4.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
5.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.The Ligamentotactic Effect on a Herniated Disc at the Level Adjacent to the Anterior Lumbar Interbody Fusion : Report of Two Cases.
Jun Hong MIN ; Jee Soo JANG ; Seok Kang KIM ; Dae Hyeon MAENG ; Sang Ho LEE
Journal of Korean Neurosurgical Society 2009;46(1):65-67
The authors report two cases of spontaneous regression of disc herniation at the level adjacent to the anterior lumbar interbody fusion (ALIF) level. This phenomenon may be due to the increased tension on the posterior longitudinal ligament (PLL) by appropriate restoration of the disc height and lumbar lordosis, which is a mechanism similar to ligamentotaxis applied to the thoracolumbar burst fracture.
Animals
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Intervertebral Disc Displacement
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Longitudinal Ligaments
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Lordosis
9.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
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