[Critical review of images of the lumbosacral part of the spine in patients with low back pain].

A comparative analysis of X-ray images of lumbar spine both in the standard positions (dorsal and profile image) and upright position has been performed by the authors. The examination was carried--out on 33 subjects in all (17 man and 16 women). The sagital curvature of lumbar spine changes considerably in dependence of body position during the raying. Preserved lumbar lordosis was found in 31 patients X-ray images take in upright position or 94%, while lumbar lordosis in standard position was seen reduced or completely disappeared in X-ray images. The evaluation of sagital curvature degree is of almost importance in physiotherapy due to correct planning kinesiotherapeutic procedure. Only the X-ray images of an observed group patients in a upright position was showed the spondylolisthesis in one patient, stenosis of lumbar spine channel in one patient and the lesion of intervertebral disc in one patient. The authors conclude that in patients with low back pain syndrome only the X-ray images in upright position are necessary, since they provide more information to analyse both the condition and the relation between the vertebral dynamical segments.