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PubMed2004

Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance. Surgical technique.

BACKGROUND: Fixed sagittal imbalance (a syndrome in which the patient is only able to stand with the weight-bearing line in front of the sacrum) has many etiologies. The most commonly reported technique for correction is the Smith-Petersen osteotomy. Few reports on pedicle subtraction procedures (resection of the posterior elements, pedicles, and vertebral body through a posterior approach) are available in the peer-reviewed literature. We are aware of no report involving a substantial number of patients with coexistent scoliosis who underwent pedicle/vertebral body subtraction for the treatment of fixed sagittal imbalance. METHODS: Twenty-seven consecutive patients in whom sagittal imbalance was treated with lumbar pedicle subtraction osteotomy at one institution were analyzed. Radiographic analysis included assessment of thoracic kyphosis, lumbar lordosis, lordosis through the pedicle subtraction osteotomy site, and the C7 sagittal plumb line. Outcomes analysis was performed with use of a before-and-after pain scale, items from the Oswestry questionnaire, and the Scoliosis Research Society (SRS) questionnaire after a minimum duration of follow-up of two years. Complications and radiographic findings were also analyzed for the entire group. RESULTS: Overall, the average increase in lordosis was 34.1 degrees and the average improvement in the sagittal plumb line was 13.5 cm. One patient had development of a lumbar pseudarthrosis through the area of pedicle subtraction osteotomy, and six patients had development of a thoracic pseudarthrosis. Two patients had development of increased kyphosis at L5/S1, caudad to the fusion, resulting in some loss of sagittal correction. There were significant improvements in the overall Oswestry score (p < 0.0001) and the pain-scale score (p = 0.0002). Most patients reported improvement in terms of pain and self-image as well as overall satisfaction with the procedure. CONCLUSIONS: Pedicle subtraction osteotomy is a useful procedure for patients with fixed sagittal imbalance. A worse clinical result is associated with increasing patient comorbidities, pseudarthrosis in the thoracic spine, and subsequent breakdown caudad to the fusion.

Humans↗
PubMed1996

Inhibitory effect of progesterone on sexual receptivity in female rats: a temporal relationship to estrogen administration.

The inhibitory effect of progesterone (P) injected at various times on female sexual behavior was investigated in estradiol benzoate (EB) treated ovariectomized rats. Four behavioral tests were carried out at two-week intervals. All females received 5 micrograms/kg b.w. EB and 0.5 mg P 44 hr after the EB. In the P-control group, an additional 5 mg P was administered at the same time as the injection of EB in four tests. Instead of P, oil was given concurrently with EB in the Oil control group. In the experimental groups, female rats were treated with 5 mg P from 1 to 40 hr before (PB group) or after (PA group) the EB-injection. A sexual behavioral test was started 4 hr after 0.5 mg P. The results show that low levels of lordosis and soliciting behavior were observed in the P group, compared to the Oil-control group. In the PB groups, lordosis quotient (LQ) was low when P was given from 1 to 24 hr before EB. Moreover, animals in which P was given 27-40 hr before EB showed lower LQ than Oil-control animals, but higher LQ than rats in the P-control group. In the PA groups, when P was administered from 1 to 24 hr after EB, low levels of lordosis response were observed, whereas animals which received P 27-40 hr after EB showed a high score of LQ, being comparable to that in the Oil control. These results suggest that the period of 24 hr before and after EB injection is a critical period for inhibitory action of P on female sexual behavior in female rats.

Animals↗
PubMed2004

Sagittal alignment and the Bryan cervical artificial disc.

