scholarly journals The Effect of Reduction Mammaplasty on the Vertebral Column: A Radiologic Study

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Onder Karaaslan ◽  
H. Gokhan Demirkiran ◽  
Ozlem Silistreli ◽  
Erhan Sonmez ◽  
Yagmur Kaan Bedir ◽  
...  
Keyword(s):  
Vertebral Column ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
White Women ◽  
Reduction Mammaplasty ◽  
Body Posture ◽  
Breast Size ◽  
Kyphosis Angle ◽  
Significant Difference ◽  
The Mean

Some studies emphasized that anatomic mechanisms of vertebral aberrations could be associated with large breasts. The effect of mammaplasty operation on the vertebral column and body posture seems to be beneficial; in this trial, it was planned to investigate the objective radiologic effect of reduction mammaplasty on the posture of the vertebral column in a group of patients operated due to the large breasts. Thirty-four white women with large breasts were enrolled in this study. The patients were divided into three groups according to their breast cup sizes. Anteroposterior and lateral radiographs of the lumbosacral and thoracic spine were taken at baseline preoperatively, and the same radiographic images were taken in an average of 12 months later than the reduction mammaplasty operation. All were evaluated and compared for thoracic kyphosis angle and lumbar lordosis angle both preoperatively and postoperatively. The mean thoracic kyphosis angle was 40,53 preoperatively and 39,38 postoperatively. However, there was no statistically significant difference between the preoperative and postoperative measurements in all groups (P>0,05). The mean lumbar lordosis angle was 54,71 preoperatively and 53,18 postoperatively. Regarding the preoperative and postoperative measurements of lumbar lordosis angles, no statistically significant difference was found between the groups (P>0,05). Although breast size may be an important factor that affects body posture, reduction mammaplasty operations have little or no radiologic effect on the vertebral column.

scholarly journals Evaluation of selected postural parameters in children who practice kyokushin karate

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Justyna Drzał-Grabiec ◽  
Aleksandra Truszczyńska
Keyword(s):  
Martial Arts ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
The Body ◽  
Body Posture ◽  
Control Group ◽  
Group I ◽  
Significant Difference ◽  
Thoracolumbar Region ◽  
Study Population

Summary Study aim: martial arts can be traced back thousands of years. Karate is one of the most common martial arts, and both children and adults practice it. The aim of the study was to evaluate selected body posture parameters in children aged 7–10 years who regularly practice karate. Material and method: the study population (Group I) consisted of 50 children aged 7–10 years, mean age 8.1 ± 1.5 years, who had been practicing karate more than two years. The control group consisted of 50 children of the same age (Group II). Body posture was assessed with photogrammetric method based on the phenomenon of the projective moiré pattern, using CQ Elektronik equipment. Results: on the basis of analysis of the inclination of the thoracolumbar section of the spine in both the study population and the control group, a statistically significant difference was found. Analysis revealed a statistically significant difference between the SIT parameter measurements of the two groups (p < 0.05). There is a similar difference regarding the measurements of depth of thoracic kyphosis and depth of lumbar lordosis (p < 0.001 and p < 0.05, respectively). Analysis also revealed a statistically significant difference between the mean shoulder line inclination angle parameter measurements for the two groups of children (p < 0.01). Conclusion: karate training children had a significant deepening of physiological thoracic kyphosis and lumbar lordosis. The body posture in karate training children is characterised by a greater angle of thoracolumbar region and a smaller shoulder asymmetry.

scholarly journals Effectiveness of deformity-correction surgery for primary degenerative sagittal imbalance: a meta-analysis

2017 ◽  
Vol 27 (5) ◽  
pp. 540-551 ◽  
Author(s):  
Chang-Hyun Lee ◽  
Chun Kee Chung ◽  
Jee-Soo Jang ◽  
Sung-Min Kim ◽  
Dong-Kyu Chin ◽  
...  
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Meta Analysis ◽  
Deformity Correction ◽  
Vertical Axis ◽  
Sagittal Imbalance ◽  
Kyphosis Angle ◽  
Sagittal Vertical Axis ◽  
Correction Surgery ◽  
The Mean

