Effect of intervertebral disc disease on scoliosis in the lumbar spine
Curr Issues Pharm Med Sci., Vol. 27, No. 3, Pages 155-158
Gustaw Wójcik1,3, Jolanta Piskorz2, Joanna Iłżecka4, Włodzimierz Bulikowski1
1 Department of Rehabilitation, Physiotherapy and Balneotherapy of Medical University in Lublin, Poland
2 Department of Anesthesiology and Intensive Care, Zofia Zamoyska of Tarnowski Hospital in Tarnobrzeg, Poland
3 Department of Diagnostic Imaging – Provincial Hospital in Staszów, Poland
4 Department of Rehabilitation, Physiotherapy and Balneotherapy, Independent Laboratory of Neurological Rehabilitation of Medical University in Lublin, Poland
Lumbar intervertebral discopathy is a common clinical problem and a significant cause of low back pain. Usually it is associated with overload and damage to the intervertebral disc, which directly relates to the instability of the motion segment. Renal normal anatomy between tissues within the spinal canal is a cause of the reflex curvature of the spine, the goal is to increase the volume of the spinal channel and reduce the compression of the nerve tissue. Knee-jerk reaction to pain is an non physiological change of the setting of the spine in the frontal plane.
The aim of the study was to establish the relationship of migration of the intervertebral disc with reflex scoliosis in the lumbar region in patients with lumbar disc herniation.
Material and methods. The studies involved 78 patients aged 18-55 years with damaged intervertebral disc with annulus fibrosus of the bulge in the posterior-lateral direction. The study used multi-row spiral CT scanner.
Results. In the patients, reflex lateral curvature was observed. The angle of scoliosis was measured with Cobb method; it did not exceed 10 degrees. It was also established that spontaneously the shallowing of lumbar lordosis and vertical alignment of the sacrum occured.
Conclusion. The study shows that in most patients diagnosed with lateral migration of the intervertebral disc there develops a slight lateral curvature of the spine, which is a reflex reaction of axial musculoskeletal to discogenic pain.
displacement of the intervertebral disc, lumbar curvature of the spine, CT
- Buttermann GR., Beaubien BP. In vitro disc pressure profiles below scoliosis fusion constructs. Spine. 33(20): 2134-42, 2008
- De Baat P., Van Biezen FC., De Baat C. Scoliosis: review of types, a etiology, diagnostics, and treatment 2. Ned Tijdschr Tandheelkd. 119(11): 531-5, 2012.
- Duart Clemente J., Llombart Blanco R., Beguiristain Gurpide JL. Morphological changes in scoliosis during growth. Study in the human spine. Rev Esp Cir Ortop Traumatol. 56(6): 432-8, 2012.
- Fu KM. et al. Prevalence, severity, and impact of foraminal and canal stenosis among adults with degenerative scoliosis. Neurosurgery. 69(6): 1181-7, 2011.
- Furnes O., Bøe A., Sudmann E. Lumbar intervertebral disk prolapse in adolescents. Tidsskr Nor Laegeforen. 116 (25): 2993-5, 2001.
- Huang SR., Shi YY., Zhan HS. Diagnostic ideas and programs of lumbar intervertebral disc herniation. China J Orthop Traumatol. 25(2): 147-51,
- Matsui H., Ohmori K., Kanamori M. Significance of sciatic scoliotic list in operated patients with lumbar disc herniation. Spine. 23(3): 338-42, 1998.
- Maus T. Imaging the back pain patient. Phys Med Rehabil Clin N Am. 21(4): 725-66, 2010.
- Murakami N. et al. Scoliosis In Prader-Willi syndrome: effect of growth hormone therapy and value of paravertebral muscle volume by CT In predicting scoliosis progression. Am J Med Genet A. 158A(7): 1628-32, 2012.
- Pritchett JW., Bortel DT. Degenerative symptomatic lumbar scoliosis. Spine. 18(6): 700-3, 1993.
- Quante M. et al. Die operative Behandlung der adulten Scoliose. Osteoporose und Versagen des Anschlusssegments als besondere Herausforderung bei der operative Versorgung. Der Orthopäde. 38(2): 159-69, 2009.
- Rajnics P. et al. The importance of spinopelvic parameters in patients with lumbar disc lesions. Int Orthop. 26(2): 104-8, 2002.
- Suk KS., Lee HM., Moon SH. Lumbosacral scoliotic list by lumbar disc herniation. Spine. 26(6): 667-71, 2001.
- Xinyu L., Yanping Z., Jianmin L. Hemilaminoplasty for the treatment of lumbar disc herniation. Int Orthop. 33(5): 1323-7, 2009.
- Zhu Z. et al. Scoliotic posture as the initial symptom in adolescents with lumbar disc herniation: its curve pattern and natural history after lumbar discectomy. BMC Musculosceletal Disord. 12: 216, 2011.
- Zhu ZZ. et al. Clinical evaluation of adolescent lumbar disc herniation misdiagnosed as idiopathic scoliosis. Chin J Surg. 46(14): 1058-61, 2008.