Krautwurst Britta K, Paletta Jürgen R, Mendoza Sylvia, Skwara Adrian, Mohokum Melvin
Heidelberg University Clinics, Department for Orthopedics and Trauma Surgery, Schlierbacher Landstraße 200a, 66118 Heidelberg, Germany.
Department of Orthopedics and Rheumatology, University Hospital Marburg, Baldingerstrasse, 35043 Marburg, Germany.
Adv Orthop. 2018 Oct 1;2018:6567139. doi: 10.1155/2018/6567139. eCollection 2018.
Detection of a lateral shift (LS) in patients with diagnosed disc herniation compared to healthy controls.
A specific lateral shift (LS) pattern is observed in patients with disc herniation and low back pain, as shown in earlier studies.
Rasterstereography (RS) was used to investigate the LS. Thirty-nine patients with lumbar disc herniation diagnosed by radiological assessment and low back pain and/or leg pain (mean age 48.2 years, mean BMI 28.5, 28 males and 11 females) and 36 healthy controls (mean age 47.4 years, mean BMI 25.7, 25 males and 11 females) were analysed. LS, pelvic tilt, pelvic inclination, lordotic angle, and trunk torsion were assessed.
The patient group showed a nonsignificant increase in LS, that is, 5.6 mm compared to the healthy controls with 5.0 mm ( = 0.693). However, significant differences were found between groups regarding pelvic tilt in degrees (patients 5.9°, healthy controls 2.0°; = 0.016), trunk torsion (patients 7.5°, controls 4.5°; = 0.017), and lordotic angle (patients 27.5°, healthy controls 32.7°; = 0.022). The correlation between pain intensity and the FFbH-R amounted 0.804 (p = < 0.01), and that between pain intensity and the pain disability index was 0.785 ( < 0.01).
Although some studies have illustrated LS with disc herniation and low back pain, the present findings demonstrate no significant increase in LS in the patient group compared to healthy controls.
The patients with lumbar disc herniation did not demonstrate an increased LS compared to healthy controls. Other parameters like pelvic tilt and inclination seemed to be more suitable to identify changes in posture measured by RS in patients with low back pain or disc herniation.
与健康对照组相比，检测已确诊椎间盘突出症患者的侧方移位（LS）情况。
如早期研究所示，在椎间盘突出症和腰痛患者中观察到一种特定的侧方移位（LS）模式。
采用光栅立体摄影术（RS）研究LS。分析了39例经放射学评估确诊为腰椎间盘突出症且伴有腰痛和/或腿痛的患者（平均年龄48.2岁，平均体重指数28.5，男性28例，女性11例）以及36例健康对照者（平均年龄47.4岁，平均体重指数25.7，男性25例，女性11例）。评估了LS、骨盆倾斜度、骨盆倾斜角、腰椎前凸角和躯干扭转情况。
患者组的LS有非显著性增加，即5.6毫米，而健康对照组为5.0毫米（P = 0.693）。然而，两组在骨盆倾斜度（患者5.9°，健康对照者2.0°；P = 0.016）、躯干扭转（患者7.5°，对照者4.5°；P = 0.017）和腰椎前凸角（患者27.5°，健康对照者32.7°；P = 0.022）方面存在显著差异。疼痛强度与FFbH-R之间的相关性为0.804（P = < 0.01），疼痛强度与疼痛残疾指数之间的相关性为0.785（P < 0.01）。
尽管一些研究已阐述了椎间盘突出症和腰痛患者的LS情况，但本研究结果表明，与健康对照组相比，患者组的LS并无显著增加。
与健康对照组相比，腰椎间盘突出症患者并未表现出LS增加。其他参数如骨盆倾斜度和倾斜角似乎更适合用于识别腰痛或椎间盘突出症患者通过RS测量的姿势变化。