OBJECTIVEAs life expectancy continues to increase, primary degenerative sagittal imbalance (PDSI) is diagnosed in an increasing number of elderly people. Although corrective surgery for this sagittal deformity is becoming more popular, the effectiveness of the procedure remains unclear. The authors aimed to collate the available evidence on the effectiveness and complications of deformity-correction surgery in patients with PDSI.METHODSThe authors carried out a meta-analysis of clinical studies regarding deformity correction in patients with PDSI. The studies were identified through searches of the PubMed, Embase, Web of Science, and Cochrane databases. Surgery outcomes were evaluated and overall treatment effectiveness was assessed in terms of the minimum clinically important difference (MCID) in Oswestry Disability Index (ODI) values and pain levels according to visual analog scale (VAS) scores and in terms of restoration of spinopelvic parameters to within a normal range. Data are expressed as mean differences with 95% CIs.RESULTSTen studies comprising 327 patients were included. The VAS and ODI values improved after deformity-correction surgery. The smallest treatment effect exceeded the MCID for VAS values (4.15 [95% CI 3.48–4.82]) but not for ODI values (18.11 [95% CI 10.99–25.23]). At the final follow-up visit, the mean lumbar lordosis angle (−38.60° [95% CI −44.19° to −33.01°]), thoracic kyphosis angle (31.10° [95% CI 24.67°–37.53°]), C-7 sagittal vertical axis (65.00 mm [95% CI 35.27–94.72 mm]), and pelvic tilt angle (30.82° [95% CI 24.41°–37.23°]) remained outside their normal ranges. Meta-regression analyses revealed a significant effect of ODI change in relation to lumbar lordosis change (p = 0.004). After a mean of 2 years after deformity correction, the mean lumbar lordosis angle and C-7 sagittal vertical axis decreased by 5.82° and 38.91 mm, respectively, and the mean thoracic kyphosis angle increased by 4.7°. The incidences of proximal junctional kyphosis and pseudarthrosis were 23.7% and 12.8%, respectively.CONCLUSIONSDeformity correction substantially relieves back pain for about 2 years in adult patients with PDSI. Sufficient surgical restoration of lumbar lordosis can lead to substantial improvement in patient disability and reduced decompensation. Deformity correction represents a viable therapeutic option for patients with PDSI, but further technical advancements are necessary to achieve sufficient lumbar lordosis and reduce complication rates.

scholarly journals Effects of 8-months yoga training on shaping the spine in people over 55

2013 ◽  
Vol 5 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Małgorzata Grabara
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Body Posture ◽  
Hatha Yoga ◽  
Spinal Curvatures ◽  
Thoracic Curvature ◽  
The Third ◽  
Before And After ◽  
The University ◽  
Better Than

Summary Study aim: The aim of this study was to evaluate the influence of hatha yoga practices on the shaping of the anteroposterior (AP) spinal curvatures in students of the University of the Third Age, who participated in hatha yoga classes. Material and methods: 20 women and 5 men took part in the study. Hatha yoga classes were held once a week for 90 minutes over a period of 8 months along with additional exercises including basic positions of hatha yoga in home conditions 1-2 times a week for about 30 minutes. The inclination of the AP curvatures of the spine was measured twice, before and after the end of the classes. A Rippstein plurimeter was used for the measurements. R esults: Measurements of the angle of thoracic kyphosis before starting the series of hatha yoga classes and after finishing them showed a decrease in thoracic curvature in female (p < 0.01). In case of the angle of lumbar lordosis, a reduction in this curvature as a result of yoga techniques has been observed in women (p < 0.01) too. Amounts of AP curvatures of the spine, measured after completing the series of hatha yoga classes, fluctuated around correct values better than before taking them up. Conclusion: This study has shown that yoga training leads to an improvement in the habitual body posture in case of aggravating (excessive) AP curvatures of the spine.

scholarly journals Efficacy of posterior decompression and fixation based on ossification-kyphosis angle criteria for multilevel ossification of the posterior longitudinal ligament in the thoracic spine

