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Advances in Orthopedics
Volume 2018, Article ID 6567139, 8 pages
Research Article

Rasterstereographic Analysis of Lateral Shift in Patients with Lumbar Disc Herniation: A Case Control Study

1Heidelberg University Clinics, Department for Orthopedics and Trauma Surgery, Schlierbacher Landstraße 200a, 66118 Heidelberg, Germany
2Department of Orthopedics and Rheumatology, University Hospital Marburg, Baldingerstrasse, 35043 Marburg, Germany
3Studiendekanat, Fachbereich Medizin, Dr. Reinfried Pohl-Zentrum für Medizinische Lehre (RPZ), University Hospital Marburg, Conradistraße 9, 35043 Marburg, Germany
4Orthopädische Gemeinschaftspraxis Ammenwerth / Skwara, Schildern 6, 33098 Paderborn, Germany
5SRH Hochschule für Gesundheit, University of Applied Health Science, Neue Str. 28–30, 07548 Gera, Germany

Correspondence should be addressed to Melvin Mohokum; ed.hrs@mukohom.nivlem

Received 23 May 2018; Accepted 10 September 2018; Published 1 October 2018

Guest Editor: Yasushi Oshima

Copyright © 2018 Britta K. Krautwurst et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. Detection of a lateral shift (LS) in patients with diagnosed disc herniation compared to healthy controls. Summary of Background Data. A specific lateral shift (LS) pattern is observed in patients with disc herniation and low back pain, as shown in earlier studies. Methods. Rasterstereography (RS) was used to investigate the LS. Thirty-nine patients with lumbar disc herniation diagnosed by radiological assessment and low back pain and/or leg pain (mean age 48.2 years, mean BMI 28.5, 28 males and 11 females) and 36 healthy controls (mean age 47.4 years, mean BMI 25.7, 25 males and 11 females) were analysed. LS, pelvic tilt, pelvic inclination, lordotic angle, and trunk torsion were assessed. Results. The patient group showed a nonsignificant increase in LS, that is, 5.6 mm compared to the healthy controls with 5.0 mm (p = 0.693). However, significant differences were found between groups regarding pelvic tilt in degrees (patients 5.9°, healthy controls 2.0°; p = 0.016), trunk torsion (patients 7.5°, controls 4.5°; p = 0.017), and lordotic angle (patients 27.5°, healthy controls 32.7°; p = 0.022). The correlation between pain intensity and the FFbH-R amounted 0.804 (p = < 0.01), and that between pain intensity and the pain disability index was 0.785 (p < 0.01). Discussion. Although some studies have illustrated LS with disc herniation and low back pain, the present findings demonstrate no significant increase in LS in the patient group compared to healthy controls. Conclusion. The patients with lumbar disc herniation did not demonstrate an increased LS compared to healthy controls. Other parameters like pelvic tilt and inclination seemed to be more suitable to identify changes in posture measured by RS in patients with low back pain or disc herniation.