Relationship of x-ray parameters of the lower segmental lordosis and stability of sacroiliac joint at it’s dysfunction at conservative treatment

Authors

DOI:

https://doi.org/10.15674/0030-59872018329-38

Keywords:

sacroiliac joint, dysfunction, X-ray parameters, lumbar segmental lordosis

Abstract

Objective: to study the X-ray parameters of the lower segments LIV –LV, LV –SI, lumbar lordosis in patients with sacroiliac dysfunction after conservative treatment and the relationship with sacrum, pelvis parameters in frontal plane which influ­ence on the ability to walk.

Methods: we examined 26 healthy volunteers who have regular sport activity and 51 patients (age 18–71 y. o.) before and after conservative treatment. Inclusion criteria were: pain syndrome more than 3 months in the area of spinae iliаca posterior superior, which irradiated into the groin, femur or gluteus; no effective previous conservative treatment; positive 4 or more than 6 provocative tests. We measured the angles of the cranial plane of sacrum tilt, pelvis and sacrum rotation around axial plane; the width of sacroiliac joint space in ventral, medial and dorsal parts; angles of lumbar lordosis and Albrecht angle — in sagittal plane, segmental lordosis LIV–LV, LV–SI on anterior-posterior X-rays.

Results: in patients of the 1st group w e h ave f ound t he d ecreasing o f s acro-iliac joint space asymmetry in the ventral part; in the 2nd group of patients — alignment of joint space, decreasing of asymmetry in ventral part and its increasing in the dorsal part; in the 3rd group of patients there was — decreasing of asymmetry in the medial part; in the 4th group — tendency to the largest decreasing of asymmetry in the dorsal part. In all patients we observed the decreasing of pelvic and sacrum tilt, sacrum rotation.

Conclusions: alignment of joint space, decreasing of pelvic and sacrum tilt, sacrum rotation in frontal plane and decreasing of segmental lordosis LIV–LV, LV–SI is indicated in patients with sacro-iliac joint dysfunction after conservative treatment. It allowed stabilizing of sacroiliac joint.

Author Biographies

Mykola Korzh

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Traumatology and Orthopaedics

Volodymyr Staude

Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Traumatology and Orthopaedics

