scholarly journals The Clinical Significance of L5 Incidence in Patients with High Pelvic Incidence: A Case Report

2019 ◽  
pp. 1-4
Author(s):  
Ippei Yamauchi

Objective: To present a case of sagittal malalignment with high pelvic incidence and its surgical management. Summary of Background Data: Though rare, patients with high pelvic incidence (PI) around 90° without spondylolisthesis or spondylolysis often show sagittal malalignment with low back pain. However, little has been reported about the treatment of such cases. Methods: We report a case of a 15-year-old female complaining of severe difficulty in maintaining an upright position and gait disturbance due to back pain. Radiographs showed high PI of 88° and L5 incidence (L5I) of 67° combined with hyperlordosis of lumbar segments. A lower Lordosis Distribution Index (LDI; percentage of lordosis on segments L4–S1 in entire lumbar lordosis of L1-S1) was detected despite the high overall lumbar lordosis. The patient was surgically treated by two-stage combined posterior and anterior short fusion from the sacrum. Results: The surgical strategy was planned with attention to L5I instead of PI. L5I decreased to 49° and sagittal alignment of the whole spine—including cervical, thoracic, and lumbar spine—improved without any complications. Activity of daily living (ADL)improved preoperatively with relief of low back pain. Conclusions: Improvement of L5I by performing short fusion from L4 to S1 may be a strategy for patients with high PI complaining of low back pain due to sagittal malalignment.

2017 ◽  
Vol 17 (8) ◽  
pp. 1180-1191 ◽  
Author(s):  
Se-Woong Chun ◽  
Chai-Young Lim ◽  
Keewon Kim ◽  
Jinseub Hwang ◽  
Sun G. Chung

2019 ◽  
Vol 26 (4) ◽  
pp. 22-27
Author(s):  
Patrycja Proskura ◽  
Małgorzata Sobera

AbstractIntroduction. The aim of this study was to examine women participating in fitness activities regarding their level of disability in daily activities and lumbar lordosis.Material and methods. Data were collected from 68 females between the ages of 25-70 participating in fitness exercises. The Oswestry Disability Index was applied to measure the level of disability due to the low back pain in everyday life. The angle of lumbar lordosis was measured using a Saunders’ digital inclinometer.Results. The results of the study confirmed the existence of problems related to low back pain in people performing sedentary work. There were no correlations between lumbar lordosis angle and the level of disability in daily activities of the groups. The low back pain increases especially among people performing sedentary work.Conclusions. The results of this study suggest that work in a sitting position is not associated with a decrease in the angle of lordosis in relation to another work than in a sitting position. Sitting work can be an indirect cause of back pain and slight disability in everyday life by weakening postural muscles.


1995 ◽  
Vol 30 (1) ◽  
pp. 83
Author(s):  
Hak Jin Min ◽  
Keun Woo Kim ◽  
Pil Gu Lee ◽  
Yong Hoon Kim ◽  
Ui Seoung Yoon ◽  
...  

Spine ◽  
1985 ◽  
Vol 10 (2) ◽  
pp. 154-155 ◽  
Author(s):  
TOMMY HANSSON ◽  
STANLEY BIGOS ◽  
PATRIC BEECHER ◽  
MARK WORTLEY

2021 ◽  
Vol 5 (1) ◽  
pp. 17-23
Author(s):  
Gojko Skundric ◽  
◽  
Veljko Vukicevic ◽  
Nikola Lukic ◽  
◽  
...  

Core stability has a very positive effect on the prevention of lumbar lordosis and lower back pain. The main focus of this paper was on a review of the available literature on the influence of trunk stability on lower back pain and lumbar lordosis. The two electronic databases researched for collecting articles are PubMed and ScienceDirect. A search was conducted by title, taking a predefined combination of the following keywords into account: low back pain, core stability, training, sports. Screening processes are summarized through a PRISMA flow chart. 408 studies were identified, of which 20 met the inclusion criteria. It was concluded that exercise on the stability of the pelvic nucleus and muscles is recommended as the simplest and most favorable prevention of lower back pain and lumbar lordosis. The stability of the nucleus helps to overcome the main causes and deprive the body of functional disorders and pain.


2014 ◽  
Vol 8 (5) ◽  
pp. 565 ◽  
Author(s):  
Alireza Ashraf ◽  
Siamak Farahangiz ◽  
Bita Pakniat Jahromi ◽  
Nazanin Setayeshpour ◽  
Mahshid Naseri ◽  
...  

Author(s):  
Tae-sung In ◽  
Jin-hwa Jung ◽  
Kyoung-sim Jung ◽  
Hwi-young Cho

This study aimed to assess the association between smartphone use in the sitting posture and changes in thoracolumbar kyphosis, lumbar lordosis, and pelvic asymmetry in adolescents with low back pain (LBP). Twenty-five adolescents with LBP and 25 healthy adolescents participated in this study. They were instructed to sit on a height-adjustable chair with their hips and knees bent at 90° for 30 min in their usual sitting postures. Thoracolumbar kyphosis, lumbar lordosis, and pelvic asymmetry were measured using a three-dimensional motion capture system. Thoracolumbar kyphosis and lumbar lordosis increased after 30 min of sitting compared to the baseline. In both groups, thoracic kyphosis and lumbar lordosis angle increased with increasing sitting time. Compared to healthy adolescents, adolescents with LBP presented greater thoracolumbar kyphosis and lumbar lordosis after prolonged sitting. Pelvic asymmetry showed no significant difference between the sitting time and groups. Using a smartphone during prolonged sitting may lead to a slumped posture; these associations were more pronounced in adolescents with LBP.


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