A comparative analysis of sagittal spinopelvic alignment between young and old men without localized disc degeneration
详细信息 查看全文
- 作者：Youngbae B. Kim (1)
Yongjung J. Kim (2)
Young-Joon Ahn (3)
Gyu-Bok Kang (1)
Jae-Hyuk Yang (1)
Hyungtae Lim (1)
Seung-Won Lee (3) - 关键词：Lumbar ; Pelvis ; Spinopelvic parameters ; Sagittal parameters
- 刊名：European Spine Journal
- 出版年：2014
- 出版时间：July 2014
- 年：2014
- 卷：23
- 期：7
- 页码：1400-1406
- 全文大小：272 KB
- 参考文献：1. Lazennec JY, Ramare S, Arafati N, Laudet CG, Gorin M, Roger B, Hansen S, Saillant G, Maurs L, Trabelsi R (2000) Sagittal alignment in lumbosacral fusion: relations between radiological parameters and pain. Eur Spine J 9:47-5 CrossRef
2. Kawakami M, Tamaki T, Ando M, Yamada H, Hashizume H, Yoshida M (2002) Lumbar sagittal balance influences the clinical outcome after decompression and posterolateral spinal fusion for degenerative lumbar spondylolisthesis. Spine 27:59-4 CrossRef
3. Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F (2005) The impact of positive sagittal balance in adult spinal deformity. Spine 30:2024-029 CrossRef
4. Duval-Beaupere G, Schmidt C, Cosson P (1992) A barycentremetric study of the sagittal shape of spine and pelvis: the conditions required for an economic standing position. Ann Biomed Eng 20:451-62 CrossRef
5. Legaye J, Duval-Beaupere G, Hecquet J, Marty C (1998) Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 7:99-03 CrossRef
6. Boulay C, Tardieu C, Hecquet J, Benaim C, Mouilleseaux B, Marty C, Prat-Pradal D, Legaye J, Duval-Beaupere G, Pelissier J (2006) Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis. Eur Spine J 15:415-22 CrossRef
7. Gelb DE, Lenke LG, Bridwell KH, Blanke K, McEnery KW (1995) An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine 20:1351-358 CrossRef
8. Vedantam R, Lenke LG, Keeney JA, Bridwell KH (1998) Comparison of standing sagittal spinal alignment in asymptomatic adolescents and adults. Spine 23:211-15 CrossRef
9. Kobayashi T, Atsuta Y, Matsuno T, Takeda N (2004) A longitudinal study of congruent sagittal spinal alignment in an adult cohort. Spine 29:671-76 CrossRef
10. Hammerberg EM, Wood KB (2003) Sagittal profile of the elderly. J Spinal Disord Tech 16:44-0 CrossRef
11. Lafage V, Schwab F, Patel A, Hawkinson N, Farcy J (2009) Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine 34:E599–E606 CrossRef
12. Barrey C, Jund J, Noseda O, Roussouly P (2007) Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. a comparative study about 85 cases. Eur Spine J 16:1459-467 CrossRef
13. Schwab FJ, Smith VA, Biserni M, Gamez L, Farcy J, Pagala M (2002) Adult scoliosis: a quantitative radiographic and clinical analysis. Spine 27:387-92 CrossRef
14. Horton WC, Brown CW, Bridwell KH, Glassman SD, Suk SI, Cha CW (2005) Is there an optimal patient stance for obtaining a lateral 36-radiograph? a critical comparison of three techniques. Spine 30:427-33 CrossRef
15. Shrout PE, Fleiss JL (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86:420 CrossRef
16. Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum, Hillsdale
17. Korovessis PG, Stamatakis MV, Baikousis AG (1998) Reciprocal angulation of vertebral bodies in the sagittal plane in an asymptomatic Greek population. Spine 23:700-04 CrossRef
18. Le Huec J, Charosky S, Barrey C, Rigal J, Aunoble S (2011) Sagittal imbalance cascade for simple degenerative spine and consequences: algorithm of decision for appropriate treatment. Eur Spine J 20(Suppl 5):699-03 CrossRef
19. Korovessis P, Stamatakis M, Baikousis A (1999) Segmental roentgenographic analysis of vertebral inclination on sagittal plane in asymptomatic versus chronic low back pain patients. J Spinal Disord 12:131-37
20. Bernhardt M, Bridwell KH (1989) Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction. Spine 14:717-21 CrossRef
21. Roussouly P, Gollogly S, Berthonnaud E, Dimnet J (2005) Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine 30:346-53 CrossRef
22. Jackson RP, Peterson MD, McManus AC, Hales C (1998) Compensatory spinopelvic balance over the hip axis and better reliability in measuring lordosis to the pelvic radius on standing lateral radiographs of adult volunteers and patients. Spine 23:1750-767 CrossRef
