Secondary Logo

Journal Logo

LUMBAR DISC DEGENERATION IS INCREASED IN SUBJECTS WITH A HISTORY OF SLIPPED CAPITAL FEMORAL EPIPHYSIS (SCFE): GP95.

Toy, Jason; Gordon, Zachary; Eubanks, Jason; Cooperman, Daniel; Ahn, Nicholas

Spine Journal Meeting Abstracts: October 2011 - Volume - Issue - [no page #]
GENERAL POSTERS
Free

University Hospitals of Cleveland, Orthopaedics, Cleveland, Ohio, US

INTRODUCTION: Spinal osteoarthritis is greater in patients with known hip pathology secondary to alterations in spinopelvic geometry. To our knowledge, no study has investigated the long term impact of slipped capital femoral epiphysis on the spine. We sought to evaluate the relationship between slipped capital femoral epiphysis and the presence of degenerative disc disease and facet arthrosis.

METHODS: An observational study was performed on 25 cadaveric specimens with slipped capital femoral epiphysis and 647 controls that were identified out of 3100 total cadaveric specimens in an osteologic collection. The specimens were evaluated for disc degeneration and facet arthrosis at L1/2 to L5/S1 using the classification of Eubanks, et al. Linear regression analyses were then used to determine the relationship between slipped capital femoral epiphysis and lumbar disc and facet degeneration at each level, correcting for confounding factors such as age, sex, and race.

RESULTS: Linear regression demonstrated a significant association (p<0.01) found between slipped capital femoral epiphysis and degenerative disc disease at all levels from L1/2 to L5/S1. In addition, a significant association (p<0.01) was found between slipped capital femoral epiphysis and facet arthrosis at all levels from L1/2 to L5/S1.

DISCUSSION: The findings of this study show a relationship between slipped capital femoral epiphysis and lumbar disc degeneration and facet arthrosis. This relationship may prove useful in predicting the course of spinal osteoarthritis in patients with SCFE.

© 2011 Lippincott Williams & Wilkins, Inc.