OBJECT: The authors evaluated cervical spine radiographs to determine sagittal alignment in patients who underwent one- or two-level arthroplasty with the Bryan cervical artificial disc prosthesis. METHODS: The curvature of the surgically treated spinal segments and the overall curvature of the cervical spine were evaluated in 13 patients who underwent 16 cervical arthroplasty device placements. Preoperative and postoperative lateral radiographs were reviewed and compared using standardized techniques for measuring spinal curvature. Patients who underwent a single-level cervical arthroplasty had a 4.7 degrees mean reduction (p < 0.05) in lordosis after cervical artificial disc replacement. The three patients who underwent two-level cervical arthroplasty had no significant changes in the sagittal alignment. CONCLUSIONS: Patients who underwent arthroplasty with a Bryan cervical artificial disc had a focal loss of lordosis (that is, kyphosis) at the treated levels after single-level procedures. Nevertheless, there was no significant change in the overall sagittal curvature of the cervical spine after single-level artificial disc replacements. The patients who underwent two-level artificial disc placement had no significant changes in lordosis at the treated levels or in the overall curvature. The likely source of this outcome appears to be the endplate milling procedures that reorient the vertebral endplates.

Adult↗
PubMed1999

Does spinal morphology influence the occurrence of low back pain? A retrospective clinical, anthropometric, and radiological study.

OBJECTIVE: Insurance companies are showing considerable interest for measurement devices claimed to be effective in evaluating risks associated with occupational or sporting activities. The aim of this study was to evaluate the potential influence of spinal morphology on the risk of low back pain. METHODS: 1500 male construction work apprentices aged 16 to 23 years underwent spinal measurements at the Caen Teaching Hospital from 1991 to 1996. The 384 subjects with abnormal measurements or a history of spinal pain underwent plain radiography and a second set of spinal measurements done by a different examiner using a different device. The following radiological parameters were studied: incidence angle, junction couple, Ferguson's index, L1-L5 lordosis angle and L1-S1 lordosis angle. RESULTS: In the 152 retrospectively studied subjects, no significant differences in static spinal parameters were found between subjects with and without a history of low back pain. The type of lordosis was correlated with the incidence angle but not with the junction couple. CONCLUSION: In our population, spinal measurements were not correlated with a specific morphological pattern of the lumbar spine or pelvis, and neither was a history of low back pain correlated with a specific pattern of lumbar and pelvic balance.

Adolescent↗
PubMed2001

[One-segment interbody lumbar arthrodesis using impacted cages: posterior unilateral approach versus posterior bilateral approach].

PURPOSE OF THE STUDY: We assessed the relative advantages of unilateral versus bilateral posterior approaches for lumbar spine fusion. MATERIAL AND METHODS: Eighty-three patients who underwent lumbar spine fusion via a bilateral posterior approach and who had reached more than two years follow-up were compared with 80 patients who had undergone the same procedure via a unilateral posterior approach, including 54 with a follow-up greater than one year and 24 greater than two years. Most cases were L4-L5 fusions for degenerative spondylolisthesis or recurrent discal herniation with instability. Two composite carbon cages were filled with autologous cancellous bone. The key to the unilateral approach was the comfortable exposure of the disc by lamino-arthectomy; the osteosynthesis could then be performed unilaterally if only one gutter was opened. We measured bleeding and operative time to quantify surgical difficulty. At one year we assessed disc height, lordosis, frontal balance, and fusion of the operated disk. At two years, we assessed lombalgia and sciatalgia [scored from 4 (none) to 0 (intolerable)], subjective outcome, and recovery of former activity level. RESULTS: Mean blood loss and operative time were 360 ml and 162 min for the 83 classical procedures and 216 ml and 118 min for the 80 unilateral procedures. There were ten dural wounds with the bilateral approach and one dural wound and one transient radicular deficit with the unilateral approach. At one year, 81 of the 83 unilateral cases had reached fusion (2 nonunions). There was a mean 2 degrees gain in discal lordosis despite three cases of impaction due to osteoporosis. For the unilateral procedures, all 54 reached fusion at one year with a mean 2.5 degrees gain in lordosis, also with 3 impactions. With intersomatic distraction, balanced disc height in the frontal plane was obtained in all cases where the initial narrowing was not excessive. There were no cases of posterior displacement. There was a degradation of the supra-adjacent segment in three of the bilateral cases and one of the unilateral cases. At two years, the mean pain score for the bilateral cases was 3.88 for lombalgia (1.22 preoperatively) and 3.51 for sciatalgia (1.30 preoperatively). For the unilateral cases, lombalgia improved from 1.57 to 3.62 and sciatalgia from 0.98 to 3.79. the difference between the two approaches was significant for sciatalgia (p<0.01). The subjective assessment for the bilateral cases was: good 34, improved 43, unchanged 4, worse 2. For the unilateral cases it was: good 10, improved 11, unchanged 2, worse 1. Thirty of the 54 active patients in the bilateral group returned to their former work at a mean 8.5 months and 11 of the 17 active patients in the unilateral group did so at a mean 7.5 months. DISCUSSION: The unilateral approach simplifies the spinal fusion procedure. Fusion conditions and delay to consolidation as well as the final outcome appear to be better for sciatalgia. CONCLUSION: Adapted instrumentation (cages and instruments) allow using this simplified technique for many patients with an indication for classical bilateral access fusion.

