Changes in Sagittal Spinopelvic Parameters according to Pelvic Incidence in Asymptomatic Old Korean Men

강규복; Youngbae B. Kim; Young Joon Ahn; Yongjung J Kim; 박성철

Study Design: A radiographic study of normal subjects. Objectives: To analyze sagittal spinal parameters according to the size of pelvic incidence (PI). Summary of Literature Review: There has been no previous study about the classification of spinopelvic parameters that has used a large cohort of asymptomatic older men with the same ethnic background as those in the current study. Materials and Methods: We examined 160 males aged over 50 without disease, trauma, or history of operation on spine or lower extremities. Sagittal standing radiographs of the whole spine on 36-inch film were taken. Group 1 (n=30) had a PI of less than 40°. Group 2 (n=71) had PI between 40° and 50°, and group 3 (n=59) had a PI greater than 50°. Thoracic kyphosis, thoracolumbar kyphosis, lumbar lordosis, the vertebral slope of T12, sacral slope, and pelvic incidence were measured. The distances from the plumb line of C7, T12, and the lumbar apex to the posterosuperior corner of the sacrum were also measured. Results: Subjects’ average age was 64.1(53~83).Lumbar lordosis, sacral slope and pelvic tilt were all significantly increased in group 3. Thoracic kyphosis and the vertebral slope of T12 were not different between groups. The distances from the plumb line of C7, T12, and the lumbar apex to the posterosuperior corner of the sacrum were significantly translated anteriorly in group 3. Conclusions: Group 3, who had the largest PI, demonstrated the largest lumbar lordosis and the most forward transition of trunk. However there were no differences in thoracic kyphosis and the vertebral slope of T12 among the three groups.

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* 2021년 이후 발행 논문의 참고문헌은 현재 구축 중입니다.

[journal] Barrey C / 2007 / Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases / Eur Spine J 16 : 1459~1467

[journal] Kawakami M / 2002 / Lumbar sagittal balance influences the clinical outcome after decompression and posterolateral spinal fusion for degenerative lumbar spondylolisthesis / Spine (Phila Pa 1976) 27 : 59~64

[journal] Korovessis P / 2002 / Correlative analysis of lateral vertebral radiographic variables and medical outcomes study short-form health survey: a comparative study in asymptomatic volunteers versus patients with low back pain / J Spinal Disord Tech 15 : 384~390

[journal] Kumar MN / 2001 / Correlation between sagittal plane changes and adjacent segment degeneration following lumbar spine fusion / Eur Spine J 10 : 314~319

[journal] Videbaek T / 2011 / Sagittal Spinal Balance After Lumbar Spinal Fusion: The Impact of Anterior Column Support: Results From a Randomized Clinical Trial With an Eight- to Thirteen-Year Radiographic Follow-up / Spine (Phila Pa 1976) 36 : 183~191

[journal] Roussouly P / 2010 / Sagittal plane deformity: an overview of interpretation and management / Eur Spine J 19 : 1824~1836

[journal] Duval-Beaupère G / 1992 / A Barycentremetric study of the sagittal shape of spine and pelvis: the conditions required for an economic standing position / Ann Biomed Eng 20 : 451~462

[journal] Legaye J / 1998 / Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves / Eur Spine J 7 : 99~103

[journal] 이종서 / 2006 / Significance of Pelvic Incidence in the Development of Abnormal Sagittal Alignment / 대한정형외과학회지 / 대한정형외과학회 41(3) : 274~280

[journal] Berthonnaud E / 2005 / Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters / J Spinal Disord Tech 18 : 40~47

[journal] Hammerberg KW / 2005 / New concepts on the pathogenesis and classification of spondylolisthesis / Spine (Phila Pa 1976) 30(6 Suppl) : 4~11

[journal] Labelle H / 2005 / The importance of spino-pelvic balance in L5-s1 developmental spondylolisthesis: a review of pertinent radiologic measurements / Spine (Phila Pa 1976) 30(6 Suppl) : 27~34

[journal] Rose PS / 2009 / Role of pelvic incidence, thoracic kyphosis, and patient factors on sagittal plane correction following pedicle subtraction osteotomy / Spine (Phila Pa 1976) 34 : 785~791

[journal] Kang KB / 2010 / Changes of Sagittal Spinopelvic Parameters in Normal Koreans with Age over 50 / Asian Spine J 4 : 96~101

[journal] Hammerberg EM / 2003 / Sagittal profile of the elderly / J Spinal Disord Tech 16 : 44~50

[journal] Kobayashi T / 2004 / A longitudinal study of congruent sagittal spinal alignment in an adult cohort / Spine (Phila Pa 1976) 29 : 671~676

[book] O’Brien MF / 2004 / Spinal Deformity Study Group Radiographic Measurement Manual / Medtronic Sofamor Danek, Inc

[book] Cohen J / 1988 / Statistical power analysis for the behavioral sciencesed / Lawrence Erlbaum

[journal] Smith A / 2008 / Classification of sagittal thoraco-lumbo-pelvic alignment of the adolescent spine in standing and its relationship to low back pain / Spine (Phila Pa 1976) 33 : 2101~2107

[journal] Roussouly P / 2005 / Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position / Spine (Phila Pa 1976) 30 : 346~353

[journal] 안영준 / 2010 / Variations in Sagittal Spinopelvic Parameters According to the Lumbar Spinal Morphology in Healthy Korean Young Men / 대한척추외과학회지 / 대한척추외과학회 17(2) : 66~73

[journal] Boulay C / 2006 / Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis / Eur Spine J 15 : 415~422

[journal] Vaz G / 2002 / Sagittal morphology and equilibrium of pelvis and spine / Eur Spine J 11 : 80~87

[journal] Lee CS / 2011 / Normal patterns of Sagittal Alignment of the Spine in Young Adults Radiological analysis in a Korean population / Spine (Phila Pa 1976) 36 : 1648~1654

[journal] Kim WJ / 2003 / A Comparative Analysis of Sagittal Spinal Balance in 100 Asymptomatic Young and Older Aged Volunteers / J Korean Soc Spine Surg 10 : 327~334

[journal] Itoi E / 1991 / Roentgenographic analysis of posture in spinal osteoporotics / Spine (Phila Pa 1976) 16 : 750~756

[journal] Suzuki H / 2010 / Clasped position for measurement of sagittal spinal alignment / Eur Spine J 19 : 782~786

[journal] Vialle R / 2005 / Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects / J Bone Joint Surg Am 87 : 260~267

[journal] Gelb DE / 1995 / An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers / Spine (Phila Pa 1976) 20 : 1351~1358

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