Association of Spinopelvic Anatomy with the Level of Lumbar Disc Herniation.

Jannis Löchel, Moritz Hanisch, Justus Bürger, Kirsten Labbus, Robert Zahn

Abstract read

In one paragraph

Article in Bioengineering (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed

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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Recent Findings and Developments in Spine Biomechanics.Bioengineering (Basel, Switzerland) · 2026
Article

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jannis LöchelMeoclinic Berlin, MEOSPINE, Friedrichstraße 71, 10117 Berlin, Germany.ORCID 0000-0003-3554-7762

Moritz HanischCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.

Justus BürgerCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.

Kirsten LabbusCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.ORCID 0000-0002-2767-8327

Robert ZahnCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to investigate the association between the level of lumbar disc herniation (LDH) and individual spinopelvic anatomy. MATERIAL AND

methodsSpinopelvic parameters were retrospectively evaluated in 57 patients with symptomatic LDH at L4/5 and L5/S1 undergoing minimal invasive sequestrectomy at our institution. LDH was diagnosed in 23 patients at L5/S1 and in 34 patients at L4/5. Patients with further segment degeneration at the index level were excluded from the study.

resultsSpinopelvic parameters between the two groups were significantly different. Patients with LDH at L5/S1 had statistically significant lower Pelvic Incidence (PI), Pelvic Tilt (PT), Relative Lumbar Lordosis (RLL) and PI-LL than patients with LDH at L4/5. C7 Sagittal Vertical Axis (C7SVA) was statistically significant lower in patients with LDH at L5/S1. Both groups had no sagittal imbalance. Patients with LDH at L5/S1 were significantly younger than patients with LDH at L4/5. There was a significant positive correlation between age and PT. We observed no significant differences for preoperative values of Lumar Lordosis (LL) and Sacral Slope between the two groups.

conclusionsThis is the first study to reveal individual spinopelvic anatomy and, in particular, PI to be associated with the distinct level of LDH. These findings substantiate the biomechanical influence of the sagittal profile on the pathogenesis of LDH. Individual spinopelvic compensatory mechanisms were available independently of the patient's age. Minimal invasive sequestrectomy is a reliable treatment for symptomatic LDH without further segment degeneration.

Indexed as

levellumbar disc herniationspinopelvic alignmentspinopelvic anatomy

Identifiers

PMID41007238

DOI10.3390/bioengineering12090993

PMCPMC12467242

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.