Journal of Korean Neurosurgical Society

  • 제52권5호
  • /
  • Pages.447-451
  • /
  • 2012
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지
DOI QR코드

DOI QR Code

Introducing a New Risk Factor for Lumbar Disc Herniation in Females : Vertical Angle of the Sacral Curvature

  • Kanat, Ayhan (Department of Neurosurgery, Recep Tayyip Erdogan University Medical Faculty) ;
  • Yazar, Ugur (Department of Neurosurgery, Karadeniz Technical University Medical Faculty) ;
  • Kazdal, Hizir (Department of Anestesiology, Sar Hospital) ;
  • Sonmez, Osman Fikret (Department of Neurosurgery, Samsun Education and Research Hospital)
  • 투고 : 2012.01.14
  • 심사 : 2012.11.11
  • 발행 : 2012.11.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective : To characterize the importance of the vertical angle of the sacral curvature (VASC) in lumbar disc herniations. Methods : Morphological data derived from lumbar sagittal MRI imaging. The statistical significance of the findings are discussed. The angles of 60 female patients with lumbar disc herniations (LDH) were compared with the 34 female patients without LDH. Results : 128 of the 185 patients met our inclusion criteria. The vertical angle of sacral curvature is statistically significantly bigger in females with lumbar disc herniations when compared to subjects in control group, 28.32 and 25.4, respectively. (p=0.034<0.05). Same difference was not seen in males. Conclusion : The vertical angle of sagittal sacral curvature may be another risk factor in females with lumbar disc herniations.

키워드

참고문헌

  1. Abitbol MM : Sacral curvature and supine posture. Am J Phys Anthropol 80 : 379-389, 1989 https://doi.org/10.1002/ajpa.1330800311
  2. Akgun B, Kaplan M, Arici L, Pusat S, Erol FS : Low back pain and sciatica related with the premenstrual period in patients with lumbar disc herniation. Turk Neurosurg 20 : 437-441, 2010
  3. Aydin V, Aydin S : Outcome measurement after lumbar disc surgery. Turk Neurosurg 15 : 4-11, 2005
  4. Choi KC, Kim JS, Jung B, Lee SH : Dynamic lumbar spinal stenosis : theusefulness of axial loaded MRI in preoperative evaluation. J Korean Neurosurg Soc 46 : 265-268, 2009 https://doi.org/10.3340/jkns.2009.46.3.265
  5. Cosan TE, Adapinar B, Aslantas A, Tel E, Sahin F : Is Lumbar Spinal Reserve Capacity on CT-Myelography Significant? Turk Neurosurg 8 : 114-118, 1998
  6. Davis JW : Man's assumption of the erect posture, its effect on the position of the pelvis. Am J Obstet Gynecol 70 : 1012-1021, 1955 https://doi.org/10.1016/0002-9378(55)90008-9
  7. Ergun T, Lakadamyali H, Sahin MS : The relation between sagittal morphology of the lumbosacral spine and the degree of lumbar intervertebral disc degeneration. Acta Orthop Traumatol Turc 44 : 293-299, 2010 https://doi.org/10.3944/AOTT.2010.2375
  8. Gregory WK : The upright posture of man : a review of its origin and evolution. Proc Am Phylos Soc 67 : 339-377, 1928
  9. Hutchinson PJ, Laing RJ, Waran V, Hutchinson E, Hollingworth W : Assessing outcome in lumbar disc surgery using patient completed measures. Brit J Neurosurg 14 : 195-199, 2000 https://doi.org/10.1080/026886900408351
  10. Kanat A, Epstein CR : Challenges to neurosurgical professionalism. Clin Neurol Neurosurg 112 : 839-843, 2010 https://doi.org/10.1016/j.clineuro.2010.07.012
  11. Kanat A, Yazar U, Kazdal H, Yilmaz A, Musluman M : Neurosurgery is a profession. Neurol Neurochir Pol 43 : 286-288, 2009
  12. Kaner T, Tutkan I : Monoradiculopathy and secondary segmental instability caused by postoperative pars interarticularis fracture : a case report. Turk Neurosurg 19 : 177-181, 2009
  13. Kara B, BaŞkurt Z, Acar U : One year outcome after surgery for lumbar disc herniation : a comparison of reoperated and not reoperated patients. Turk Neurosurg 17 : 1-6, 2007
  14. Keith A : Men's posture : its evolution and disorders. Theories concerning the evolution of men's posture. Br Med J 1 : 451-455, 1923 https://doi.org/10.1136/bmj.1.3246.451
  15. Lazennec JY, Ramare S, Arafati N, Laudet CG, Gorin M, Roger B, et al. : Sagittal alignment in lumbosacral fusion : relations between radiologicalparameters and pain. Eur Spine J 9 : 47-55, 2000 https://doi.org/10.1007/s005860050008
  16. Legaye J, Duval-Beaupere G, Hecquet J, Marty C : Pelvic incidence : a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 7 : 99-103, 1998 https://doi.org/10.1007/s005860050038
  17. Nachemson A, Zdeblick TA, O'Brien JP : Lumbar disc disease with discogenic pain. What surgical treatment is most effective? Spine (Phila Pa 1976) 21 : 1835-1838, 1996 https://doi.org/10.1097/00007632-199608010-00023
  18. Naderi S, Egemen N, Gokalp H, Cu1cuoglu A, Erdogan A, Baskaya M : The value of dermatomal somatosensory-evoked potantial in evaluation of herniated lumbar disc. Turk Neurosurg 2 : 139-143, 1992
  19. Roaf R : Vertebral growth and its mechanical control. J Bone Joint Surg Br 42 : 40-59, 1960
  20. Rosenfeld R, Livne D, Nevo O, Dayan L, Milloul V, Lavi S, et al. : Hormonal and volume dysregulation in women with premenstrual syndrome. Hypertension 51 : 1225-1230, 2008 https://doi.org/10.1161/HYPERTENSIONAHA.107.107136
  21. Ryu SJ, Kim IS : Spontaneous regression of a large lumbar disc extrusion. J Korean Neurosurg Soc 48 : 285-287, 2010 https://doi.org/10.3340/jkns.2010.48.3.285
  22. Sasani M, Oktenoglu T, Tuncay K, Canbulat N, Carilli S, Ozer FA : Total disc replacement in the treatment of lumbar discogenic pain with disc herniation : a prospective clinical study. Turk Neurosurg 19 : 127-134, 2009
  23. Seong JH, Lee JW, Kwon KY, Rhee JJ, Hur JW, Lee HK : Comparative study of posterior lumbar interbody fusion via unilateral and bilateral approaches in patients with unilateral leg symptoms. J Korean Neurosurg Soc 50 : 363-369, 2011 https://doi.org/10.3340/jkns.2011.50.4.363
  24. Shapiro S : Cauda equina syndrome secondary to lumbar disc herniation. Neurosurgery 32 : 743-746; discussion 746-747, 1993 https://doi.org/10.1227/00006123-199305000-00007
  25. Wiltse LL, Winter RB : Terminology and measurement of spondylolisthesis. J Bone Joint Surg Am 65 : 768-772, 1983 https://doi.org/10.2106/00004623-198365060-00007

