Détail de la notice
Titre du Document
Lumbosacral spine and pelvic inlet changes associated with pelvic organ prolapse
Auteur(s)
NGUYEN John K. ; LIND Lawrence R. ; CHOE Jennifer Y. ; ...
Résumé
Objective: To determine the association between advanced pelvic organ prolapse and changes in lumbar lordosis and/or pelvic inlet orientation. Methods: Lateral lumbosacral spine/pelvic x-rays were taken of women with grade 2 or greater uterovaginal prolapse and women with grade 1 or less prolapse standing in their usual upright posture. The angles of lumbar lordosis and the pelvic inlet were measured by a radiologist who was masked to the pelvic examination findings. Results: Twenty women with prolapse were matched with 20 women without significant prolapse. There were no significant differences in the mean (± standard deviation [SD]) age (55.3 ± 9.0 years compared with 53.4 ± 9.5 years), body mass index (BMI) (28.9 ± 5.6 compared with 28.4 ± 5.2), gravidity (5.6 ± 3.5 compared with 5.0 ± 2.7), and vaginal parity (4.65 ± 3.3 compared with 4.5 ± 2.9) between the prolapse and nonprolapse groups, respectively. All participants were vaginally parous. The mean lumbar lordotic angle in women with pelvic organ prolapse (32.0° ± 9.8°) was significantly lower than that of controls (42.4° ± 10.9°) (P <.003). The mean angle of the pelvic inlet in women with pelvic organ prolapse (37.5° ± 7.0°) was significantly larger than that of controls (29.5° ± 7.3°) (P <.001). The differences in the mean angles of lumbar lordosis and the pelvic inlet, between the case and control groups, remained significant after multivariable logistic regression was performed. Conclusion: Wom
Editeur
Elsevier Science
Identifiant
PMID : 10711538 ISSN : 0029-7844 CODEN : OBGNAS
Source
Obstetrics and gynecology (New York. 1953) A. 2000, vol. 95, n° 3, pp. 332-336 [bibl. : 24 ref.]
Langue
Anglais
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