Morphometric analysis of the spine in patients with single-level lumbar disc herniations: clinical study

Bülent Bakar; Alemiddin Özdemir; Ahmet Melih Erdoğan; Mehmet Emir Çevik; Özge Aydın; Sergen Sivuk; Abdullah Baybars Öktem; Ulaş Yüksel; Mustafa Öğden

Article Details

Morphometric analysis of the spine in patients with single-level lumbar disc herniations: clinical study

Authors:

Bülent Bakar | Alemiddin Özdemir | Ahmet Melih Erdoğan | Mehmet Emir Çevik | Özge Aydın | Sergen Sivuk | Abdullah Baybars Öktem | Ulaş Yüksel | Mustafa Öğden

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Beyin ve Sinir Cerrahisi (Nöroşirurji)

Journal:

Anatolian Current Medical Journal Vol.7 Issue 3, pp.311-319

Document Type:

Article

Publication Date:

5/2025

Document Language:

English

Document ID (Org No.):

2001349438

pISSN:

2718-0115

Keywords:

Abstract:

 Aims: It was reported in the literature that sagittal balance may be impaired in patients with spinal deformities and lumbar degenerative diseases. In this study, we analyzed the relationship between disc herniation and the results of spinal column morphological measurements related to sagittal balance on lumbar direct radiographs and preoperative blood biochemistry results in patients with single-level lumbar disc herniation and healthy subjects. Methods: Patients who underwent surgery for L4-L5 or L5-S1 intervertebral disc herniation and healthy individuals were included in the study. The participants were then grouped into the control group n15 and the LDH group n30. Patients were also grouped into the L4-5 HNP group n15 and the L5-S1 HNP group n15. Age, gender, blood count, and serum C-reactive protein values of all individuals and L1-S1 Cobb angles, T12 and S1 slope angles, L4-S1 Cobb angles, each disc height, and L1-L5 vertebral column height were measured on lumbar direct radiographs. Results: Age p0.035, T12 slope angle p0.032, L4-S1 Cobb angle t3.649, p0.001, L1-L2 intervertebral disc height p0.032, L5-S1 intervertebral disc height p0.033, and eosinophil counts p0.039 were different between the control group and LDH group. However, there was no statistical difference between patients with L4-L5 disc herniation and patients with L5S1 disc herniation in terms of study parameters. ROC-curve and regression analysis revealed that if age over 39 years if the T12 slope angle was less than 21.50 degrees if the L4-S1 Cobb angle was less than 32.43 degrees if L1-L2 disc height was above 7.45 mm and if L5-S1 disc height was below 8.15 mm p0.041 these parameters could be used predictive markers for the diagnosis of the lumbar disc herniation p0.05. Conclusion: At the end of the study, it was argued that patient age, T12 slope angle, L4-S1 Cobb angle, L1-L2, and L5-S1 intervertebral disc heights measured on lumbar X-ray images could be used as predictive parameters for the diagnosis of lumbar disc herniation in these patients.

 Aims: It was reported in the literature that sagittal balance may be impaired in patients with spinal deformities and lumbar degenerative diseases. In this study, we analyzed the relationship between disc herniation and the results of spinal column morphological measurements related to sagittal balance on lumbar direct radiographs and preoperative blood biochemistry results in patients with single-level lumbar disc herniation and healthy subjects. Methods: Patients who underwent surgery for L4-L5 or L5-S1 intervertebral disc herniation and healthy individuals were included in the study. The participants were then grouped into the control group n15 and the LDH group n30. Patients were also grouped into the L4-5 HNP group n15 and the L5-S1 HNP group n15. Age, gender, blood count, and serum C-reactive protein values of all individuals and L1-S1 Cobb angles, T12 and S1 slope angles, L4-S1 Cobb angles, each disc height, and L1-L5 vertebral column height were measured on lumbar direct radiographs. Results: Age p0.035, T12 slope angle p0.032, L4-S1 Cobb angle t3.649, p0.001, L1-L2 intervertebral disc height p0.032, L5-S1 intervertebral disc height p0.033, and eosinophil counts p0.039 were different between the control group and LDH group. However, there was no statistical difference between patients with L4-L5 disc herniation and patients with L5S1 disc herniation in terms of study parameters. ROC-curve and regression analysis revealed that if age over 39 years if the T12 slope angle was less than 21.50 degrees if the L4-S1 Cobb angle was less than 32.43 degrees if L1-L2 disc height was above 7.45 mm and if L5-S1 disc height was below 8.15 mm p0.041 these parameters could be used predictive markers for the diagnosis of the lumbar disc herniation p0.05. Conclusion: At the end of the study, it was argued that patient age, T12 slope angle, L4-S1 Cobb angle, L1-L2, and L5-S1 intervertebral disc heights measured on lumbar X-ray images could be used as predictive parameters for the diagnosis of lumbar disc herniation in these patients.

