscles were smaller in the DLS group than in the control group (P < 0.05). Binary logistic regression analysis showed that iDHI, FJA, and RCSA of the total paraspinal muscles were risk factors for DLS. The cutoff values for iDHI, FJA, and RCSA were 0.504, 56.968°, and 1.991 respectively. The iDHI was associated with lumbar lordosis (LL), while L4/5 DHI was associated with the RCSA of the multifidus muscle and psoas major muscle (P < 0.05).ConclusionA large initial lumbar disc height, large FJA, and paravertebral muscle atrophy may be risk factors for DLS. |
| first_indexed | 2024-04-13T18:21:10Z |
| format | Article |
| id | doaj.art-ea09e4afca3248b2a75a8da9c1ea56c1 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-13T18:21:10Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-ea09e4afca3248b2a75a8da9c1ea56c12022-12-22T02:35:28ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-10-01910.3389/fsurg.2022.956696956696Radiographic risk factors for degenerative lumbar spondylolisthesis: A comparison with healthy control subjectsZheng WangYonghao TianChao LiDonglai LiYakubu IbrahimSuomao YuanXia WangJuan TangShijun ZhangLianlei WangXinyu LiuObjectiveTo evaluate the radiologic parameters of degenerative lumbar spondylolisthesis (DLS) and determine the radiographic risk factors for DLS by making comparisons with healthy control subjects.MethodsSeventy-five patients with L4/5 DLS (Meyerding grade I) and 53 healthy control subjects were analyzed. The L1-S1 disc height index (DHI), L4/5 facet joint angle (FJA), and relative cross-sectional area (RCSA) of paravertebral muscles were measured in both groups. The initial L4/5 DHI (iDHI) before the onset of DLS were estimated based on the L3/4 DHI of the DLS group and DHI of the control group. The sagittal parameters of DLS were also included in this study.ResultsThe DHI of L4/5 was lower in the DLS group than in the control group (P < 0.05), but the DHI of the L1-L4 segments were much higher than in the control group (P < 0.05). The initial L4/5 DHI and FJA of the DLS group were significantly higher than those of the control group (P < 0.05). The RCSA of the paravertebral muscles were smaller in the DLS group than in the control group (P < 0.05). Binary logistic regression analysis showed that iDHI, FJA, and RCSA of the total paraspinal muscles were risk factors for DLS. The cutoff values for iDHI, FJA, and RCSA were 0.504, 56.968°, and 1.991 respectively. The iDHI was associated with lumbar lordosis (LL), while L4/5 DHI was associated with the RCSA of the multifidus muscle and psoas major muscle (P < 0.05).ConclusionA large initial lumbar disc height, large FJA, and paravertebral muscle atrophy may be risk factors for DLS.https://www.frontiersin.org/articles/10.3389/fsurg.2022.956696/fulldegenerative lumbar spondylolisthesisdisc heightfacet jointparaspinal muscleradiographic risk factors |
| spellingShingle | Zheng Wang Yonghao Tian Chao Li Donglai Li Yakubu Ibrahim Suomao Yuan Xia Wang Juan Tang Shijun Zhang Lianlei Wang Xinyu Liu Radiographic risk factors for degenerative lumbar spondylolisthesis: A comparison with healthy control subjects Frontiers in Surgery degenerative lumbar spondylolisthesis disc height facet joint paraspinal muscle radiographic risk factors |
| title | Radiographic risk factors for degenerative lumbar spondylolisthesis: A comparison with healthy control subjects |
| title_full | Radiographic risk factors for degenerative lumbar spondylolisthesis: A comparison with healthy control subjects |
| title_fullStr | Radiographic risk factors for degenerative lumbar spondylolisthesis: A comparison with healthy control subjects |
| title_full_unstemmed | Radiographic risk factors for degenerative lumbar spondylolisthesis: A comparison with healthy control subjects |
| title_short | Radiographic risk factors for degenerative lumbar spondylolisthesis: A comparison with healthy control subjects |
| title_sort | radiographic risk factors for degenerative lumbar spondylolisthesis a comparison with healthy control subjects |
| topic | degenerative lumbar spondylolisthesis disc height facet joint paraspinal muscle radiographic risk factors |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.956696/full |
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