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Sex-based differences in clinical and radiological presentation of patients with degenerative lumbar scoliosis: a cross-sectional study – Lumbar Fusion

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The article explores the sex-based differences in the clinical and radiological presentation of patients with degenerative lumbar scoliosis (DLS) and investigates whether these differences can help in understanding the etiology and progression of DLS. A retrospective review of 199 patients with DLS was conducted, including 41 males and 158 females. The study collected data on patient demographics, pain levels, physical condition, and various radiological measurements. The results indicated that male patients had higher levels of back and leg pain, smaller Cobb angles, less parietal rotation, larger lumbar lordosis, smaller pelvic incidence angle, and lower paravertebral muscle fat infiltration rates compared to female patients. The study concludes that gender differences exist in DLS patients, with males experiencing more pronounced back pain and females having more severe scoliosis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

: Gender differences do exist in DLS patients with regard to clinical and radiological presentation, low back pain was more pronounced in male patients, and scoliosis was more severe in female patients based on this cross-sectional study.

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J Orthop Surg Res. 2023 Dec 21;18(1):980. doi: 10.1186/s13018-023-04357-5.ABSTRACTBACKGROUND: To evaluate the sex-based differences in clinical and radiological presentation of patients with degenerative lumbar scoliosis (DLS) and to explore whether the difference is helpful in investigating the etiology and progression of DLS.METHOD: A retrospective review of 199 patients (41 males, 158 females) with DLS was,

J Orthop Surg Res. 2023 Dec 21;18(1):980. doi: 10.1186/s13018-023-04357-5.

ABSTRACT

BACKGROUND: To evaluate the sex-based differences in clinical and radiological presentation of patients with degenerative lumbar scoliosis (DLS) and to explore whether the difference is helpful in investigating the etiology and progression of DLS.

METHOD: A retrospective review of 199 patients (41 males, 158 females) with DLS was included. Patient demographics including age, gender, bone mineral density were collected. Back and leg pain was assessed by visual analog scale, and general physical condition was assessed by Oswestry Disability Index. Cobb’s angle was measured, and direction of scoliosis, position of the superior, inferior and apex vertebrae, number of vertebrae included in the scoliosis, rotation of apex vertebrae (Nash-Mo index), translation of apex vertebrae were recorded. Sagittal longitudinal axis, thoracolumbar kyphosis, lumbar lordosis (LL), pelvic incidence angle (PI), sacral slope, apex of lumbar lordosis and coronal balance distance were measured by whole spine lateral radiographs, and type of coronal imbalance was evaluated in all patients. Fat infiltration rate (FIR) of the paraspinal muscles at the vertebral apex was measured by MRI.

RESULT: Compared to female patients, male patients showed more back and leg pain on clinical presentation and smaller Cobb angle, less parietal rotation, larger LL, smaller PI-LL and lower paravertebral muscle FIR on radiologic features.

: Gender differences do exist in DLS patients with regard to clinical and radiological presentation, low back pain was more pronounced in male patients, and scoliosis was more severe in female patients based on this cross-sectional study.

PMID:38129855 | PMC:PMC10734110 | DOI:10.1186/s13018-023-04357-5

The London Spine Unit : most experienced sugical centre in UK

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Sex-based differences in clinical and radiological presentation of patients with degenerative lumbar scoliosis: a cross-sectional study

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J Orthop Surg Res. 2023 Dec 21;18(1):980. doi: 10.1186/s13018-023-04357-5.ABSTRACTBACKGROUND: To evaluate the sex-based differences in clinical and radiological presentation of patients with degenerative lumbar scoliosis (DLS) and to explore whether the difference is helpful in investigating the etiology and progression of DLS.METHOD: A retrospective review of 199 patients (41 males, 158 females) with DLS was

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