Blood Loss, Surgical↗
PubMed2001

Progesterone blockade of estrogen activation of mu-opioid receptors regulates reproductive behavior.

The mu-opioid receptor (MOR), a G-protein-coupled receptor, is internalized after endogenous agonist binding. Although receptor activation and internalization are separate events, internalization is a good assay for activation because endogenous opioid peptides all induce internalization. Estrogen treatment of ovariectomized rats induces MOR internalization, providing a neurochemical signature of estrogen activation of the medial preoptic nucleus. MOR activation appears to be the mechanism via which estrogen acts in the medial preoptic area to prevent the display of female reproductive behavior during the first 20-24 hr after estrogen treatment. Naltrexone, an alkaloid universal opioid receptor antagonist, prevented MOR internalization, suggesting that estrogen induces the release of endogenous opioid peptides that in turn activate the MOR. Enkephalins and beta-endorphin are nonselective endogenous MOR ligands. The most selective endogenous MOR ligands are the endomorphins. Infusions of selective MOR agonists, H-Tyr-d-Ala-Gly-N-Met-Phe-glycinol-enkephalin (DAMGO) or endomorphin-1, into the medial preoptic nucleus attenuated lordosis, and their effects were blocked with the MOR antagonist H-d-Phe-Cys-Tyr-d-Trp-Orn-Thr-Pen-Thr-NH(2) (CTOP). Infusion of endomorphin-1 internalized MOR. To determine whether progestin also acts via the MOR system to facilitate reproductive behavior, ovariectomized rats were primed with 17beta-estradiol and progesterone. Progestin facilitation of lordosis was correlated with a reduction of estrogen-induced MOR internalization. Progestin reversed estrogen-induced MOR internalization, suggesting that progesterone blocked estrogen-induced endogenous opioid release, relieving estrogen inhibition and facilitating lordosis. These results indicate a central role of MOR in the mediation of sex steroid activation of the CNS to regulate female reproductive behavior.

Analgesics, Opioid↗
PubMed2002

Preliminary experience using a polyetheretherketone (PEEK) cage in the treatment of cervical disc disease.

