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Characteristics of Sciatic Scoliotic List in Lumbar Disc Herniation

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机构: [1]Peking Univ First Hosp, Dept Orthopaed, 8 Xishiku St, Beijing 100034, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Beijing, Peoples R China [3]Peking Univ First Hosp, Dept Med Imaging, Beijing, Peoples R China
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关键词: lumbar disc herniation sciatic scoliotic list sciatic scoliosis trunk shift apical vertebral translation straight line sign

摘要:
Study Design: Retrospective radiological study. Objectives: Physical examination reveals sciatic scoliotic list (SSL) in some patients with lumbar disc herniation (LDH). We aimed to evaluate the coronal and sagittal parameters of the SSL curve, describe their characteristics, and establish a new classification system. Methods: We retrospectively reviewed 230 patients (SSL group = 96; non-SSL group = 134) diagnosed with single-segment LDH from January 2018 to December 2020. The control group comprised 70 healthy volunteers. Radiographic parameters were compared between the groups. Results: In the SSL group, the Cobb's angle was 12.5 +/- 5.3 degrees (4.2-31.2), trunk shift 26.2 +/- 17.9 mm (.0-88.2 mm), and apical vertebral translation 31.7 +/- 16.0 mm (1.18-8.58 mm). Further, 62.5% of patients had L4/5 disc herniation, 76.0% had disc herniation at the convex side of the lumbosacral scoliosis, and 81.3% had disc herniation at the opposite side of the trunk shift. Compared to the control group, lumbar lordosis and thoracic kyphosis decreased, pelvic tilt increased, and the sagittal vertical axis moved forward in the other patients. The sagittal imbalance in the SSL group exacerbated. Using the positional relationship between vertebrae and the central sacral vertical line (CSVL), we identified two main SSL patterns with which 95.8% of the patients were defined as Type 1. Conclusions: The SSL curve is characterized by a long thoracic or thoracolumbar curve, with a relatively straight sagittal profile and little rotation. Further, the lumbar and thoracic vertebrae shifts are on the same side as the CSVL. These features of the SSL curve differentiate it from other types of structural scoliosis.

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基金编号: 2022-2Z-40713

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 4 区 临床神经病学 4 区 骨科
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 骨科
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出版当年[2022]版:
Q2 ORTHOPEDICS Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q1 ORTHOPEDICS Q2 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Peking Univ First Hosp, Dept Orthopaed, 8 Xishiku St, Beijing 100034, Peoples R China
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通讯机构: [1]Peking Univ First Hosp, Dept Orthopaed, 8 Xishiku St, Beijing 100034, Peoples R China [*1]Department of Orthopedics, Peking University First Hospital, No. 8 Xishiku Street, Beijing 100034, China.
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