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Influência do alinhamento sagital espinopélvico na espondilolistese lombar: revisão bibliográfica
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| PG_29953 | 235.76 KB | Adobe PDF |
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Resumo(s)
Introdução: a espondilolistese degenerativa é uma patologia comum que pode atingir até 11,5% da
população mundial, porém a sua patogénese ainda não é totalmente conhecida, tornando-se relevante
investigar fatores de risco anatomofuncionais que possam influenciar a incidência, prevalência ou o
agravamento desta patologia. Objetivo: analisar os parâmetros do alinhamento sagital espinopélvico e
os seus impactos na espondilolistese lombar degenerativa. Metodologia: pesquiza computorizada na
base de dados PubMed. Após a seleção dos estudos foi efetuada uma análise de qualidade
metodológica com o Critical Appraisal Skills Programme (CASP). Resultados: nesta revisão foram
integrados 9 artigos, com um total de 2445 pacientes de idades compreendidas entre 18 e 88 anos, dos
quais se recolheram dados com o intuito de avaliar a correlação dos componentes biomecânicos da
sacroilíaca com a presença de espondilolistese lombar. Conclusão: constata-se que a morfologia da
sacroilíaca é influenciada pela incidência pélvica, a qual interfere com os outros parâmetros pélvicos e
no equilíbrio sagital, levando, assim, à génese da patologia, ou seja, da espondilolistese.
Background: degenerative spondylolisthesis is a common disease which could affect 11,5% of mondial population, but we do not know exactly the reasons of her pathogenesis. Due to the importante incidence, many studies research risk factors and prevalence that could influence the apparition and complication of pathology. Authors now make a relationship between sagital spinopelvic alignment and degenerative spondylolisthesis. As reported in literature, sacroiliac's angles and morfology have a leading role in this pathology. Objectives: our objectif in this study is to evaluate sagital spinopelvic alignment parameters in order to determining their implication in lumbar degenerative spondylolisthesis. Methodology: computerized literature search in the databases PubMed to identify experimental articles. After the selection of the studies, an analysis of methodological quality was made with Critical Appraisal Skills Programme (CASP). Results: in this study we have been evaluating 9 articles with a total of 2445 patients aged 18 to 88, in each cas e, the parameters os sagital spinopelvic alignment has been calculated to be correlated with lumbar degenerative spondylolithesis. Conclusion: it is verified that the sacroiliac's morphology is influenced by the pelvic incidence, which interferes with the other pelvic parameters like the pelvic tilt, which modificate the sagital alignment, taking to the genesis of the spondylolistesis.
Background: degenerative spondylolisthesis is a common disease which could affect 11,5% of mondial population, but we do not know exactly the reasons of her pathogenesis. Due to the importante incidence, many studies research risk factors and prevalence that could influence the apparition and complication of pathology. Authors now make a relationship between sagital spinopelvic alignment and degenerative spondylolisthesis. As reported in literature, sacroiliac's angles and morfology have a leading role in this pathology. Objectives: our objectif in this study is to evaluate sagital spinopelvic alignment parameters in order to determining their implication in lumbar degenerative spondylolisthesis. Methodology: computerized literature search in the databases PubMed to identify experimental articles. After the selection of the studies, an analysis of methodological quality was made with Critical Appraisal Skills Programme (CASP). Results: in this study we have been evaluating 9 articles with a total of 2445 patients aged 18 to 88, in each cas e, the parameters os sagital spinopelvic alignment has been calculated to be correlated with lumbar degenerative spondylolithesis. Conclusion: it is verified that the sacroiliac's morphology is influenced by the pelvic incidence, which interferes with the other pelvic parameters like the pelvic tilt, which modificate the sagital alignment, taking to the genesis of the spondylolistesis.
Descrição
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Palavras-chave
Ângulo pélvico-sacral Deslize sacral Tilt pélvico Incidência sacro-púbica Ângulo sacro-púbico posterior Ângulo de incidência pélvica Parâmetros espinopélvicos sagitais Espondilolisteses Anterolistese Retrolistese Instabilidade lombar Pelvis sacral angle Sacral slope Pelvic tilt Sacrum pubic incidence Sacrum pubic posterior angle Pelvic incidence angle Sagittal spinopelvic parameters Spondylolisthesis Anterolisthesis Retrolisthesis Lumbar instability