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Is spinal sagittal alignment of diffuse idiopathic skeletal hyperostosis relevant to thoracolumbar pain? A controlled study.
Ruan, Shengyu; Song, Xiaoting; Xu, Xianquan; Lu, Fangying; Yuan, Chiting; Zhang, Binhao; Tung, Tao-Hsin; Hong, Dun.
Afiliação
  • Ruan S; Department of Orthopedics, Taizhou Hospital affiliated to Wenzhou Medical University, Linhai, China.
  • Song X; Bone Metabolism and Development Research Center, Enze Medical Center, Taizhou, China.
  • Xu X; Department of Orthopedics, Taizhou Hospital affiliated to Wenzhou Medical University, Linhai, China.
  • Lu F; Bone Metabolism and Development Research Center, Enze Medical Center, Taizhou, China.
  • Yuan C; Department of Orthopedics, Taizhou Hospital affiliated to Wenzhou Medical University, Linhai, China.
  • Zhang B; Department of Orthopedics, Taizhou Hospital affiliated to Wenzhou Medical University, Linhai, China.
  • Tung TH; Bone Metabolism and Development Research Center, Enze Medical Center, Taizhou, China.
  • Hong D; Department of Orthopedics, Taizhou Hospital affiliated to Wenzhou Medical University, Linhai, China.
BMC Musculoskelet Disord ; 23(1): 1134, 2022 Dec 27.
Article em En | MEDLINE | ID: mdl-36575424
ABSTRACT

OBJECTIVES:

The extension of diffuse idiopathic skeletal hyperostosis (DISH) from the low thoracic spine to the lumbar spine result in adjustment of spinal sagittal alignment in surgical patients. The aim of this study was to investigate changes in sagittal alignment and back pain in the thoracolumbar spine in nonsurgical DISH and control participants selected from a radiological database.

METHODS:

Participants in the DISH and the control group were selected by searching for "DISH or degenerative changes in the thoracic spine" in the radiology database of Taizhou Hospital between 2018 and 2021 using Resnick and Niwayama's criteria. The subjects with spinal tumors, previous spinal surgery, vertebral fractures, inflammatory diseases, poor-quality radiographs, or loss of follow-up were excluded. Demographic and clinical characteristics were recorded retrospectively via the hospital information system and telephone follow-up. Segmental disc angles (SDAs), lumbar lordosis (LL), and bridge scores were analyzed using images of three-dimensional CT.

RESULTS:

The final participants consisted of 51 individuals with DISH (DISH group) and 102 individuals without DISH (control group). Depending on the presence of thoracolumbar pain, the DISH group was divided into the DISH group with thoracolumbar pain (DISH+Pain) and the DISH group without thoracolumbar pain (DISH-Pain). The LL and SDAs of T11-T12 and T12-L1 were significantly greater in the DISH group than in the control group. In addition, the SDA of L1-L2 was significantly smaller in the DISH+Pain group than in the DISH-Pain group, whereas there was no significant difference in lumbar lordosis between the DISH+Pain group and the DISH-Pain group. The bridge scores in DISH+Pain group was larger in T10-T11 (p = 0.01) and L1-L2 (p < 0.01) spine segments than those in DISH-Pain group.

CONCLUSION:

The extension of DISH from thoracic to lumbar spine may increase lumbar lordosis and SDAs in the thoracolumbar spine. The DISH patients with more bony bridging and small L1-L2 SDA may be more likely have thoracolumbar pain. Adjustment of sagittal alignment of the spine in the development of DISH may be of clinical importance.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hiperostose Esquelética Difusa Idiopática / Lordose Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: BMC Musculoskelet Disord Assunto da revista: FISIOLOGIA / ORTOPEDIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hiperostose Esquelética Difusa Idiopática / Lordose Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: BMC Musculoskelet Disord Assunto da revista: FISIOLOGIA / ORTOPEDIA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: China