Journal of Craniovertebral Junction and Spine

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 10  |  Issue : 3  |  Page : 167--171

Spinopelvic parameters in patients with lumbar degenerative disc disease, spondylolisthesis, and failed back syndrome: Comparison vis-á-vis normal asymptomatic population and treatment implications


Sachin A Borkar, Ravi Sharma, Nasim Mansoori, Sumit Sinha, Shashank Sharad Kale 
 Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Sachin A Borkar
Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences and Jai Prakash Narayan Apex Trauma Center, New Delhi - 110 029
India

Background: Most of the literature on role of spinopelvic parameters in various lumbar spine pathologies has been based on studies done on Caucasian population. Aims and Objectives: The present study attempts to establish a database of measurements of the sagittal profile of spine in asymptomatic Indian population and their comparison with subjects having various lumbar spine pathologies. Materials and Methods: We performed a prospective case control study at All India Institute of Medical Sciences, New Delhi in which we enrolled 109 patients and 22 healthy asymptomatic subjects in 2 years from 2015 to 2017. All patients underwent standing lateral radiographs of the pelvis and the entire spine and various spino-pelvic parameters were measured using Surgimap software. Results: The mean Pelvic incidence (PI) in the asymptomatic individuals was 49.29 ± 5.95° which was significantly lower when compared with patients of chronic low backache (53.96 ± 9.47, P-<0.001), lumbar listhesis (59.4 ± 21.33, P-<0.001) and failed back surgery syndrome (56.7 ± 8.21, P-<0.001). The mean Pelvic Tilt (PT) in healthy subjects was 14.3±4.08° which was significantly lower when compared with patients of lumbar listhesis (23.35 ± 14.03, P-<0.001) and failed back surgery syndrome (22.8 ± 8.09, P-<0.001). Sacral slope (SS) and sagittal vertical axis (SVA) offset did not show any statistically significant difference. The mean Lumbar lordosis (LL) measured in healthy individuals was 42.5 ± 7.89° which was significantly lower when compared with patients of lumbar listhesis (46.24 ± 19.24, P-0.04) and failed back surgery syndrome (45.12 ± 6.87, P-0.05). Conclusion: PT and PI showed statistically significant difference in subjects having lumbar spondylolisthesis and failed back surgery syndrome as compared to healthy asymptomatic subjects.


How to cite this article:
Borkar SA, Sharma R, Mansoori N, Sinha S, Kale SS. Spinopelvic parameters in patients with lumbar degenerative disc disease, spondylolisthesis, and failed back syndrome: Comparison vis-á-vis normal asymptomatic population and treatment implications.J Craniovert Jun Spine 2019;10:167-171


How to cite this URL:
Borkar SA, Sharma R, Mansoori N, Sinha S, Kale SS. Spinopelvic parameters in patients with lumbar degenerative disc disease, spondylolisthesis, and failed back syndrome: Comparison vis-á-vis normal asymptomatic population and treatment implications. J Craniovert Jun Spine [serial online] 2019 [cited 2019 Dec 8 ];10:167-171
Available from: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2019;volume=10;issue=3;spage=167;epage=171;aulast=Borkar;type=0