The Influence of Schmorl Nodes in Spinal Sagittal Balance in Young Adults.

Autor: Silva JGD; Departamento de Cirurgia Ortopédica e Traumatologia, Hospital de Braga, Braga, Portugal.; Unidade Local de Saúde do Nordeste, Centro de Saúde Mirandela II, Mirandela, Portugal., Baptista M; Departamento de Cirurgia Ortopédica e Traumatologia, Hospital de Braga, Braga, Portugal., Direito-Santos B; Departamento de Cirurgia Ortopédica e Traumatologia, Hospital de Braga, Braga, Portugal.; Escola de Medicina, Universidade do Minho, Braga, Portugal.; Instituto de Investigação em Ciências da Vida e Saúde, Escola de Medicina, Universidade do Minho, Braga, Portugal.; ICVS/3B's, ALaboratório Associado do Governo Português, Braga/Guimarães, Portugal., Varanda P; Departamento de Cirurgia Ortopédica e Traumatologia, Hospital de Braga, Braga, Portugal.; Escola de Medicina, Universidade do Minho, Braga, Portugal.; Instituto de Investigação em Ciências da Vida e Saúde, Escola de Medicina, Universidade do Minho, Braga, Portugal.; ICVS/3B's, ALaboratório Associado do Governo Português, Braga/Guimarães, Portugal., Duarte RM; Departamento de Cirurgia Ortopédica e Traumatologia, Hospital de Braga, Braga, Portugal.; Escola de Medicina, Universidade do Minho, Braga, Portugal.; Instituto de Investigação em Ciências da Vida e Saúde, Escola de Medicina, Universidade do Minho, Braga, Portugal.; ICVS/3B's, ALaboratório Associado do Governo Português, Braga/Guimarães, Portugal.
Jazyk: angličtina
Zdroj: Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2022 Jul 22; Vol. 57 (5), pp. 815-820. Date of Electronic Publication: 2022 Jul 22 (Print Publication: 2022).
DOI: 10.1055/s-0042-1744501
Abstrakt: Objectives  The present study aims to characterize the spinal balance (SB) in young adults with Schmorl nodes (SN). Methods  A cross-sectional study was conducted on a sample of 47 young adults. Lumbar magnetic resonance imaging (MRI) was used to divide the patients into an SN group and a control group. Standing full spine radiographs were used to compare the spinopelvic SB parameters between groups: sagittal vertical axis, thoracic kyphosis, lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS). Results  The LL and SS values were significantly lower in patients with SN when compared with the control group (54.5° versus 64.3°; 36.2° versus 41.4°, respectively). No significant differences were observed for the other parameters. Significant correlations were found in both groups between LL and SS; PI and PT; and PI and SS. Conclusions  Young adults with SN have associated SB modifications, particularly lower LL and SS values, when compared with a control group. This flatter profile resembles that observed in patients with lower back pain and early disc pathology. We believe that SNs are relevant clinical findings that should prompt the study of the SB of a patient, as it may uncover variations associated with early disc degeneration. Level of Evidence III .
Competing Interests: Conflito de Interesses Os autores não têm conflitos de interesse a declarar.
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Databáze: MEDLINE
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