OBJECTIVE: We investigated the effectiveness of a new material, polyetheretherketone (PEEK), in a spinal cage used in performing cervical spinal fusion for the correction of cervical kyphosis. METHODS: A total of 80 patients with various cervical diseases were divided into two groups. Patients in Group A (40 patients) underwent microdiscectomy and PEEK cage fusion, and patients in Group B (40 patients) were treated with microdisectomy and autogenous iliac crest graft (AICG) fusion. We evaluated the patients for cervical lordosis, the height of the foramina, the cross sectional area of the foramina, and fusion status on the basis of x-rays. The patients' neurological and functional outcomes were assessed on the basis of the Prolo scale. Magnetic resonance imaging was also performed for spinal cord evaluation. RESULTS: The use of the PEEK cage in patients who undergo spinal fusion may increase cervical lordosis (mean, 2.33 +/- 3.00 mm; P = 0.03), whereas AICG fusion may not (mean, -0.84 +/- 6.69 mm; P = 0.49). The use of the PEEK cage was found to increase the height of the foramina (mean, 2.54 +/- 1.40 mm; P = 0.00) and increase its cross sectional area (mean, 40.36 +/- 23.53 mm2; P = 0.00). The height of the foramina increased only in the PEEK group postoperatively. The cross sectional area of the foramina increased in both groups postoperatively. The complication rate in patients who underwent fusion procedures with the PEEK cage was less than that in patients who underwent fusion with AICG fusion (2.50 versus 17.50%; P = 0.03). Both groups had a satisfactory fusion rate (100 versus 93.1%). The patients' postoperative Prolo scale scores were statistically better in the PEEK group (8.50 +/- 1.49 versus 7.17 +/- 2.13; P = 0.00), and more patients in the PEEK group than in the AICG group achieved excellent outcomes (66.63 versus 28.57%; P = 0.00). Because PEEK is radiotransparent on x-rays and few artifacts are seen on magnetic resonance imaging scans, it is better suited than autogenous iliac crest donor material for postoperative radiographic evaluation. CONCLUSION: The PEEK cage provides solid fusion, increased cervical lordosis, and increased height and cross sectional area of the foramina. There are few complications associated with the use of this cage, and the functional and neurological outcomes are satisfactory. It also facilitates postoperative x-ray and magnetic resonance imaging evaluation. The PEEK cage is therefore a good substitute for AICG fusion in patients with cervical disc disease.

Adult↗
PubMed2003

Adjacent segment motion after a simulated lumbar fusion in different sagittal alignments: a biomechanical analysis.

STUDY DESIGN: An in vitro biomechanical study of adjacent segment motion (at L3-L4 and L5-S1) after a simulated lumbar interbody fusion of L4-L5 in different sagittal alignments was carried out. OBJECTIVES: To test the hypothesis that an L4-L5 fixation in different sagittal alignments causes increased angular motion at the adjacent levels (L3-L4 and L5-S1) in comparison with the intact spine. SUMMARY OF BACKGROUND DATA: Clinical experience has suggested that lumbar fusion in a nonanatomic sagittal alignment can increase degeneration of the adjacent levels. It has been hypothesized that this is the result of increased motion at these levels; however, to the authors' knowledge no mechanical studies have demonstrated this. METHODS: Eight fresh human cadaveric lumbar spines (L3-S1) were biomechanically tested. Total angular motion at L3-L4 and L5-S1 under flexion-extension load conditions (7-Nm flexion and 7-Nm extension) was measured. Each specimen was tested intact, and then again after each of three different sagittal fixation angles (at L4-L5): (1) in situ (21 degrees lordosis), (2) hyperlordotic (31 degrees lordosis), and (3) hypolordotic (7 degrees lordosis). The simulated anterior/posterior fusion was performed at L4-L5 with pedicle screws posteriorly, vertebral body screws anteriorly, and an interbody dowel. RESULTS: The averaged values for flexion-extension motion at L3-L4 were as follows: intact specimen 2.0 degrees, in situ fixation 4.0 degrees, hyperlordotic fixation 1.7 degrees, hypolordotic fixation 6.5 degrees. The averaged values for flexion-extension motions at L5-S1 were as follows: intact specimen 2.3 degrees, in situ fixation 2.6 degrees, hyperlordotic fixation 3.6 degrees, hypolordotic fixation 2.9 degrees. CONCLUSION: Hypolordotic alignment at L4-L5 caused the greatest amount of flexion-extension motion at L3-L4, and the differences were statistically significant in comparison with intact specimen, in situ fixation, and hyperlordotic fixation. Hyperlordotic alignment at L4-L5 caused the greatest amount of flexion-extension motion at L5-S1, and the difference was statistically significant in comparison with intact specimen but not in situ fixation or hypolordotic fixation.

