Sagittal Spinopelvic Parameters in Patients With Lower Extremity Amputation

Low back pain is one of the secondary health problems that negatively affect functionality, independence and quality of life in individuals with lower extremity amputation. The prevalence of low back pain was reported to be higher in individuals with lower extremity amputation (52-89%) than in the non-amputee population (12-45%). Although the etiology of low back pain is multifactorial, changing anatomy and biomechanics after lower extremity amputation and maintaining daily activities are often associated with the development of low back pain. Postural imbalance, which is one of the musculoskeletal disorders of the spine that contributes to low back pain, is considered to cause additional load on the spinal structures.

Inclusion criteria

• Patients aged ≥ 18 and ≤ 65 years
• Patients followed for at least 12 months with lower extremity amputation
• Patients who have been using prosthesis for at least 3 months
• Patients with stable medical and psychological status
• Patients willing to participate in the study

Exclusion criteria

• Patients with serious cardiovascular, pulmonary, neurological disease or other musculoskeletal problems (inflammatory rheumatic disease, active synovitis, severe low back pain, hip/knee joint replacement or other hip/knee-related trauma, fracture, or surgery) that impair walking
• Patients with severe vision, hearing and language problems