Leg-length inequality has poor correlation with lumbar scoliosis. A radiological study of 100 patients with chronic low-back pain.
Leg-length inequality and its hypothetical consequences, pelvic tilt and lumbar scoliosis, were measured in 100 young or middle-aged adults suffering from chronic low-back pain. Leg-length inequality had a good correlation with the pelvic tilt assessed from the iliac crests, a moderate correlation with the sacral tilt, but a poor correlation with the lumbar scoliosis. The sacral tilt correlated well with the lumbar scoliosis when the tilt was more than 3 degrees but poorly when it was smaller. Thus, there is a gradually decreasing correlation between the posture parameters when moving from the hips up to the lumbar spine. We conclude that before a radiologically observed leg-length inequality be considered as the cause of low-back pain, an erect-posture radiograph of the whole pelvis and lumbar spine is essential, in order to assess an existing pelvic tilt and scoliosis.
Hoikka
V
V
Department of Clinical Orthopedics, Orthopedic Hospital of the Invalid Foundation, Helsinki, Finland.
Ylikoski
M
M
Tallroth
K
K
D000328:Adult; D001416:Back Pain / Q000150:complications* / Q000000981:diagnostic imaging; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007870:Leg Length Inequality / Q000150:complications* / Q000000981:diagnostic imaging; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012600:Scoliosis / Q000150:complications* / Q000000981:diagnostic imaging