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Importance of intervertebral disc size in low back pain
Turk, Zmago ; Čelan, Dušan
Aim. To compare two anthropometrical methods for measuring the intervertebral disc size with computer tomography measurements and to develop a new anthropometric method for calculating intervertebral ...disc area. Methods. Intervertebral disc size was measured using computer tomography and two anthropometric methods (Colombini and modified Colombini) in a sample of 40 subjects. The new calculation for intervertebral disc size was developed and used in a sample of male bus drivers with (n=65) and without (n=30) anamnestic low back pain to asses clinical usefulness. Results. The modified anthropometric method for intervertebral disc size assessment correctly predicted intervertebral disc size in 89% of the cases and the determination error was diminished to an average of 4.1% for level L4-L5 and 4.4% for level L5-S1. The average size of the intervertebral discs in 65 subjects with anamnestic lower back problemswas significantly smaller than in the control group of 30 subjects having no such problems (p<0.001). Conclusion. The use of the presented formulas for the calculation of the intervertebral disc in L4-5 and L5-S1 areas from the data obtained by simple anthropometrical measurements is sufficiently reliable and accurate. The method is economical and harmless.
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