Lumbar-Pelvic Rhythm in Patients with Lumbar Osteochondrosis and Degenerative Lumbar Spondylolisthesis at the Stages of Surgical Treatment
Objective: to study of the lumbar-pelvic rhythm in patients with lumbar osteochondrosis and degenerative lumbar spondylolisthesis before and after posterior instrumental spondylosyndesis. Methods: 1) clinical — with the assessment of the active control tests and electronic goniometry of the body sagittal movements; 2) roentgenometrical — with estimation of the lumbar lordosis LL and the sacral flexion SS. Results. Before surgery in both groups patients we observed a decrease of the amplitude of the body sagittal movements, as well as excursion of lumbar segments and the hip joint. Change in the lumbar-pelvic rhythm during flexion in patients with lumbar osteochondrosis was mainly due to motor control disorders and body myofixation (flexion movement patterns), during the extension in patients from both groups — to lumbopelvic imbalance, in which the pelvic retroversion significantly restricts hip joints extensions. After surgery (posterior instrumental spondylosyndesis of L4-L5 and L4-L5-S1 segements), despite improvement of the spine sagittal alignment, in group of patients with lumbar osteochondrosis there preserved motor control changes due to unrepaired myotonic reactions; in patients with lumbar degenerative spondylolisthesis compensatory incorrect motor strategy formed, they changed synchronous movements of the spine and hip joints.
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