 Aims: It was reported in the literature that sagittal balance may be impaired in patients with spinal deformities and lumbar degenerative diseases. In this study, we analyzed the relationship between disc herniation and the results of spinal column morphological measurements related to sagittal balance on lumbar direct radiographs and preoperative blood biochemistry results in patients with single-level lumbar disc herniation and healthy subjects. Methods: Patients who underwent surgery for L4-L5 or L5-S1 intervertebral disc herniation and healthy individuals were included in the study. The participants were then grouped into the control group n15 and the LDH group n30. Patients were also grouped into the L4-5 HNP group n15 and the L5-S1 HNP group n15. Age, gender, blood count, and serum C-reactive protein values of all individuals and L1-S1 Cobb angles, T12 and S1 slope angles, L4-S1 Cobb angles, each disc height, and L1-L5 vertebral column height were measured on lumbar direct radiographs. Results: Age p0.035, T12 slope angle p0.032, L4-S1 Cobb angle t3.649, p0.001, L1-L2 intervertebral disc height p0.032, L5-S1 intervertebral disc height p0.033, and eosinophil counts p0.039 were different between the control group and LDH group. However, there was no statistical difference between patients with L4-L5 disc herniation and patients with L5S1 disc herniation in terms of study parameters. ROC-curve and regression analysis revealed that if age over 39 years if the T12 slope angle was less than 21.50 degrees if the L4-S1 Cobb angle was less than 32.43 degrees if L1-L2 disc height was above 7.45 mm and if L5-S1 disc height was below 8.15 mm p0.041 these parameters could be used predictive markers for the diagnosis of the lumbar disc herniation p0.05. Conclusion: At the end of the study, it was argued that patient age, T12 slope angle, L4-S1 Cobb angle, L1-L2, and L5-S1 intervertebral disc heights measured on lumbar X-ray images could be used as predictive parameters for the diagnosis of lumbar disc herniation in these patients.

 Aims: It was reported in the literature that sagittal balance may be impaired in patients with spinal deformities and lumbar degenerative diseases. In this study, we analyzed the relationship between disc herniation and the results of spinal column morphological measurements related to sagittal balance on lumbar direct radiographs and preoperative blood biochemistry results in patients with single-level lumbar disc herniation and healthy subjects. Methods: Patients who underwent surgery for L4-L5 or L5-S1 intervertebral disc herniation and healthy individuals were included in the study. The participants were then grouped into the control group n15 and the LDH group n30. Patients were also grouped into the L4-5 HNP group n15 and the L5-S1 HNP group n15. Age, gender, blood count, and serum C-reactive protein values of all individuals and L1-S1 Cobb angles, T12 and S1 slope angles, L4-S1 Cobb angles, each disc height, and L1-L5 vertebral column height were measured on lumbar direct radiographs. Results: Age p0.035, T12 slope angle p0.032, L4-S1 Cobb angle t3.649, p0.001, L1-L2 intervertebral disc height p0.032, L5-S1 intervertebral disc height p0.033, and eosinophil counts p0.039 were different between the control group and LDH group. However, there was no statistical difference between patients with L4-L5 disc herniation and patients with L5S1 disc herniation in terms of study parameters. ROC-curve and regression analysis revealed that if age over 39 years if the T12 slope angle was less than 21.50 degrees if the L4-S1 Cobb angle was less than 32.43 degrees if L1-L2 disc height was above 7.45 mm and if L5-S1 disc height was below 8.15 mm p0.041 these parameters could be used predictive markers for the diagnosis of the lumbar disc herniation p0.05. Conclusion: At the end of the study, it was argued that patient age, T12 slope angle, L4-S1 Cobb angle, L1-L2, and L5-S1 intervertebral disc heights measured on lumbar X-ray images could be used as predictive parameters for the diagnosis of lumbar disc herniation in these patients.

Article Details

Morphometric analysis of the spine in patients with single-level lumbar disc herniations: clinical study

Authors:

Bülent Bakar | Alemiddin Özdemir | Ahmet Melih Erdoğan | Mehmet Emir Çevik | Özge Aydın | Sergen Sivuk | Abdullah Baybars Öktem | Ulaş Yüksel | Mustafa Öğden

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Beyin ve Sinir Cerrahisi (Nöroşirurji)

Journal:

Anatolian Current Medical Journal Vol.7 Issue 3, pp.311-319

Document Type:

Article

Publication Date:

5/2025

Document Language:

English

Document ID (Org No.):

2001349438

pISSN:

2718-0115

Lumbar disc herniation

Cobb angle

T12 slope angle

S1 slope angle

Issues

Article Details

Morphometric analysis of the spine in patients with single-level lumbar disc herniations: clinical study

Authors: Bülent Bakar | Alemiddin Özdemir | Ahmet Melih Erdoğan | Mehmet Emir Çevik | Özge Aydın | Sergen Sivuk | Abdullah Baybars Öktem | Ulaş Yüksel | Mustafa Öğden

Publisher: MediHealth Academy Yayıncılık

Main Topics: Beyin ve Sinir Cerrahisi (Nöroşirurji)

Journal: Anatolian Current Medical Journal Vol.7 Issue 3, pp.311-319

Document Type: Article

Publication Date: 5/2025

Document Language: English

Document ID (Org No.): 2001349438

pISSN: 2718-0115

Lumbar disc herniation

Cobb angle

T12 slope angle

S1 slope angle

Issues

Authors:

Bülent Bakar | Alemiddin Özdemir | Ahmet Melih Erdoğan | Mehmet Emir Çevik | Özge Aydın | Sergen Sivuk | Abdullah Baybars Öktem | Ulaş Yüksel | Mustafa Öğden

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Beyin ve Sinir Cerrahisi (Nöroşirurji)

Journal:

Anatolian Current Medical Journal Vol.7 Issue 3, pp.311-319

Document Type:

Article

Publication Date:

5/2025

Document Language:

English

Document ID (Org No.):

2001349438

pISSN:

2718-0115