JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Correlation between spinopelvic angles and radiological findings of lumbar spondylolisthesis patients
Abstract
Aims: Spondylolisthesis is a deformity in which the upper segment is displaced anteriorly or posteriorly in the spine relative to the lower segment. In this pathology, which often causes instability, surgical treatment may be required. Also, patient’s radiological images should be evaluated carefully before treatment. We aimed to analyze clinical and radiological data with spinopelvic angles of the lumbar spondylolisthesis patients in our research.
Methods: 6593 patients who applied to the neurosurgery outpatient clinic with complaints of low back pain between January 2019 - December 2022 were retrospectively analyzed. The radiological findings of patients with spondylolisthesis, whose lumbar MRI and lumbar CT were obtained appropriately along with X-ray were evaluated in detail. Age, gender, listhesis level and degree, Cobb angle, pelvic incidence, pelvic tilt, sacral slope angle, Modic degeneration, vacuum phenomenon, annulus rupture, Schmorl nodule, facet hypertrophy, osteophyte, maximum AP central canal diameter and joint lysis has been examined in these patient tests. The relationships of these data with each other were evaluated statistically.
Results: 58 female and 5 male patients were found to be eligible for the study. Mean age was 59 (min 22, max 81). Grade 1 listhesis was detected in 52 of the patients. Listhesis was observed at the level of L5-S1 in 31 patients, L4-L5 in 24 patients and L3-L4 in 8 patients. A direct correlation was found between age and vacuum phenomenon, osteophyte, presence of L5-S1 listesis and lysis. Similar correlation was found between pelvic incidence and sacral slop angle, facet hypertrophy and Modic type 2 degeneration. Also, there was a direct correlation between pelvic incidence and pelvic tilt; between facet hypertrophy and vacuum phenomenon and lysis; ligamentum hypertrophy and vacuum phenomenon; and facet hypertrophy and lower level listesis (p 0.05).
Conclusion: Spondylolisthesis is an important problem that requires treatment in spine surgery. Radiologically determined parameters can give important knowledge about the severity of this pathology. These findings should be taken into consideration in the treatment of spondylolisthesis.

Keywords : Spondylolisthesis, radiological parameter, spinal deformity, instability, spinopelvic angles

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Article available in :
Volume 4, Issue 5, 2023
Page : 466-471
https://doi.org/10.47582/jompac.1348792
Article Information
Received : 23 Ağu 2023
Accepted : 20 Eyl 2023
Published : 27 Eki 2023
Corresponding Author :

Engin Yücel: Alanya Education and Research Hospital

[email protected]
Citation : Yücel E, Akyuva Y. Correlation between spinopelvic angles and radiological findings of lumbar spondylolisthesis patients. J Med Palliat Care. 2023;4(5):466-471.

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