3.Response to Comments on "Correlation between Radiologic Sign of Lumbar Lordosis and Functional Status in Patients with Chronic Mechanical Low Back Pain".
Alireza ASHRAF ; Siamak FARAHANGIZ ; Bita PAKNIAT JAHROMI ; Nazanin SETAYESHPOUR ; Mahshid NASERI ; Ali NASSERI
Asian Spine Journal 2015;9(1):151-152
4.Commentary on Lumbar Lordosis in Chronic Mechanical Back Pain.
Manish Kundanmal KOTHARI ; Pramod SAINI ; Agnivesh TIKOO
Asian Spine Journal 2015;9(1):147-148
No abstract available.
Animals
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Back Pain*
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Lordosis*
6.The Role of the Pelvis in Sagittal Alignment of Lumbar Degenerative Disease Patients.
Yong Chan KIM ; Ki Han YOU ; Chulyoung JANG ; Ji Hao CUI ; Sirichai WILARTRATSAMI ; Tae Hwan KIM ; Jae Keun OH ; Moon Soo PARK ; Seok Woo KIM
Journal of Korean Society of Spine Surgery 2016;23(2):131-138
STUDY DESIGN: Literature review. OBJECTIVES: To present updated information on the relationship of the pelvis and lumbar degenerative disease (LDD) patients and to emphasize the importance of the pelvis in sagittal alignment of LDD patients. SUMMARY OF LITERATURE REVIEW: Although the relationship of the pelvis and sagittal alignment of LDD patients is controversial, many authors have reported a significant impact of the pelvis on LDD sagittal alignment. MATERIALS AND METHODS: The authors identified references through a literature search on the pelvis and LDD and continuous monitoring of the literature during the past 30 years. RESULTS: The pelvis and lumbar levels were related to whole-body sagittal alignment. The pelvis is also closely related to sagittal alignment of LDD patients. Therefore, the entire area should be regarded as a lumbopelvic complex. CONCLUSIONS: We need to consider the concept of a lumbopelvic joint and lumbopelvic lordosis, not a lumbosacral joint and lumbar lordosis. We must also evaluate the lumbopelvic complex to assess whole-body sagittal alignment and dynamic balance.
Animals
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Humans
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Joints
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Lordosis
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Pelvis*
7.Screw Fixation without Fusion for Low Lumbar Burst Fracture : A Severe Canal Compromise But Neurologically Intact Case.
Kun Soo JANG ; Chang Il JU ; Seok Won KIM ; Sung Myung LEE
Journal of Korean Neurosurgical Society 2011;49(2):128-130
The low lumbar spine is deeply located in flexible segments, and has a physiologic lordosis. Therefore, burst fractures of the low lumbar spine are uncommon injuries. The treatment for such injuries may either be conservative or surgical management according to canal compromise and the neurological status. However, there are no general guidelines or consensus for the treatment of low lumbar burst fractures especially in neurologically intact cases with severe canal compromise. We report a patient with a burst fracture of the fourth lumbar vertebra, who was treated surgically but without fusion because of the neurologically intact status in spite of severe canal compromise of more than 85%. It was possible to preserve motion segments by removal of screws at one year later. We also discuss why bone fusion was not necessary with review of the relevant literature.
Animals
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Consensus
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Humans
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Lordosis
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Spine
8.A Study on the Changes in the Lumbar Lordosis, Lumbosacral and Sacral Inclination Angle during Aging.
Chang Seok OH ; Tae Sung KIM ; Myong Ho SON ; Baik Yoon KIM
Korean Journal of Physical Anthropology 1995;8(1):1-7
Three parameters (lumbar lordosis, lumbosacral and sacral inclination angle) were measured on 512 normal plain lateral radiographs of lumbosacral spine and the patterns of change during aging were studied. The following results were obtained. 1. The lumbar lordosis angle showed a tendency to increase with age. But a brief decrease was observed after the 6th decade in both sexes, between the 2(nd) and 3(rd) decades in males, and between the 3(rd) and 4(th) decades in females. The lumbar spines of females were generally more lordotic than those of males. 2. The lumbosacral angle appeared to increase with age. The angle in males showed a decline between the 2nd and 4th decades while the angle in females decreased after the 6th decade. Males usually had greater angles than females. 3. The sacral inclination angle continued to increase until the 6th decade, after which a decrease was noted. The angle in females was generally greater than that in males. These results showed that all three angles varied with age, and the pattern of change differed between male and female.
