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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2022 | Spinal Stenosis | Research article

Age-related radiographic parameters difference between the degenerative lumbar spinal stenosis patients and healthy people and correlation analysis

Authors: Donglai Li, Lianlei Wang, Zheng Wang, Chao Li, Suomao Yuan, Yonghao Tian, Xuguang Yu, Xinyu Liu

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2022

Abstract

Objectives

To identify age-related radiographic risk factors for degenerative lumbar spinal stenosis (DLSS) and analyze correlations among them.

Methods

A total of 180 cases were enrolled in this study, and lumbar magnetic resonance was performed. Among them, 93 cases suffered DLSS and lumbar dynamic X-ray was examined. And following parameters were measured and evaluated: intervertebral disk height (IDH), the ratio of IDH(IDH_L4-5/L3-4), initial IDH of L4-5(iIDH_L4-5) in the DLSS group, disk degeneration (DD), cartilaginous endplate failure (CEF), Modic changes, the thickness of ligamentum flavum (LF), range of intervertebral motion (ROM), facet joint opening (FJO), facet joint angle (FJA), the standard cross-sectional area (SCSA) of the multifidus, erector spinae, and psoas major muscles. The data of two groups were compared, and the possible risk factors of DLSS were analyzed.

Results

Compared with the control group, the DLSS group had higher IDH except for L4-5 and larger iIDH_L4-5 (P < 0.05). Significant differences were shown in CEF and the thickness of LF at L1-S1 and DD at L4-5 (P < 0.05). The DLSS group had smaller SCSA of multifidus, erector spinae, and psoas major muscles but greater FJA, FJO (P < 0.05). And the risk of DLSS increased when iIDH_L4-5 ≥ 10.73 mm, FJA ≥ 52.03° , or FJO ≥ 3.75 mm. IDH positively correlated with SCSA of multifidus and psoas major muscles and ROM at L1-S1 (P < 0.05). DD showed negative linear relations with SCSA of multifidus and psoas muscle and positive linear relation with CEF at L1-2, L2-3, and L5-S1 (P < 0.05).

Conclusion

Larger initial disk height and excessive CEF may induce DLSS by increasing intervertebral mobility to promote DD, and atrophied paravertebral muscles by weakening the stability of lumbar spine.

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Title: Age-related radiographic parameters difference between the degenerative lumbar spinal stenosis patients and healthy people and correlation analysis
Authors: Donglai Li
Lianlei Wang
Zheng Wang
Chao Li
Suomao Yuan
Yonghao Tian
Xuguang Yu
Xinyu Liu
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Spinal Stenosis
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2022
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-022-03374-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Age-related radiographic parameters difference between the degenerative lumbar spinal stenosis patients and healthy people and correlation analysis

Abstract

Objectives

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusion

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