2018 ◽  
Vol 29 (2) ◽  
pp. 150-156 ◽  
Author(s):  
Hiroshi Uei ◽  
Yasuaki Tokuhashi ◽  
Masashi Oshima ◽  
Masafumi Maseda ◽  
Masahiro Nakahashi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Thoracic Spine ◽  
Free Space ◽  
Posterior Longitudinal Ligament ◽  
Kyphosis Angle ◽  
Posterior Decompression ◽  
Significant Difference ◽  
The Mean ◽  
Spinal Cord Decompression

OBJECTIVEThe range of decompression in posterior decompression and fixation for ossification of the posterior longitudinal ligament in the thoracic spine (T-OPLL) can be established using an index of spinal cord decompression based on the ossification-kyphosis angle (OKA) measured in the sagittal view on MRI. However, an appropriate OKA cannot be achieved in some cases, and posterior fixation is applied in cases with insufficient decompression. Moreover, it is unclear whether spinal cord decompression of the ventral side is essential for the treatment of OPLL. In this retrospective analysis, the efficacy of posterior decompression and fixation performed for T-OPLL was investigated after the range of posterior decompression had been set using the OKA.METHODSThe MRI-based OKA is the angle from the superior margin at the cranial vertebral body of the decompression site and from the lower posterior margin at the caudal vertebral body of the decompression site to the prominence of the maximum OPLL. Posterior decompression and fixation were performed in 20 patients. The decompression range was set so that the OKA was ≤ 23° or the minimum if this value could not be achieved. Cases in which an OKA ≤ 23° could and could not be achieved were designated as groups U (13 patients) and O (7 patients), respectively. The mean patient ages were 50.5 and 62.1 years (p = 0.03) and the mean preoperative Japanese Orthopaedic Association (JOA) scores were 5.9 and 6.0 (p = 0.9) in groups U and O, respectively. The postoperative JOA score, rate of improvement of the JOA score, number of levels fused, number of decompression levels, presence of an echo-free space during surgery, operative time, intraoperative blood loss, and perioperative complications were examined.RESULTSIn groups U and O, the mean rates of improvement in the JOA score were 50.0% and 45.6% (p = 0.3), the numbers of levels fused were 6.7 and 6.4 (p = 0.8), the numbers of decompression levels were 5.9 and 7.4 (p = 0.3), an echo-free space was noted during surgery in 92.3% and 42.9% of cases (p = 0.03), the operative times were 292 and 238 minutes (p = 0.3), and the intraoperative blood losses were 422 and 649 ml (p = 0.7), and transient aggravation of paralysis occurred as a perioperative complication in 2 and 1 patient, respectively.CONCLUSIONSThere was no significant difference with regard to the recovery rate of the JOA score between patients with (group U) and without (group O) sufficient spinal cord decompression. The first-line surgical procedure of posterior decompression and fixation with the range of posterior decompression set as an OKA ≤ 23° before surgery involves less risk of postoperative aggravation of paralysis and may result in a better outcome.

scholarly journals Spine’s Sagittal Plane Curves’ Coherence with Anthropometric Parameters in Schoolchildren

2018 ◽  
Vol 3 (57) ◽  
Author(s):  
Vilma Mauricienė ◽  
Kristina Bačiulienė
Keyword(s):  
Body Weight ◽  
Body Mass ◽  
Fat Mass ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Anthropometric Measurements ◽  
Sagittal Profile ◽  
Anthropometric Parameters ◽  
Significant Difference ◽  
Free Body

The aim of this study — to identify how anthropometric measurements are connected with spine sagittal curves inschoolchildren.Anthropometric and sagittal body posture measurements were performed for 405 schoolchildren, age range 10—13years. Such anthropometric measurements as body height, weight, fat mass and fat free mass were assessed. Degreesof thoracic kyphosis and lumbar lordosis as sagittal profile features were evaluated.According to the data analysis could be concluded, that coherence between anthropometric parameters and spine’ssagittal profile differs according to gender. The number of statistically significant connections between these twoparameters’ groups was greater in boys. Anthropometric measurements had greater coherence with thoracic kyphosisin comparison with lumbar lordosis. Body weight and fat mass were statistically significantly different according tokyphosis and lordosis values in boys, although fat-free body mass had no significant difference with sagittal curves’expression. Body weight, fat mass and fat-free body mass among girls were associated only with thoracic kyphosis.Keywords: thoracic kyphosis, lumbar lordosis, height, weight, fat mass.