Aged↗
PubMed2005

Sagittal plane alignment of the spine and gravity: a radiological and clinical evaluation.

Analysis of the sagittal balance of the spine includes the study of the spinal curves and of the pelvis in the sagittal plane. It therefore requires full-spine lateral radiographs. The sagittal balance of the spine was studied in forty-nine young adults. Strong correlations were observed between parameters related to the pelvis ("pelvic incidence angle", "sacral slope" and "pelvic tilting"), and the sagittal spinal curves ("lordosis" and "kyphosis"). We therefore propose to begin the evaluation of the sagittal plane alignment of the spine in clinical practice with measurement of the pelvic incidence angle. The relationship between the pelvic incidence angle and the sacral slope, as well as between the sacral slope and lordosis, is then assessed, and these are related to each other. The use of a graphic abacus facilitates assessment of the physiological comparison of the measured values and of the relationship between pelvic and spinal parameters, within their range of physiological variability. This analysis of the sagittal alignment of the spine also considers its dynamic aspect and the importance of gravity load and of muscular contraction on the lumbar structures. These data have been published previously and are recalled here. Three basic patterns of disruption of the relations between parameters may be encountered: a sacral slope angle exceeding the value expected considering the measured pelvic incidence angle (owing to fixed flexion contracture of the hips), excessive lordosis with regard to the observed sacral slope angle (with hyperkyphosis at the thoracic level) and stiff hypolordosis with pelvic retroversion. These three conditions are analysed in the light of the repercussions of the gravity load on the lumbar structures. A convenient method is thus available for functional analysis of the sagittal balance of the spine.

Adult↗
PubMed1991

[The action mechanism of the pineal gland in inhibiting sexual receptivity of female rats: (I). Is it concerned with the extrahypothalamic inhibitory pathway?].

Monosodium L-glutamate (MSG), as a neurotoxin, was administered subcutaneously at a dose of 4 mg/g body weight to rat pups on days 1 and 3 postnatally. The sexual receptivity expressed as lordosis quotient (LQ) in MSG-treated female rats (2.5 months old) was significantly lower than that of the normal female ones, and this poor sexual receptivity of MSG-treated females could be improved by pinealectomy at the age of six weeks. In order to investigate the relationship between the inhibitory role of the pineal gland and the extrahypothalamic inhibitory pathway, normal control and MSG-treated rats were ovariectomized and implanted subcutaneously with estradiol capsule (20% estradiol benzoate, in 2mm silastic tube) at the age of 2.5 months. Three days after implantation, sexual receptivity was observed. Then, the anterior roof deafferentation (ARD) was preformed one week later and the sexual receptivity in both groups was compared again. The results showed that there was no significant difference of the lordosis response between the MSG-treated and the control groups before ARD, and the level of restoration by ARD in LQ of MSG-treated rats was similar to that of the control group. It seems that the extrahypothalamic inhibitory pathway of sexual receptivity may not be influenced by neonatal MSG-treatment. Our previous results indicated that the behavioral sensitivity to estradiol was altered by ARD. However, in the present study, the lordosis responses of MSG-treated and pinealectomized female rats were not significantly different from that of the control group after ovariectomy and exogenous estradiol implantation. This means that the behavioral sensitivities to estradiol were not changed by MSG-treatment or pinealectomy.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1991

Mechanism of production of experimental scoliosis in rabbits.

