{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:15Z","timestamp":1740148635588,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T00:00:00Z","timestamp":1658448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivos\u2003O presente estudo tem como objetivo caracterizar o equil\u00edbrio sagital (SB, na sigla em ingl\u00eas) espinhal em adultos jovens com n\u00f3dulos de Schmorl (NS).<\/jats:p><jats:p>\n          M\u00e9todos\u2003Este \u00e9 um estudo transversal de uma amostra composta por 47 adultos jovens. Resson\u00e2ncia magn\u00e9tica (RM) lombar foi usada para separar os pacientes em um grupo com NS e um grupo controle. Radiografias da coluna vertebral em p\u00e9 foram usadas para comparar os par\u00e2metros espinop\u00e9lvicos do SB entre os grupos: eixo vertical sagital, cifose tor\u00e1cica, lordose lombar (LL), incid\u00eancia p\u00e9lvica (PI, na sigla em ingl\u00eas), inclina\u00e7\u00e3o p\u00e9lvica (PT, na sigla em ingl\u00eas) e inclina\u00e7\u00e3o sacral (SS, na sigla em ingl\u00eas).<\/jats:p><jats:p>\n          Resultados\u2003Os valores de LL e SS foram significativamente menores nos pacientes com NS em compara\u00e7\u00e3o com o grupo controle (54,5\u00b0 versus 64,3\u00b0; 36,2\u00b0 versus 41,4\u00b0, respectivamente). N\u00e3o foram observadas diferen\u00e7as significativas nos demais par\u00e2metros. Os dois grupos apresentaram correla\u00e7\u00f5es significativas entre LL e SS, PI e PT e PI e SS.<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003Adultos jovens com NS apresentam modifica\u00e7\u00f5es associadas ao SB, principalmente valores menores de LL e SS, em compara\u00e7\u00e3o com o grupo controle. Este perfil mais plano assemelha-se ao observado em pacientes com lombalgia e patologia discal em est\u00e1gio inicial. Acreditamos que o NS seja um achado cl\u00ednico relevante que deve levar ao estudo do SB de um paciente por poder revelar varia\u00e7\u00f5es associadas aos primeiros est\u00e1gios de degenera\u00e7\u00e3o discal.<\/jats:p><jats:p>\n          N\u00edvel de Evid\u00eancia III\n        <\/jats:p>","DOI":"10.1055\/s-0042-1744501","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T22:59:01Z","timestamp":1658530741000},"page":"815-820","source":"Crossref","is-referenced-by-count":0,"title":["A Influ\u00eancia dos n\u00f3dulos de Schmorl no equil\u00edbrio sagital de adultos jovens"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0257-3593","authenticated-orcid":false,"given":"Joana Gomes da","family":"Silva","sequence":"first","affiliation":[{"name":"Departamento de Cirurgia Ortop\u00e9dica e Traumatologia, Hospital de Braga, Braga, Portugal"},{"name":"Unidade Local de Sa\u00fade do Nordeste, Centro de Sa\u00fade 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Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7214-5773","authenticated-orcid":false,"given":"Pedro","family":"Varanda","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Ortop\u00e9dica e Traumatologia, Hospital de Braga, Braga, Portugal"},{"name":"Escola de Medicina, Universidade do Minho, Braga, Portugal"},{"name":"Instituto de Investiga\u00e7\u00e3o em Ci\u00eancias da Vida e Sa\u00fade, Escola de Medicina, Universidade do Minho, Braga, Portugal"},{"name":"ICVS\/3B's, ALaborat\u00f3rio Associado do Governo Portugu\u00eas, Braga\/Guimar\u00e3es, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7714-3865","authenticated-orcid":false,"given":"Rui M.","family":"Duarte","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Ortop\u00e9dica e Traumatologia, Hospital de Braga, Braga, Portugal"},{"name":"Escola de Medicina, Universidade 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