Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Although lumbar instability is considered to be responsible for the majority of chronic or recurrent low back pain, the word ‘instability’ is still poorly defined. A biomechanically more accurate definition of segmental instability, using a ‘neutral zone’ concept has been proposed. To measure the radiological sagittal translation (in mm) and sagittal angulation (in degrees) in flexion and extension x-rays of the lumbar spine of the patients and to identify patients with sagittal translation >3 mm and sagittal angulation >10 degrees (patients with Lumbar Instability). To assess the prevalence of lumbar instability among patients with low back pain The present study was a Observational Cross-sectional Study. This Study was conducted from June 2017 to March 2019 at Department of Apollo Gleneagles Hospital, Kolkata Neurosurgery OPD. In patients with lumbar instability, the mean MODI score (mean±s.d.) of the patients was 59.2500±13. 6899. In without lumbar instability, the mean MODI score (mean±s.d.) of the patients was 47.9730±12. 0979. Distribution of mean MODI score vs. Group was statistically significant (p = 0.0013). The incidence of lumbar spinal instability in patients with LBP at our tertiary care hospital was found to be significant. These findings suggest that radiographic assessment of spinal instability should be considered in the diagnostic workup for LBP, particularly in patients with chronic symptoms or those unresponsive to initial treatment. Further research is needed to explore the implications of these findings for treatment outcomes and patient management strategies.
How to cite this article:
Jummo Jini and B.K. Singhania. Observational Study to Assess the Radiographic Incidence of Lumbar Spinal Instability in Patients with Low Back Pain in a Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.18.608.613
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.18.608.613