J Korean Neurosurg Soc.  2012 Nov;52(5):447-451. 10.3340/jkns.2012.52.5.447.

Introducing a New Risk Factor for Lumbar Disc Herniation in Females : Vertical Angle of the Sacral Curvature

Affiliations
  • 1Department of Neurosurgery, Recep Tayyip Erdogan University Medical Faculty, Rize, Turkey. ayhankanat@yahoo.com
  • 2Department of Neurosurgery, Karadeniz Technical University Medical Faculty, Trabzon, Turkey.
  • 3Department of Anestesiology, Sar Hospital, Rize, Turkey.
  • 4Department of Neurosurgery, Samsun Education and Research Hospital, Samsun, Turkey.

Abstract


OBJECTIVE
To characterize the importance of the vertical angle of the sacral curvature (VASC) in lumbar disc herniations.
METHODS
Morphological data derived from lumbar sagittal MRI imaging. The statistical significance of the findings are discussed. The angles of 60 female patients with lumbar disc herniations (LDH) were compared with the 34 female patients without LDH.
RESULTS
128 of the 185 patients met our inclusion criteria. The vertical angle of sacral curvature is statistically significantly bigger in females with lumbar disc herniations when compared to subjects in control group, 28.32 and 25.4, respectively. (p=0.034<0.05). Same difference was not seen in males.
CONCLUSION
The vertical angle of sagittal sacral curvature may be another risk factor in females with lumbar disc herniations.

Keyword

Risk factor; Lumbar disc herniation; Females; Vertical angle of the sacral curvature

MeSH Terms

Female
Humans
Risk Factors

Figure

  • Fig. 1 The sacral curvature and its vertical angle in conventional X-ray.

  • Fig. 2 VASC in sagittal MRI image. VASC : vertical angle of the sacral curvature, MRI : magnetic resonance imaging.


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