Browsing by Author "Lakhey, RB"
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Publication Body Mass Index in Patients with Degenerative Spondylolisthesis: A descriptive cross-sectional study(Kathmandu University, 2025) Kafle, KR; Lakhey, RB; Ghimire, N; Paudel, S; Paudel, S; Kafle, DABSTRACT Background Low back pain is a leading cause of disability globally. Obesity, a product of modern lifestyle, is a well-established risk factor for many diseases including spine pathologies. Degenerative lumbar spondylolisthesis is a significant cause of low back pain in the middle-aged and elderly population. However, the literature on relationship between high body mass index and degenerative spondylolisthesis is inconsistent. Objective To investigate prevalence of obesity among the patients with degenerative spondylolisthesis. Method This cross-sectional study was conducted at Tribhuvan University Teaching Hospital, Nepal, involving 81 patients aged ≥ 40 diagnosed with degenerative spondylolisthesis at various lumbar vertebral levels and grades. Anthropometric measurements were obtained and analyzed using an Independent t-test to compare the mean age, height, weight, and body mass index across different levels, grades, and between sexes. Result Among the 81 patients, 59 were female, and 22 were male. The mean age and, BMI were 59.41 ± 10.97 years, and 26.04 ± 4.41 kg/m2, respectively. A notable 59.3% of patients had Body Mass Index ≥ 25. Patients with grade II spondylolisthesis exhibited significantly higher weight and Body Mass Index compared to those with grade I spondylolisthesis (p = 0.031, 0.013), particularly in female population (p = 0.003, 0.007) and at L4-L5 level (p = 0.003, 0.004). Conclusion Body mass index and weight were significantly higher in patients with grade II spondylolisthesis compared to grade I. This finding underscores the need for further research to understand the relationship between obesity and degenerative spondylolisthesis. KEY WORDS Body mass index, Epidemiology, Obesity, SpondylolisthesisPublication Correlation of Pelvic Parameters with Isthmic Spondylolisthesis(Kathmandu University, 2021) Shrestha, S; Lakhey, RB; Paudel, S; Kafle, D; Pokharel, RABSTRACT Background Spondylolisthesis is one of the major causes of low back pain. The anterior shift of the vertebra is mostly at L4 and L5 levels. Several types have been described, most common being the isthmic type. Pelvic parameters are said to be associated with development and progression of listhesis, and should be evaluated while treating it. Objective To study the correlation of Pelvic parameters with isthmic spondylolisthesis. Method It was a cross sectional case control study. In 68 cases with Isthmic Spondylolisthesis and of 34 cases with low back pain without listhesis (control), the spinopelvic parameters like lumbar lordosis, pelvic incidence, pelvic tilt and sacral slopes were measured together with degree of slip with lateral radiographs. Findings were analyzed and compared with control group. Result In control group, the pelvic incidence was 50.44±4.78o, the sacral slope was 34.38±6.79o, the pelvic tilt was 15.97±5.31o, and the lumbar lordosis was 46.76±6.78o. In Isthmic Spondylolisthesis group, the pelvic incidence was 60.85±6.79o, the sacral slope was 40.40±6.91o, the pelvic tilt was 20.63±7.51o, and the lumbar lordosis was 57.31±7.11o. The difference in spinopelvic parameters amongst control and Isthmic Spondylolisthesis group was statistically significant (p < 0.001). The degree of slip was directly proportional to the pelvic incidence angle (grade I=52o, II =62o and III 72.5o). Conclusion Spino-pelvic parameters are higher in isthmic spondylolisthesis group and is significantly associated with severity of the slip. KEY WORDS Isthmic spondylolisthesis, Lumbar lordosis, Pelvic incidence, Pelvic tilt, Sacral slope