The assessment of the body posture and motor abilities of 14-year-old boys and girls

Physiotherapy ◽  
2013 ◽  
Vol 21 (4) ◽  
Author(s):  
Robert Walaszek ◽  
Tadeusz Kasperczyk ◽  
Krzysztof Borowiec
Keyword(s):  
Thoracic Kyphosis ◽  
The Body ◽  
Body Posture ◽  
Study Group ◽  
Kyphosis Angle ◽  
Motor Abilities ◽  
Physical Exercises ◽  
Inferior Angle ◽  
Plane Transverse ◽  
The Difference

AbstractAim of the study: The purpose of this study was to assess the body posture parameters measured with the photogrammetric Moiré’s method, and motor abilities of 14-year-old boys and girls living in Kraków.Material and methods: The study group consisted of 273 children, including 140 girls and 133 boys, aged 14. Their height and body mass were measured. Their body posture was assessed using the Moiré’s method, as a result of which 14 parameters were described (6 parameters in plane median, 1 in plane transverse and 7 in plane coronal). Motor abilities were assessed using the test of marching balance as well as some trials being part of the battery test EUROFIT.Results: As far as the body posture, significant differences between the boys and the girls were observed in respect of five parameters assessed with the Moiré’s method thoracic kyphosis angle, elevation of the left inferior angle of scapulae, lowering of the left waist triangle, the difference in height of posterior superior iliac spines, the maximum leftwards deviation of the spine line from the line C7-S1. The statistically significant differences between the boys and the girls were pointed out in terms of the motor abilities with the components of strength, as well as suppleness and flexibility.Conclusions: Worse body posture of girls and boys aged 14 does not lead to a decrease in physical fitness, therefore it seems that it is necessary to increase the time of physical exercises for these children compared to their peers with better posture.

scholarly journals The influence of elongation exercises on the anterior-posterior spine curvatures

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Justyna Drzał-Grabiec ◽  
Sławomir Snela ◽  
Justyna Rykała ◽  
Justyna Podgórska ◽  
Aleksandra Truszczyńska
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
The Body ◽  
Kyphosis Angle ◽  
Spinal Curvatures ◽  
Upper Thoracic Spine ◽  
Posterior Spine ◽  
Pair Sequence ◽  
Upper Thoracic ◽  
Anterior Posterior

Summary Introduction: Elongation exercises are designed to reduce existing pathological or increased physiological curvatures of the spine. The aim of the study was to evaluate the changes occurring in the parameters describing the anterior-posterior spinal curvatures during the performance of symmetric elongation exercises. Material and methods: The study included 150 children aged 7-10 years: 82 girls and 68 boys. It was performed in June 2012, following prior parental and the subjects’ consent. The study design was approved by the Bioethical Committee of the Medical Faculty of Rzeszow University (number 05/07/2012). In each subject, an examination of the body posture was performed twice - first in a relaxed position and second during an elongation exercise. The Wilcoxon pair sequence test was used for statistical analysis. Results: The lumbosacral angle was significantly higher during the performance of an elongation exercise (p < 0.001), and so was the thoracolumbar angle (p < 0.001). The angle of the upper thoracic spine (p < 0.01) was significantly reduced. In the case of parameters describing thoracic kyphosis, a significant increase was observed both for the thoracic kyphosis angle (p < 0.01) and the depth of this part of the spine. As for the parameters describing lumbar lordosis, both the lordosis angle and its depth were significantly reduced (p < 0.001 and p < 0.001). Conclusions: 1. Elongation exercises reduce the depth of lumbar lordosis. 2. During elongation exercises thoracic kyphosis becomes deeper

scholarly journals The Shape of Anterior-Posterior Curvatures of the Spine in Athletes Practising Selected Sports

2011 ◽  
Vol 18 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Małgorzata Lichota ◽  
Magdalena Plandowska ◽  
Patrycjusz Mil
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Intervertebral Discs ◽  
Body Posture ◽  
Thoracic Segment ◽  
Type Iii ◽  
Inclination Angles ◽  
Sacral Segment ◽  
Upper Thoracic ◽  
Anterior Posterior

