A Comparative Study to Find Gender Wise Differences in Lumbo-Pelvic Alignment in Patient with Chronic Low Backache
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Introduction: In patients with low back pain, radiographic parameters that most highly correlate with patient-reported outcomes are focal i.e, rotatory subluxation, regional i.e, loss of lordosis and global i.e, sagittal malalignment. Recently, the literature has also confirmed the impact of spinopelvic alignment on patient reported outcomes. For the further measurement of lumbo-pelvic alignment following parameters are assessed i.e. lumbar lordosis, pelvic incidence, sacral slope and pelvic tilt. The present study aims evaluate gender wise differences in lumbo-pelvic alignment in patient with chronic low backache. Material and Methods: The present study was performed on patients with clinical symptoms of chronic low back pain. Parameters studied are Lumbar Lordosis, Pelvic Incidence angle, Pelvic Tilt and Sacral Slope. Data obtained was arranged as mean or percentage as required. Results: In present study, In Group I, the mean value of lumbar lordosis amongst males was 29.64 ± 9.69 and that amongst females was 30.71 ± 9.06 with the p value of 0.639. In Group II, the mean value of lumbar lordosis amongst males was 32.79 ± 7.86 and that amongst females was 35.04 ± 7.22 with the p value of 0.256. In Group I, the mean value of pelvic incidence amongst males and females was 52.69 ± 11.86 and 52.52 ± 11.17 respectively. In Group II, the mean value of pelvic incidence amongst males and females was 54.00 ± 11.13 and 55.72 ± 10.45 respectively. In Group I, the mean value of pelvic tilt amongst males and females was 13.74 ± 8.78 and 13.81 ± 7.95 respectively. In Group II, the mean value of pelvic tilt amongst males and females was 14.42 ±4.75 and 12.44 ± 4.69 respectively. Conclusion: The present study found no significant difference in the lumbar lordosis, pelvic tilt and sacral slope between males and females with chronic low back pain. Parameters of the sagittal plane were extracted as being associated with low back pain too. But with respect to the literature and inconsistency of different multivariate analysis approaches, those parameters also might to some extent be affected by aging and degeneration.
Authors and Affiliations
Pawan Kumar Mahato, Sunil Kumar Srivastava, Amit Kumar Saxena, Prachi Saffar Aneja
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