Normal aging of the lumbar spine in women.

Abstract:

BACKGROUND:Lumbar lordosis is required for bipedalism. OBJECTIVES:To investigate age-related changes in lumbar lordosis and to clarify the relationships between lumbar lordosis and vertebral wedging and disc degeneration. METHODS:A total of 300 women were included in this retrospective study, 50 in each of six age groups (20-, 30-, 40-, 50-, 60- and 70-year-olds). Patients with vertebral collapse, instable fracture or disc sequestration were excluded. In each patient, lumbar lordosis angle, posterior vertebral wedging, L5-S1 intervertebral disc angle, L5/L1 vertebral height ratio and L5-S1 intervertebral disc/L1-L2 intervertebral disc height ratio were examined. Significance level was set at p< 0.05 and two-sided tests were used. RESULTS:Significant differences were found in lumbar lordosis according to age group (p< 0.001). Lumbar lordosis correlated most strongly with L4 posterior vertebral wedging, L5 posterior vertebral wedging and L5-S1 intervertebral disc angle, in that order (r= 0.50, r= 0.40, r= 0.32, respectively; p< 0.001). CONCLUSION:In this cohort, strong spinal structure was maintained during physiological aging from 20 to 40 years of age; lumbar lordosis increased by 50 years of age. Increased lordosis correlated with increased posterior vertebral wedging and loss of posterior disc height.

authors

Yildiz HK,Ekin EE

doi

10.3233/BMR-169666

subject

Has Abstract

pub_date

2017-09-22 00:00:00

pages

1061-1067

issue

5

eissn

1053-8127

issn

1878-6324

pii

BMR169666

journal_volume

30

pub_type

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