The Shape of Anterior-Posterior Curvatures of the Spine in Athletes Practising Selected SportsIntroduction. Practising sport at the professional level brings about considerable spinal loads. As a result of an intensive effort, the adaptation abilities of vertebrae, intervertebral discs, ligaments and muscles decrease, which, in turn, influences the size of physiological curvatures of the spine and at the same time the quality of body posture. The aim of the work was to evaluate the shape of anterior-posterior curvatures of the spine and to define the frequency of occurrence of body posture types in athletes practising selected sports. Material and methods. The research was conducted among 46 athletes from the following sections: athletics, handball, volleyball and taekwondo. Inclination angles of the curvatures of the spine were defined with the use of a posturometer: α angle (upper-thoracic segment), β angle (thoracic-lumbar segment), γ angle (lumbar-sacral segment) as well as the level of thoracic kyphosis (χ) and lumbar lordosis (λ). Every athlete's body posture type was defined. Results. It was revealed that in the shape of anterior-posterior curvatures of the spine in the examined athletes the level of thoracic kyphosis was higher than the level of lumbar lordosis. In all the athletes the biggest values were observed in the inclination of the upper-thoracic segment, whereas the lowest ones (except for taekwondo competitors) in the inclination of the lumbar-sacral segment. The most common types of body posture were kyphotic and balanced types. No type-III kyphosis and type-III lordosis were observed. Athletes practising selected sports generally had a proper body posture. An improper posture, especially a wrong posture, was observed in few athletes. Conclusion. The specificity of movements performed during the training applied in a particular sport may influence the shape of anterior-posterior curvatures of the spine and thus the type of body posture.

scholarly journals Dynamics of Schoolchildren`s Spine Sagittal Curves, Parameters of Cardiovascular System and their Coherence

2018 ◽  
Vol 2 (73) ◽  
Author(s):  
Vilma Mauricienė ◽  
Arūnas Emeljanovas ◽  
Kristina Bačiulienė ◽  
Algė Daunoravičienė
Keyword(s):  
Blood Pressure ◽  
Cardiovascular System ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Sagittal Plane ◽  
Activity Level ◽  
Age Changes ◽  
System Parameters ◽  
Gender And Age ◽  
Significant Difference

Objective. We aimed to investigate the peculiarities of cardiovascular system parameters and changes in spine sagittal curves with age in schoolchildren and also possible interrelation between parameters in those two systems. Material and methods. 124 schoolchildren (aged 7—18 years) were divided into three groups according to their age. For evaluation of cardiovascular system the bicycle ergometry test with modified Bruce protocol was performed and computerized functional test analysis system “Kaunas — Load” was used. Load, arterial blood pressure, ECG in 12 standard derivations were synchronously recorded at every step. Evaluation of spine sagittal plane was performed using flexible ruler-cirtometer. Angular values of thoracic kyphosis and lumbar lordosis were measured. Results. Parameters of sagittal spine had few differences according to gender and age. Changes in sagittal plane curves with age were greater in boys than in girls. In the group of boys the expression of both sagittal curves had decreasing tendencies with age. Changes in girls’ sagittal curves were inconsistent with age. However, we found many significant differences in the parameters of cardiovascular system’s depending on gender and age. Different correlations between spinal sagittal curves and cardiovascular parameters according to gender and age could beassociated with different state in musculoskeletal system and development, different physical activity level and manyother factors, which vary among girls and boys and also changes with age. Conclusions. There was no significant difference of lumbar lordosis according to gender in all age groups. The thoracic kyphosis had significant different expression only among boys and girls in 7—10 years age group. We found significant difference of such cardiovascular system parameters as index of health, maximal power, pressure rate index, half recovery period of heart rate and change of double product according to gender. Thoracic kyphosis had more correlations with cardiovascular system parameters than lumbar lordosis. Blood pressure reactions had more correlations with spine sagittal curves in older girls and younger boys.Keywords: sagittal spine curves, cardiovascular system, lumbar lordosis, thoracic kyphosis.

Sign in / Sign up

Export Citation Format

Share Document