The hypothesis for the mechanism of production of scoliosis, advanced on the basis of morphometric and morphologic studies in human thoracic skeleton, finds further support in the results of an experimental study in rabbits described herein. The removal of transverse processes alone resulted in the production of scoliosis and lordosis. When both transverse processes and facet joints were removed, scoliosis developed rapidly and was considerable. When paraspinal muscles were incised on one side only, however, this resulted in the development of lordosis alone. The convexity of the curve was always toward the operated side, and the apex was almost always at the lowest operated segment. Lordosis was limited to within the operated area. The results of the experiment indicate that scoliosis resulted because of the asymmetry in load transmission through the ribs to the vertebral column in rabbits.

Animals↗
PubMed1986

Failure of chlordecone (Kepone) to induce behavioral estrus in adult ovariectomized rats.

The effect of chlordecone on behavioral estrus was examined in adult ovariectomized female rats. Chlordecone has been reported to resemble estrogen in altering pituitary secretions, in producing vaginal cornification, in increasing uterine weight and in competing for binding to the estrogen receptor. In the present study, 10, 25, 50 or 75 mg/kg chlordecone was substituted for estrogen in the estrogen-progesterone priming sequence used to facilitate sexual behavior of ovariectomized female rats. Sexual receptivity was measured by the number of lordosis responses exhibited by the female when mounted by a sexually active male. Chlordecone failed to substitute for estradiol in producing lordosis behavior. When female rats were given chlordecone in addition to estrogen plus progesterone, chlordecone reduced the lordosis behavior usually seen in these steroid primed animals. In further studies, chlordecone's effect on the CNS progesterone receptor was examined. Unlike estradiol, chlordecone did not induce progesterone receptors. Furthermore, chlordecone attenuated the increase in progesterone receptors seen after estradiol treatment. These findings suggest that chlordecone fails to mimic, and may actually interfere with, estrogen's facilitative effects on neurally mediated reproductive events.

Animals↗
PubMed1989

[Orthopedic treatment of regular dorsal and dorsolumbar hyperkyphosis. New principles of active correction].

The orthopaedic treatment of hyper-kyphosis should not be unique. If the principles of treatment are different in relation with the thoracic or thoraco-lumbar localisation of the apex of the deformity, it is necessary to distinguish for the middle thoracic curve two types of patients: these in whom the kyphosis and the lordosis are balanced (the cast must diminish the lumbar lordosis and the imbalanced posterior types with a great kyphotic curve and a short compensatory lordosis which is important not to be diminish by the treatment. The principles of plaster casting are described in the two types; emphasizing on the unlucky aspect of the sternal support in the middle thoracic kyphosis and in the necessity of the thoracic modification if we wish to obtain a good result. The active expiratory reeducation is capital before and during the treatment.

Casts, Surgical↗
PubMed1988

Treatment of scoliosis in the adult thoracolumbar spine with special reference to fusion to the sacrum.

The major indication for operative intervention in adults with lumbar and thoracolumbar curves is pain. A careful analysis of the pain, including a careful history and the use of discography and facet blocks, has greatly enhanced the success rate both in terms of correction and relief of symptoms postoperatively. Zielke instrumentation is the preferred surgical technique for thoracolumbar curves that do not require extension of the fusion to the sacrum. Cotrel-Dubousset fixation is particularly advocated in those cases that show evidence of spinal stenosis and require posterior decompression or in cases of rigid kyphoscoliosis following an anterior release. Fusions of the sacrum require a combined anterior and posterior approach. Iatrogenic loss of lumbar lordosis can be prevented by careful attention to detail and posterior instrumentation with preservation of lumbar lordosis, contouring of rods, and hyperextension of spine and hips at the time of surgery. Loss of lumbar lordosis, which may result in marked fatigue and pain as well as a deformity often worse than the initial one, can be corrected, preferably by a combined anterior and posterior approach (Fig. 5).

Adult↗
PubMed1977

Central progesterone induces female sexual behavior in estrogen-primed intact males rats.

