印度人群中退变性腰椎侧弯患者的各种脊柱骨盆参数与生活质量的相关性

Association of Various Spinopelvic Parameters and the Quality of Life in Those With Degenerative Lumbar Scoliosis in the Indian Population.

作者信息

Datt Rameshwar, Jain Gunjar, Krishna Anant, Vijayakumar Vivek, Tank Shekhar

机构信息

Orthopaedics, Employees' State Insurance (ESI) - Postgraduate Institute of Medical Sciences and Research (PGIMSR), New Delhi, IND.

Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, IND.

出版信息

Cureus. 2023 Jun 24;15(6):e40884. doi: 10.7759/cureus.40884. eCollection 2023 Jun.

Abstract

Purpose The current study aimed to find any association between various spinopelvic parameters and the quality of life in patients with degenerative lumbar scoliosis (DLS) measured as per the Oswestry disability index (ODI) and visual analog scale (VAS) in the Indian population. Methods We included 20 DLS patients of more than 40 years with a Cobb angle of more than 10° and without any trauma, tumour, infection, or congenital scoliosis presented in our tertiary care centre in the study. The VAS and ODI were calculated for each patient. Radiological parameters were recorded for every patient, including sagittal balance, coronal balance, Cobb angle, pelvic incidence, pelvic tilt, and lumbar lordotic angle. We evaluated the results and sought any association between clinical and radiological variables for DLS. Results Patients with positive sagittal balance had significantly higher disability than those with neutral sagittal balance (p-value 0.007). Furthermore, patients with coronal imbalance had more severe pain (p-value 0.013) and disability (p-value 0.038) than those with neutral coronal balance. We also found that the ODI and VAS were not associated with any other spinopelvic parameters. Conclusion From the present study, we can conclude that in the Indian population, both positive sagittal and coronal imbalances are associated with poor functional status in patients with DLS. Therefore, while planning surgical correction for these patients, both coronal and sagittal balance are important and need to be considered.

摘要

目的 本研究旨在探寻印度人群中,以Oswestry功能障碍指数(ODI)和视觉模拟评分(VAS)衡量的各种脊柱骨盆参数与退行性腰椎侧弯(DLS)患者生活质量之间的关联。方法 我们纳入了20例年龄超过40岁、Cobb角大于10°、无任何创伤、肿瘤、感染或先天性脊柱侧弯的DLS患者,这些患者均来自我们的三级医疗中心。计算每位患者的VAS和ODI。记录每位患者的放射学参数,包括矢状面平衡、冠状面平衡、Cobb角、骨盆入射角、骨盆倾斜度和腰椎前凸角。我们评估结果,并探寻DLS临床和放射学变量之间的任何关联。结果 矢状面平衡为阳性的患者比矢状面平衡为中性的患者残疾程度显著更高(p值0.007)。此外,冠状面失衡的患者比冠状面平衡为中性的患者疼痛更严重(p值0.013)、残疾程度更高(p值0.038)。我们还发现ODI和VAS与任何其他脊柱骨盆参数均无关联。结论 从本研究中我们可以得出结论,在印度人群中,矢状面和冠状面的阳性失衡均与DLS患者的功能状态不佳相关。因此,在为这些患者规划手术矫正时,冠状面和矢状面平衡均很重要,需要予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5c2/10364075/86914ed48c39/cureus-0015-00000040884-i01.jpg

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