Clinical biomechanics
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Clinical biomechanics · Jan 1997
Precision measurement of disc height, vertebral height and sagittal plane displacement from lateral radiographic views of the lumbar spine.
OBJECTIVE.: To compile a database of disc height, vertebral height and sagittal plane displacement from lateral radiographic views of the lumbar spine, valid for male and female subjects in the age range 16-57 years. The protocols used to measure these parameters compensate for distortion in central projection, off-centre position, axial rotation and lateral tilt of the spine as well as for variation in radiographic magnification and stature. STUDY DESIGN.: The study comprised designing and testing of measurement protocols, together with subsequent data collection from archive radiographs. ⋯ On average, height of lumbar vertebrae is larger in females than in males; height of lumbar discs is larger in males than in females and shows a minute dependence on age in males; in both genders, sagittal plane displacement increases, but only by a small amount, with age. CONCLUSIONS.: The new measurement protocols for disc height, vertebral height and sagittal plane displacement, together with the database of normative age-related values, permit quantitative assessment of the prevalence of pathological morphological changes in the human lumbar spine. The new method and the database will serve to explore the effect of potentially detrimental influences such as high spinal loading and to provide quantitative documentation of existing injury to vertebrae and discs in individual cases.