23. Jang JS, Lee SH, Kim JM, Min JH, Han KM, Maeng DH (2009) Can patients with sagittally well-compensated lumbar degenerative kyphosis benefit from surgical treatment for intractable back pain? Neurosurgery 64:115-21 CrossRef
24. Mendoza-Lattes S, Ries Z, Gao Y, Weinstein S (2009) Natural history of spinopelvic alignment differs from symptomatic deformity of the spine. Spine 35:E792–E798 CrossRef
25. Takemitsu Y, Harada Y, Iwahara T, Miyamoto M, Miyatake Y (1988) Lumbar degenerative kyphosis. clinical, radiological and epidemiological studies. Spine 13:1317-326 CrossRef
26. Fon G, Pitt M, Thies A Jr (1980) Thoracic kyphosis: range in normal subjects. Am J Roentgenol 134:979-83 CrossRef
27. Jackson RP, Hales C (2000) Congruent spinopelvic alignment on standing lateral radiographs of adult volunteers. Spine 25:2808-815 CrossRef
28. Mac-Thiong J, Roussouly P, Berthonnaud E, Guigui P (2010) Sagittal parameters of global spinal balance: normative values from a prospective cohort of seven hundred nine caucasian asymptomatic adults. Spine 35:E1193–E1198 CrossRef
29. Berthonnaud E, Dimnet J, Roussouly P, Labelle H (2005) Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters. J Spinal Disord Tech 18:40-7 CrossRef
30. Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P (2005) Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Jt Surg Am 87:260-67 CrossRef
31. Ahn YJ, Kim YB, Kang KB, Lee SW, Kim YJ (2010) Variations in sagittal spinopelvic parameters according to the lumbar spinal morphology in healthy Korean young men. J Korean Soc Spine Surg 17:66-3 CrossRef - 作者单位：Youngbae B. Kim (1)
Yongjung J. Kim (2)
Young-Joon Ahn (3)
Gyu-Bok Kang (1)
Jae-Hyuk Yang (1)
Hyungtae Lim (1)
Seung-Won Lee (3)
1. Department of Orthopedic Surgery, Seoul Veterans Hospital, 6-2 Dunchon-dong, Gangdong-gu, Seoul, 134-791, Korea
2. Department of Orthopedic Surgery, Columbia University Medical Center, 622 West 168th Street, PH-11, Room 1114, New York, 10032, USA
3. Department of Orthopedic Surgery, National Police Hospital, 58 Garag-dong, Songpa-gu, Seoul, 138-708, Korea - ISSN：1432-0932
文摘
Introduction The purpose of this study was to compare the sagittal spinopelvic parameters between young normal asymptomatic adults and older normal asymptomatic adults without localized segmental disc degeneration. Materials and methods Standing sagittal radiographs of the whole spine including the pelvis in 342 adult male volunteers (Group 1: n?=?184, average age 21.2?years, range 19-8 vs. Group 2: n?=?158, average age 63.8?years, range 53-9) were analyzed prospectively. Volunteers with history of spine operation, spinal disease, chronic pain in their back or legs, scoliosis, spondylolisthesis, 1- segmental disc space narrowing, and/or compression fractures in radiographs were excluded. The following parameters were included: thoracic kyphosis between T5 upper endplate (UEP) and T12 lower endplate (LEP), thoracolumbar kyphosis (T10 UEP???L2 LEP), T12 LEP-horizontal (H) angle (minus denotes EP above the H line), lumbar lordosis (T12 LEP???S1 UEP), lower lumbar lordosis (L4 UEP???S1 UEP), sacral slope, pelvic incidence and distances from C7 plumb/T12 plumb to the postero-superior endplate of S1. Group 2 (old men group) demonstrated larger thoracic kyphosis (30.1°?±?8.6° vs. 21.1°?±?7.8° in Group 1, P?P?P?P?P?P?P?=?0.67) and pelvic incidence (46.5°?±?7.7° in Group 1 vs. 48.2°?±?8.5° in Group 2, P?=?0.06). There was no significant difference in the measurement of distance from C7 plumb to the postero-superior endplate of S1 (?.7?±?2.4?cm in Group 1 vs. ?.3?±?2.7?cm in Group 2, P?=?0.197). However, the distance from T12 plumb to the postero-superior endplate of S1 (?.7?±?1.7?cm in Group 1 vs. ?.2?±?1.7?cm in Group 2, P? Conclusion The old men group demonstrated a significant increase in thoracic kyphosis, thoracolumbar kyphosis, total and lower lumbar lordosis, a higher ratio of lower to total lumbar lordosis, and a longer distance from T12 plumb to the postero-superior endplate of S1 without changes in sacral slope and global sagittal balance.