Yevgenya Radzishevska

Kharkiv National Medical University. Ukraine

PhD

References

  1. Panjabi, M. M. (1992). The Stabilizing System of the Spine. Part I. Function, Dysfunction, Adaptation, and Enhancement. Journal of Spinal Disorders, 5(4), 383–389. doi:10.1097/00002517-199212000-00001
  2. Panjabi, M. M. (1992). The Stabilizing System of the Spine. Part II. Neutral Zone and Instability Hypothesis. Journal of Spinal Disorders, 5(4), 390–397. doi:10.1097/00002517-199212000-00002
  3. Vleeming, A., Albert, H. B., Östgaard, H. C., Sturesson, B., & Stuge, B. (2008). European guidelines for the diagnosis and treatment of pelvic girdle pain. European Spine Journal, 17(6), 794–819. doi:10.1007/s00586-008-0602-4
  4. Vleeming, A., Volkers, A. C., Snijders, C. J., & Stoeckart, R. (1990). Relation between form and function in the sacroiliac joint. Spine, 15(2), 133–136. doi:10.1097/00007632-199002000-00017
  5. Korzh, N. A., Staude, V. A., Kondratyev, A. V., Karpinsky, M. Yu. (2016) Stress-strain state of the kinematic chain «lumbar spine – sacrum – pelvis» in cases of pelvic tilt in frontal plane. Orthopedics, Travmatology and prosthetics, 1(602), 54 – 61. doi: 10.15674/0030-59872016154-61 (in Russian)
  6. Korzh, N. A., Staude, V. A., Kondratyev, A. V., Karpinsky, M. Yu. (2015) Stress-strain state of the kinematic chain «lumbar spine – sacrum – pelvis» in cases of asymmetry of articular gaps of the sacroiliac joint. Orthopedics, Travmatology and prosthetics, 3(600), 5–14. doi: 10.15674/0030-5987201535-13 (in Russian)
  7. Staude, V. A., Kondratyev, A. V., Karpinsky, M. Yu. (2012) Numerical simulation and analysis of the stress-strain state of sacro-iliac joint in different variants of lumbar lordisis. Orthopedics, Travmatology and prosthetics, 2(587). 50–56. doi: 10.15674/0030-59872012250-56 (in Russian)
  8. Ivanov, A. A., Kiapour, A., Ebraheim, N. A., & Goel, V. (2009). Lumbar fusion leads to increases in angular motion and stress across sacroiliac joint. Spine, 34(5), E162-E169. doi:10.1097/brs.0b013e3181978ea3
  9. Klineberg, E., McHenry, T., Bellabarba, C., Wagner, T., & Chapman, J. (2008). Sacral insufficiency fractures caudal to instrumented posterior lumbosacral arthrodesis. Spine, 33(16), 1806-1811. doi:10.1097/brs.0b013e31817b8f23
  10. Papadopoulos, E. C., Cammisa, F. P., & Girardi, F. P. (2008). Sacral fractures complicating thoracolumbar fusion to the sacrum. Spine, 33(19), E699-E707. doi:10.1097/brs.0b013e31817e03db
  11. Staude, V. A., Radzishevska, Ye. B., Zlatnyk, R. V. (2017) Radiometric parameters of the sacrum and pelvis in patients with dysfunction of the sacroiliac joint, affecting the spinae-pelvic balance in frontal plane. Orthopedics, Travmatology and prosthetics, 3(607), 52–61. doi: 10.15674/0030-59872017252-61.
  12. Laslett, M., Young, S. B., Aprill, C. N., & McDonald, B. (2003). Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests. Australian Journal of Physiotherapy, 49(2), 89–97. doi:10.1016/s0004-9514(14)60125-2
  13. Perlman, R. (2016) Diagnosis of sacroiliac joint syndrome in low back/pelvic pain: reliability of 3 key clinical signs. Abstracts book of 9th Interdisciplinary World Congress on Low Back & Pelvic Pain, Singapore, 31 October – 4 November 2016.
  14. Irvin, R. (2007). Why and how to optimize posture. Movement, Stability & Lumbopelvic Pain, 239–252. doi:10.1016/b978-044310178-6.50018-9
  15. Orel, А. М. (2007) Spine X-ray examination for manual therapeutist. Vidar.
  16. Chen, Y. (1999). Vertebral Centroid Measurement of Lumbar Lordosis Compared With the Cobb Technique. Spine, 24(17), 1786. doi:10.1097/00007632-199909010-00007
  17. Been, E., Kalichman, L. (2014) Lumbar lordosis. Spine J., 14(1), 87–97. doi: 10.1016/j.spinee.2013.07.464
  18. Nakajuku, S., Matsumoto, Y., & Morito, T. (2016) Radiological investigation of the lumbar spinal alignment in patients with sacroiliac joint disorders. Abstracts book of 9th Interdisciplinary World Congress on Low Back & Pelvic Pain, Singapore, 31 October – 4 November 2016.
  19. Saldana-Mena, J. J., Zavaleta-Hernandez, J., & Herrera-Lopez, E. (2016) UNEVE, Mexico Determination of radiographic changes in patients treated with chiropractic manipulation. Abstracts book of 9th Interdisciplinary World Congress on Low Back & Pelvic Pain, Singapore, 31 October – 4 November 2016.
  20. Ogura, H., Katayama, K., & Kumagai, H. (2016) Comparison of pelvic asymmetry between asymptomatic adults and patients with low back pain. Abstracts book of 9th Interdisciplinary World Congress on Low Back & Pelvic Pain, Singapore, 31 October – 4 November 2016.)

Downloads

How to Cite

Korzh, M., Staude, V., & Radzishevska, Y. (2023). Relationship of x-ray parameters of the lower segmental lordosis and stability of sacroiliac joint at it’s dysfunction at conservative treatment. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (3), 29–38. https://doi.org/10.15674/0030-59872018329-38

Issue

No. 3 (2018)

Section

ORIGINAL ARTICLES

License

Copyright (c) 2018 Mykola Korzh, Volodymyr Staude, Yevgenya Radzishevska

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).