Abstract：
The aim of this study; evaluate lumbar lordosis (LL) in symptomatic individuals with six different techniques and to examine the techniques comparatively. Thus, to provide an overview of lumbal lordosis and techniques.
Cobb L1-L5, Cobb L1-S1, Posterior Tangent, tangential radiologic assessment of lumbar lordosis (TRALL), vertebral centroid measurement of lumbar lordosis (CLL) and Risser Ferguson measurement techniques were used to assess LL from radiographs of 175 symptomatic adults. Correlations between techniques and relationship between the measurements obtained, gender and age were analyzed. Also ınterclass correlation (ICC) analyzed. Bland-Altman plots were performed to compare the techniques with Cobb.
ICC for all methods were greater than 0.96. For each method, no difference in LL was observed with respect to gender or age (p > 0.05). High positive correlation was observed between the Risser Ferguson, Posterior Tangent, Cobb L1-L5, Cobb L1-S1 and CLL techniques (p < 0.001), and moderate positive correlation between TRALL and all other techniques (p < 0.001).
In this study, it was found that the mean lumbar lordosis values of symptomatic participants were lower than most of the other asymptomatic studies in the literature and there was no significant difference in lumbar lordosis values in terms of gender and age in symptomatic individuals. Based on statistical findings, Risser Ferguson can be used to assess LL. These results and the data obtained as a result of the comparative examination of techniques according to age groups and gender will benefit clinicians and those working in the field by providing a better understanding LL.
Cobb L1-L5, Cobb L1-S1, Posterior Tangent, tangential radiologic assessment of lumbar lordosis (TRALL), vertebral centroid measurement of lumbar lordosis (CLL) and Risser Ferguson measurement techniques were used to assess LL from radiographs of 175 symptomatic adults. Correlations between techniques and relationship between the measurements obtained, gender and age were analyzed. Also ınterclass correlation (ICC) analyzed. Bland-Altman plots were performed to compare the techniques with Cobb.
ICC for all methods were greater than 0.96. For each method, no difference in LL was observed with respect to gender or age (p > 0.05). High positive correlation was observed between the Risser Ferguson, Posterior Tangent, Cobb L1-L5, Cobb L1-S1 and CLL techniques (p < 0.001), and moderate positive correlation between TRALL and all other techniques (p < 0.001).
In this study, it was found that the mean lumbar lordosis values of symptomatic participants were lower than most of the other asymptomatic studies in the literature and there was no significant difference in lumbar lordosis values in terms of gender and age in symptomatic individuals. Based on statistical findings, Risser Ferguson can be used to assess LL. These results and the data obtained as a result of the comparative examination of techniques according to age groups and gender will benefit clinicians and those working in the field by providing a better understanding LL.
摘要：
目的：本研究的目的是使用六种不同技术评估有症状个体的腰椎前凸（LL），并对这些技术进行比较。因此，提供腰椎前凸和技术的概述。
方法：CobbL1-L5，CobbL1-S1，后切，腰椎前凸的切向放射学评估（TRALL），使用腰椎前凸（CLL）的椎体测量和RisserFerguson测量技术从175例有症状的成年人的X射线照片中评估LL。技术之间的相关性和获得的测量之间的关系，分析性别和年龄。还分析了二类相关性(ICC)。进行Bland-Altman地块以将技术与Cobb进行比较。
结果：所有方法的ICC均大于0.96。对于每种方法，在性别和年龄方面，LL没有观察到差异(p>0.05)。在RisserFerguson之间观察到高度正相关，后切,CobbL1-L5，CobbL1-S1和CLL技术（p<0.001），TRALL和所有其他技术之间的中度正相关(p<0.001)。
结论：在这项研究中，研究发现,有症状参与者的平均腰椎前凸值低于文献中大多数其他无症状研究,有症状个体的腰椎前凸值在性别和年龄方面没有显著差异.根据统计结果，RisserFerguson可用于评估LL。这些结果和根据年龄组和性别对技术进行比较检查而获得的数据将通过提供更好的了解LL而使临床医生和在该领域工作的人员受益。
方法：CobbL1-L5，CobbL1-S1，后切，腰椎前凸的切向放射学评估（TRALL），使用腰椎前凸（CLL）的椎体测量和RisserFerguson测量技术从175例有症状的成年人的X射线照片中评估LL。技术之间的相关性和获得的测量之间的关系，分析性别和年龄。还分析了二类相关性(ICC)。进行Bland-Altman地块以将技术与Cobb进行比较。
结果：所有方法的ICC均大于0.96。对于每种方法，在性别和年龄方面，LL没有观察到差异(p>0.05)。在RisserFerguson之间观察到高度正相关，后切,CobbL1-L5，CobbL1-S1和CLL技术（p<0.001），TRALL和所有其他技术之间的中度正相关(p<0.001)。
结论：在这项研究中，研究发现,有症状参与者的平均腰椎前凸值低于文献中大多数其他无症状研究,有症状个体的腰椎前凸值在性别和年龄方面没有显著差异.根据统计结果，RisserFerguson可用于评估LL。这些结果和根据年龄组和性别对技术进行比较检查而获得的数据将通过提供更好的了解LL而使临床医生和在该领域工作的人员受益。
