Lordosis Angle (lordosis + angle)

Distribution by Scientific Domains


Selected Abstracts


Relation between cervical posture on lateral skull radiographs and electromyographic activity of masticatory muscles in caucasian adult women: a cross-sectional study

JOURNAL OF ORAL REHABILITATION, Issue 9 2007
S. TECCO
Summary, The aim of this study was to evaluate the association between cervical posture on lateral skull radiographs and surface electromyographic recordings (sEMG) of head and neck muscles. The sample comprised 40 Caucasian adult females, average age 26·8 (20,48); lateral skull radiographs were obtained in natural head position (mirror position). sEMG activity was bilaterally investigated for the following muscles: masseter, anterior temporalis, digastric, posterior cervical, sternocleidomastoid and upper and lower trapezius. All muscles were monitored at rest and during maximal voluntary clenching (MVC). A Pearson's correlation coefficient revealed significant correlations (P < 0·01) between cranio-cervical angulations and sEMG activity of masseter, digastric, lower trapezius, during MVC and anterior temporalis at rest. Significant correlations (P < 0·01) were also found between cervical lordosis angle and sEMG activity of masseter (during MVC) and lower trapezius (at rest). In view of transversal method, no conclusion was possible about the mechanism concerning these results. Future longitudinal studies should be directed to understand the extent of environmental and genotype influences by masticatory muscle activity on cervical posture. [source]


The clinical features and surgical treatment of degenerative lumbar scoliosis: A review of 112 patients

ORTHOPAEDIC SURGERY, Issue 3 2009
Wei Liu MD
Objective:, To investigate the clinical features, radiological characteristics and surgical results of degenerative lumbar scoliosis (DLS). Methods:, One hundred and twelve cases of DLS treated surgically from June 2001 to February 2006 were retrospectively reviewed for clinical features, characteristics of nerve root compression and imaging presentations. According to the preoperative clinical manifestations and imaging findings, different surgical modalities were performed, including simple nerve decompression and decompression with short or long posterior fusion (less or more than three segments, respectively). Results:, The mean age of 47 male and 65 female patients was 54.7 years. Clinical manifestations included lower back pain (76.8%), radiculopathy (79.5%) and claudication (48.2%). Plain lumbar radiograph showed right scoliosis in 87 and left scoliosis in the other 25 cases; the Cobb angle was 10°,46°; the apex of scoliosis mostly located at L3 (48.2%); L3 and L4 nerve roots were usually compressed on the concave side and L5 and S1 nerve roots on the convex side. The Cobb angle and physiologic lordosis angle of patients who underwent multi-segment (>3 segments) fusion improved to a greater extent than did that of patients who had simple decompression without fusion. A mean 5.7-year follow-up showed that the average improvement in Oswestry disability index (ODI) scores was 32.6, 26.3 and 13.5 for long segment fusion, short segment fusion and simple decompression without fusion, respectively. Conclusion:, Decompression surgery with or without fusion, the main purpose of which is to relieve nerve root compression and stabilize the spinal column, is an effective treatment for chronic DLS. The treatment should be individualized according to the patient's age, general and economic factors, severity of deformity and other coexisting lumbar degenerative disorders. [source]


Posterior pedicle screws combined with shortening and release techniques for lumbar and thoracolumbar adolescent idiopathic scoliosis

ORTHOPAEDIC SURGERY, Issue 1 2009
Su-xi Gu MD
Objective:, To prospectively evaluate the clinical and radiographic effects of posterior surgery with wide posterior shortening release and segmental pedicle screws techniques in a consecutive group of patients with thoracolumbar /lumbar adolescent idiopathic scoliosis. Methods:, Between April 2002 and July 2005, 114 patients (86 women and 28 men) were enrolled in this study. There were 72 Lenke type 5, 32 Lenke type 6, and 10 Lenke type 3C curves. Radiographic parameters such as coronal plane Cobb angle; lordosis angle; lowest instrumented vertebrae (LIV) angulation; and the distances from the central sacral vertical line (CSVL) to the LIV, to the apical vertebra and to the C7 plumb line, were analyzed. Complication rates were also recorded during follow-up. Results:, The average coronal correction was from 61° to 13° (78.6%). In the sagittal plane, lumbar lordosis was normalized from 36° with a wide range (23°,67°) to 42° with a normal range (34°,55°). The LIV had 79% correction of coronal angulations. The center sacral line to LIV was improved from 2.3 cm to 0.5 cm, apex to center sacral line from 5.0 cm to 1.6 cm, and CSVL from 2.7 cm to 0.8 cm. A total of 1460 pedicle screws were placed safely, average 9.6 levels (5,14) were fused. The patients were followed up for an average of 30 months (range, 12,50). There was excellent maintenance of correction at final follow-up. Conclusion:, Wide posterior release and segmental pedicle screw instrumentation has excellent radiographic and clinical results with minimal complications. [source]


New Method for Predicting the Lumbar Lordosis Angle in Skeletal Material

THE ANATOMICAL RECORD : ADVANCES IN INTEGRATIVE ANATOMY AND EVOLUTIONARY BIOLOGY, Issue 12 2007
Ella Been
Abstract Reconstructing the lordotic curvature of the lumbar spine in humans is essential for understanding their posture and locomotion. To date there is still no reliable method for predicting the lordotic curvature of disarticulated spines (in the absence of intervertebral disks). This article examines two possible methods for predicting the lordotic curvature of the lumbar spine. The first,the traditional method,is based on the degree of wedging of the vertebral bodies, and the second,the suggested new method,is based on a lateral view of the orientation of the inferior articular processes. We propose a linear regression model for predicting the lordotic curvature of the lumbar spine (lordosis angle) in disarticulated human spines. This model, derived directly from our new method, is a more reliable predictor of the lumbar lordosis angle in disarticulated spines. Anat Rec, 2007. © 2007 Wiley-Liss, Inc. [source]