PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH
Abstract Although retrolisthesis is not a well-known condition by many medical specialists dealing with back problems and it has been regarded as a radiological incidental finding with no clinical significance, a growing prove is now evolving stating that retrolisthesis could be a cause of many bac...
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doaj-bce53484436e4a4ab2c40931ea90e1402020-11-25T03:24:05Zenguniversity of basrahBasrah Journal of Surgery1683-35892409-501X2015-06-0121121110.33762/bsurg.2015.102884102884PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAHThamer A HamdanYas khudair HadoodMubder A Mohammed SaeedAbstract Although retrolisthesis is not a well-known condition by many medical specialists dealing with back problems and it has been regarded as a radiological incidental finding with no clinical significance, a growing prove is now evolving stating that retrolisthesis could be a cause of many backache complaints and a sequelae of an altered spine biomechanics. Objectives: to study and analyze the various biomechanical characteristics of retrolisthesis and its relationship with various radiological parameters of the lumbar spine and other patient’s factors. Patients and Method: Forty patients, twenty six males, and fourteen females with an age range from 40–66 years with radiological evidence of significant lumbar spine retrolisthesis (slip > 3 millimeters) were evaluated clinically and radiologically by plain radiography and MRI in Basra General Hospital and Ibn AL-Bittar Private Hospital, during the period from the 1st of August 2014 to the 1st of March 2015. After a thorough history and physical examination, various radiological parameters were obtained including the lumbar lordosis, sacral slop, pelvic incidence, pelvic tilt, all those measurements were done digitally. A statistical analysis was made via IBM SPSS ver.17 and the results were compared with that of similar studies. Results: The retrolisthesis was found to be more common with more slip distance in males than in females, males=26 (65%), females=14 (35%), P-value=0.026, the mean of slip in mm in males was (4.002) and in females was (3.71). The patients had a mean BMI equal to (26.025= overweight). The most common level at which retrolisthesis occur in this study was the L5-S1 (40%) then L4-L5 (22.5%). All the radiological parameters (the lumbar lordosis, sacral slop, pelvic incidence, and pelvic tilt) were lower than the known normal values in healthy subjects. Conclusion: It seems that retrolisthesis is not just an incidental finding, it may be a kind of a compensatory reaction for an abnormal spine biomechanics. The males are affected more frequently than females with a more slip distance. The L5-S1 followed by the L4-L5 are the most common sites in both sexes. The degenerative spinal disease is the main cause of retrolisthesis in all patient’s groups regardless of sex or age.https://bjsrg.uobasrah.edu.iq/article_102884_8bb28d2bea8ea4c5e74a7021bf7f2637.pdfpattern of degenerativelumbarretrolisthesis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Thamer A Hamdan Yas khudair Hadood Mubder A Mohammed Saeed |
spellingShingle |
Thamer A Hamdan Yas khudair Hadood Mubder A Mohammed Saeed PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH Basrah Journal of Surgery pattern of degenerative lumbar retrolisthesis |
author_facet |
Thamer A Hamdan Yas khudair Hadood Mubder A Mohammed Saeed |
author_sort |
Thamer A Hamdan |
title |
PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
title_short |
PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
title_full |
PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
title_fullStr |
PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
title_full_unstemmed |
PATTERN OF DEGENERATIVE LUMBAR RETROLISTHESIS IN BASRAH |
title_sort |
pattern of degenerative lumbar retrolisthesis in basrah |
publisher |
university of basrah |
series |
Basrah Journal of Surgery |
issn |
1683-3589 2409-501X |
publishDate |
2015-06-01 |
description |
Abstract
Although retrolisthesis is not a well-known condition by many medical specialists dealing with back problems and it has been regarded as a radiological incidental finding with no clinical significance, a growing prove is now evolving stating that retrolisthesis could be a cause of many backache complaints and a sequelae of an altered spine biomechanics.
Objectives: to study and analyze the various biomechanical characteristics of retrolisthesis and its relationship with various radiological parameters of the lumbar spine and other patient’s factors. Patients and Method: Forty patients, twenty six males, and fourteen females with an age range from 40–66 years with radiological evidence of significant lumbar spine retrolisthesis (slip > 3 millimeters) were evaluated clinically and radiologically by plain radiography and MRI in Basra General Hospital and Ibn AL-Bittar Private Hospital, during the period from the 1st of August 2014 to the 1st of March 2015. After a thorough history and physical examination, various radiological parameters were obtained including the lumbar lordosis, sacral slop, pelvic incidence, pelvic tilt, all those measurements were done digitally. A statistical analysis was made via IBM SPSS ver.17 and the results were compared with that of similar studies. Results: The retrolisthesis was found to be more common with more slip distance in males than in females, males=26 (65%), females=14 (35%), P-value=0.026, the mean of slip in mm in males was (4.002) and in females was (3.71). The patients had a mean BMI equal to (26.025= overweight). The most common level at which retrolisthesis occur in this study was the L5-S1 (40%) then L4-L5 (22.5%).
All the radiological parameters (the lumbar lordosis, sacral slop, pelvic incidence, and pelvic tilt) were lower than the known normal values in healthy subjects. Conclusion: It seems that retrolisthesis is not just an incidental finding, it may be a kind of a compensatory reaction for an abnormal spine biomechanics. The males are affected more frequently than females with a more slip distance.
The L5-S1 followed by the L4-L5 are the most common sites in both sexes. The degenerative spinal disease is the main cause of retrolisthesis in all patient’s groups regardless of sex or age. |
topic |
pattern of degenerative lumbar retrolisthesis |
url |
https://bjsrg.uobasrah.edu.iq/article_102884_8bb28d2bea8ea4c5e74a7021bf7f2637.pdf |
work_keys_str_mv |
AT thamerahamdan patternofdegenerativelumbarretrolisthesisinbasrah AT yaskhudairhadood patternofdegenerativelumbarretrolisthesisinbasrah AT mubderamohammedsaeed patternofdegenerativelumbarretrolisthesisinbasrah |
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