Vol. 10, Issue 3 (2024)
Evaluation of spinopelvic parameters in chronic lumbar prolapsed intervertebral disc
V Vipin, Ankit Dhaka, Aakash Tomar and Laxmish R
Background: Orientation and morphology of pelvis can lead to degenerative changes in the lumbar spine. However, the interrelation between spinopelvic parameters and LBP is poorly understood Thus, here we investigated the relationships between various sagittal spinopelvic parameters and the degree of disc degeneration. Understanding the relationship between spinopelvic parameters and IDD can help with better diagnosis and treatment and avoid unnecessary investigations.
Aim: To measure radiographic spinopelvic parameters of patients diagnosed with varying grades of IDD in the lumbosacral spine on Magnetic Resonance Imaging (MRI).
Materials and Methods: A hospital based cross sectional study with a total of 60 cases was done. All outdoor patients of age between18 and 50 years with chronic prolapsed intervertebral disc visiting the Department of Orthopedic, C.I.O Safdarjung hospital were recruited to participate in the study. All patients were evaluated clinically and radiologically with X-ray and MRI.
Results: The mean age was 37.58 years. Mean SS in the study population was 35.54° with a standard deviation of ± 3.58. Mean PT in the study population was 18.46° with a standard deviation of ± 3.56. Mean PI in the study population was 53.72° with a standard deviation of ± 2.93. In our study lowering of LL and SS was found in patient with PIVD.
Conclusion: Standing lateral view radiograph from dorso lumbar junction to the mid thigh is as good as standing whole spine radiograph for measurement of spinopelvic parameters. Lowering of sacral slope and lumbar lordosis is found in patient of PIVD.
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