Aging*
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Animals
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Female
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Humans
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Lordosis*
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Male
;
Spine
9.Radiologic Result of Displacement according to Position and Measurement Methods in Spondylolisthesis.
Dae Moo SHIM ; Tae Kyun KIM ; Dae Ho HA ; Young Jin KIM ; Ha Heon SONG ; Soo Uk CHAE ; Yong Woo CHO ; Dae Sic AHN
Journal of Korean Society of Spine Surgery 2002;9(2):127-132
STUDY DESIGN: Prospective analysis was based on radiographic appearance in 80 cases of spondylolisthesis taken in positional change. PURPOSE: The aim of the study was to investigate the flexion-extension lateral radiographs about the difference between decubitus and upright position and the measurement method of displacement in spondylolisthesis. SUMMARY OF LITERATURE REVIEW: Although the flexion-extension lateral radiographs of spine were known the most preferable diagnostic method for spine instability, there are some debates about the difference of displacement according to the patient position and measurement methods. MATERIALS AND METHODS: The radiographs of 80 patients with spondylolisthesis were taken in the decubitus and upright position. Extent of the displacement were measured by Taillard, DuPuis, modified Qunnell & Stockdale method and Ferguson angle, slip angle, lordosis angle and vertebral centroid measurement of lumbar lordosis(CLL) were measured, according to position. RESULTS: Significant difference between the positions was shown on the CLL and lordosis angle. Differences between positions analyzed from Taillard, DuPuis, modified Qunnell & Stockdale method, Ferguson angle and slip angle had no statistical significance. Differences between positions analyzed from the pathologic movement of translation(>4 mm) had a clinically significance in the upright position rather than the decubitus. CONCLUSION: The lateral flexion-extension radiographs on upright position rather than decubitus position are considered as the more useful diagnostic method.
Animals
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Humans
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Lordosis
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Prospective Studies
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Spine
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Spondylolisthesis*
10.Anterior Cervical Instrumentation Using Intradiscal Cage with Integrated Plate.
Kyoung Rok AHN ; Kyeong Sik RYU ; In Bok CHANG ; Byung Moon CHO ; Se Hyuck PARK ; Sae Moon OH
Journal of Korean Neurosurgical Society 2006;39(4):260-264
OBJECTIVE: The retrospective study is undertaken to report clinical results of anterior cervical interbody fusion with an intradiscal cage with an integrated plate (PCB cervical plating system). METHODS: 38 patients underwent anterior cervical interbody fusion with PCB cervical plating system and followed 6~24 months. The authors investigated overall surgical results; clinical outcome, fusion rate, change of interspace height & lordotic angle, and complications. RESULTS: No complication was observed during the operation. Clinical improvement was identified in 34 cases (89.5%). Bone fusion observed in 44 out of 49 sites (90.7%). After operation, the interspace height increased from 5.4+/-1.3 mm to 7.8+/-1.5 mm and maintained 7.4+/-1.1 mm and, interspace angle went up from 4.2+/-0.7 degrees to 4.8+/-1.1 degrees and maintained 4.6+/-0.9 degrees. The loosening of screw was observed in 6 cases, one of which had reoperation because of the expulsion of the device accompanied. CONCLUSION: PCB cervical plating system could restore interbody height and lordosis in anterior cervical interbody fusion. But, if the insertion of the spacer is not precise, the frequencies of hardware failure are relatively high. It is considered necessary for the operator to be careful in the procedure.
Animals
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Humans
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Lordosis
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Reoperation
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Retrospective Studies