Akademik Veri Yönetim Sistemi
EUROPEAN SPINE JOURNAL, cilt.32, sa.12, ss.4118-4127, 2023 (SCI-Expanded)
Abstract
Purpose: The aim of this study; evaluate lumbar lordosis (LL) in symptomatic individuals with six different techniques and
to examine the techniques comparatively. Thus, to provide an overview of lumbal lordosis and techniques.
Methods: Cobb L1-L5, Cobb L1-S1, Posterior Tangent, tangential radiologic assessment of lumbar lordosis (TRALL), vertebral centroid measurement of lumbar lordosis (CLL) and Risser Ferguson measurement techniques were used to assess LL
from radiographs of 175 symptomatic adults. Correlations between techniques and relationship between the measurements
obtained, gender and age were analyzed. Also ınterclass correlation (ICC) analyzed. Bland–Altman plots were performed
to compare the techniques with Cobb.
Results: ICC for all methods were greater than 0.96. For each method, no difference in LL was observed with respect to gender or age (p > 0.05). High positive correlation was observed between the Risser Ferguson, Posterior Tangent, Cobb L1-L5,
Cobb L1-S1 and CLL techniques (p < 0.001), and moderate positive correlation between TRALL and all other techniques
(p < 0.001).
Conclusion: In this study, it was found that the mean lumbar lordosis values of symptomatic participants were lower than
most of the other asymptomatic studies in the literature and there was no significant difference in lumbar lordosis values in
terms of gender and age in symptomatic individuals. Based on statistical findings, Risser Ferguson can be used to assess LL.
These results and the data obtained as a result of the comparative examination of techniques according to age groups and
gender will benefit clinicians and those working in the field by providing a better understanding LL.
Keywords: Lumbar lordosis · Spine · Cobb · Sagittal alignment · Radiology