Progesterone induced high levels of female lordotic behavior in 10 of 17 intact, estrogen-primed male rats when it was applied directly to the medial preoptic-anterior hypothalamic area. All 17 males previously had shown lordosis when the serotonergic antagonist methysergide was applied to the same central sites. Few males responded to systemic progesterone and none to intracralial cholesterol. Intradiencephalic Metycaine, a local anesthetic, induced lordosis in eight male that previously had responded to central progesterone. These data indicate that estrogen and progesterone act synergistically to induce lordosis in male rats when progesterone is administered directly to sensitive brain sites.

Anesthetics, Local↗
PubMed1981

[[Clinical and experimental study on the genesis of lumbar spinal stenosis (author's transl)].

In recent years, the entity of lumbar spinal stenosis has been generally accepted. It's pathogenesis is thought to be the results of developmental stenosis of the lumbar spinal canal. In this paper, some factors that can produce this developmental stenosis were investigated. There were positive correlations between the degree of lumbar lordosis by using indices of Ferguson's angle and width of the lumbar spinal canal based on the Jones' body to canal ratio and body to pedicle ratio in 130 children when examined by radiograms. Experimentally induced bipedal rats are known to have the burden to develop the lordosis in the lumbar spine. They had narrower spinal canal than the quadripedal rats according to the radiograms and indices described above. These data strongly suggest that those with severe lordosis or bipedal rats have more burden to the posterior part of the lumbar vertebrae, followed by it's unusual growth leading to narrower spinal canal posteriorly.

Adolescent↗
PubMed1994

[Studies on urinary protein components in renal disease in children, II--Comparison between children with orthostatic albuminuria and children with remission of glomerulonephritis].

The urinary protein components of 14 children with orthostatic albuminuria (group OA) and also that of 9 children with remission of IgA nephropathy or Henoch-Schönlein purpura nephritis (group GN) after forced lordosis were analyzed. The results were as follows; (1) Urinary total protein excretions after forced lordosis were greater than 30mg/dl in 50% of 26 children with remission of glomerulonephritis, therefore a high percentage of children with remission of glomerulonephritis were complicated with orthostatic albuminuria. (2) Urinary total protein excretions after forced lordosis were 150 +/- 91mg/dl in the group of OA and 149 +/- 88mg/dl in GN (p > 0.05). (3) In the urinary protein components, the percentage of urinary albumin and alpha 1-antichymotrypsin excretions were significantly higher in the OA group than the GN group (p < 0.01, p < 0.001 respectively), while the percentage of urinary transferrin, IgA and IgG excretions were significantly higher in the GN group than the OA group (p < 0.01, p < 0.001 and p < 0.05 respectively). (4) The ratio of urinary IgG/IgA and serum IgG/IgA was significantly lower in the GN group than the OA group (p < 0.05), suggesting that serum IgA tended to be excreted in urine in the GN group.

Adolescent↗
PubMed1995

Sports injuries in footballers related to defects of posture and body mechanics.

The objective of this study was to investigate possible relationships between the incidence of sports injury and the existence of body mechanics defects in players of various codes of football. Injuries were recorded prospectively over a 24 month period. Fifteen aspects of body mechanics were evaluated at the start of the study using a specially developed photogrammetric technique known to have high reliability and sensitivity. It was found that subjects who suffered from ankle injuries had lower mean scores for ankle mechanics than the non-injured players. Knee injuries were found to be associated with lumbar lordosis and sway back. Subjects who suffered from muscle strains had a higher incidence of lumbar lordosis, sway back and abnormal knee inter-space. Back injuries were associated with poor shoulder symmetry, scapulae abduction, back asymmetry, kyphosis, lordosis and scoliosis. Subjects who suffered from two or more injuries had lower overall body mechanics scores than the other subjects. In general, it was found that the incidence of ankle, back, knee and muscle injuries was influenced by the presence of defects of body mechanics. These results suggest that intervention to improve body mechanics would be likely to reduce the incidence of sports injuries in football.

Adolescent↗