피인용 문헌

  1. Magnetic Resonance Imaging Evaluation of L5-S1 Intervertebral Disc Degeneration in Japanese Women vol.8, pp.5, 2012, https://doi.org/10.4184/asj.2014.8.5.581
  2. Describing a new syndrome in L5-S1 disc herniation: Sexual and sphincter dysfunction without pain and muscle weakness vol.5, pp.4, 2012, https://doi.org/10.4103/0974-8237.147076
  3. Ligamentum flavum hematomas: Why does it mostly occur in old Asian males? Interesting point of reported cases: Review and case report vol.7, pp.1, 2016, https://doi.org/10.4103/0974-8237.176605
  4. The Relation Between Sacral Angle and Vertical Angle of Sacral Curvature and Lumbar Disc Degeneration : A Case–Control Study vol.95, pp.6, 2016, https://doi.org/10.1097/md.0000000000002746
  5. Inequality in leg length is important for the understanding of the pathophysiology of lumbar disc herniation vol.7, pp.2, 2012, https://doi.org/10.4103/0974-8237.181829
  6. Comparative effectiveness of percutaneous epidural adhesiolysis for different sacrum types in patients with chronic pain due to lumbar disc herniation : A propensity score matching analysis vol.95, pp.37, 2012, https://doi.org/10.1097/md.0000000000004647
  7. Central Sagittal Angle of the Sacrum as a New Risk Factor for Patients with Persistent Low Back Pain after Caesarean Section vol.11, pp.5, 2017, https://doi.org/10.4184/asj.2017.11.5.726
  8. First report of perforation of ligamentum flavum by sequestrated lumbar intervertebral disc vol.8, pp.1, 2012, https://doi.org/10.4103/0974-8237.199867
  9. Neglected knowledge: Asymmetric features of lumbar disc disease vol.12, pp.2, 2012, https://doi.org/10.4103/1793-5482.145573
  10. The sooth beneath the taste roseas in the urethra and first description of neuro-morpho-chemical mechanism of penile erectile posture in males: an experimental study vol.128, pp.7, 2012, https://doi.org/10.1080/00207454.2017.1412961
  11. Patients with Modic type 2 change have a severe radiographic representation in the process of lumbar degeneration: a retrospective imaging study vol.14, pp.None, 2019, https://doi.org/10.1186/s13018-019-1355-y