4D ANALYSIS OF SPINO-PELVIC ALIGNMENT IN PATIENTS WITH CHRONIC SCIATICA

Authors

  • Aya Mostafa Hashem, Magdy Khairy El-samra, Fatma Mohammed Elfeky, Wesam A. Ismail Mohamed, Abdelaziz Abdelaziz Elsherif, Rasha Mohamed Elrewainy

DOI:

https://doi.org/10.47750/pnr.2022.13.S09.822

Abstract

Background: Chronic sciatica is a frequent neurological disorder caused by nerve root dysfunction that may be due to mechanical compression from lumbar disc herniation. It may affect the spino-pelvic alignment.

Objective: This study aimed to evaluate the impact of chronic unilateral discogenic sciatica on spino-pelvic alignment (lumbar lordosis, sagittal imbalance, coronal imbalance, pelvic obliquity and torsion)

Methods: A cross-sectional observational study was accomplished over seventy subjects of both genders aged between 30 to 40 years. The subjects were distributed into 2 groups: Study group (GI): forty subjects with chronic unilateral discogenic sciatica (L4-L5/L5-S1) with duration of illness more than three months and Control group (GII): thirty healthy subjects matched with age and sex. Formetric DIERS 4D (Rasterstereography) was used to assess the effect of chronic sciatica on spino-pelvic alignment. The Arabic version of Oswestry Disability Index (ODI) was utilised to assess disability in chronic sciatica patients. Results: The results of the current study reported a significant increase of the mean values of the sagittal imbalance, pelvic obliquity and the pelvic torsion in the study group compared to the control group, and there was no significant difference in the lordotic angle and coronal imbalance between the groups. Regarding ODI, the study revealed non-significant correlation between ODI and all measured variables in the study group. Conclusion: Considering the outcomes of the current study, it can be proved that chronic sciatica has a significant effect on spino-pelvic alignment, as there was a significant increase in sagittal imbalance, pelvic obliquity and pelvic torsion. So, these findings should be considered in the rehabilitation of individuals with chronic sciatica.

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Published

2022-12-29 — Updated on 2022-12-30

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How to Cite

4D ANALYSIS OF SPINO-PELVIC ALIGNMENT IN PATIENTS WITH CHRONIC SCIATICA. (2022). Journal of Pharmaceutical Negative Results, 6943-6954. https://doi.org/10.47750/pnr.2022.13.S09.822 (Original work published 2022)