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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2025, Number 1

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Cir Columna 2025; 3 (1)

Spinopelvic sagittal balance and low back pain in young population

Reyes-Fernández PM, Salazar-Ybarra RA, Díaz-Valadez JA, Rodríguez-Azcona JC, Martínez-Castro AG, Elizondo-Riojas G, García-Quiroz HE, Hulse-Villa JR, Peña-Martínez VM

Language: Spanish
References: 15
Page: 6-11
PDF size: 262.45 Kb.


ABSTRACT

Introduction: spinopelvic sagittal balance is the harmony that exists between the head, spine and pelvis. The alterations are associated with degenerative disc disease, pathological fractures, degenerative spondylolisthesis and osteoarthritis of the knee and hip. The loss of sagittal balance increases energy expenditure causing a decrease in functional capacity and quality of life. There are compensatory mechanisms such as spinal hyperextension, pelvic retroversion, and hip and knee flexion. Objective: to determine the prevalence of low back pain in Mexican youth and perform radiographic measurements to assess spinopelvic balance. Material and methods: this case-control, descriptive, randomized, cross-sectional study involved medical students from the Autonomous University of Nuevo León. Spinopelvic balance measurements were taken. Results: in terms of gender, 38.7% of males and 61.3% of females reported low back pain. Females were at a higher risk for low back pain (p = 0.046). Average measurements in the low back pain group were: C7 plumb line -52.05 mm, thoracic kyphosis 41.91°, lumbar lordosis 57.56°, pelvic incidence 51.77°, pelvic tilt 14.31°, sacral slope 36.37°. Conclusions: Mexican females are at a higher risk of experiencing low back pain. No significant differences were found between basic and clinical years or in sagittal balance. Preventive programs should be implemented to reduce the incidence of degenerative disorders and functional disability at early ages.


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