@article{ART001885392},
author={Whoan Jeang Kim and 박건영 and 성환일 and 구제윤 and 권원조 and 박창규 and Choy, Won-Sik},
title={Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2014},
volume={21},
number={2},
pages={76-83}
TY - JOUR
AU - Whoan Jeang Kim
AU - 박건영
AU - 성환일
AU - 구제윤
AU - 권원조
AU - 박창규
AU - Choy, Won-Sik
TI - Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -
JO - Journal of Korean Society of Spine Surgery
PY - 2014
VL - 21
IS - 2
PB - Korean Society Of Spine Surgery
SP - 76
EP - 83
SN - 2093-4378
AB - Study Design: Cross-sectional study.
Objectives: Sagittal imbalance cannot be predicted depending on the degree of lumbar lordosis. Thus, we tried to evaluate thenecessity of whole spine standing lateral radiograph through comparison of the spinal and pelvic parameter between supine lumbarlateral radiograph and whole spine standing lateral radiograph.
Summary of the Literature Review: No studies in the literature compare supine lumbar lateral radiograph and whole spine standinglateral radiograph.
Materials and Methods: We randomly selected 50 males and 50 females among the patients over the age of 50 who visited ourhospital for outpatient due to degenerative lumbar disease. Lumbar lordosis (sLL/wLL), sacral slope (sSS/wSS), and pelvic tilt (sPT/wPT) were measured and compared respectively by supine lumbar lateral radiograph and whole spine standing lateral radiograph. Wecategorized as group AI (sLL<30˚) and group AII (sLL≥30˚) by supine lumbar lateral radiograph and analyzed them. We also categorized asgroup BI (SVA≤5 cm) and group BII (SVA>5 cm) by whole spine standing lateral radiograph and analyzed them.
Results: There were no statistical difference in lumbar lordosis (sLL/wLL: 35.1˚/37.7˚) and pelvic parameter (sSS/wSS: 32˚/31.7˚, sPT/wPT: 24.3˚/24.2˚. sPI/wPI: 56.3˚/58.2˚) between supine lumbar lateral radiograph and whole spine standing lateral radiograph, and therewere also no statistical difference between two groups (group AI & AII) in SVA, lumbar lordosis and pelvic parameter. Pelvic parametercompared by supine lumbar lateral radiograph and whole spine standing lateral radiograph based on sagittal balance was no significantdifference, but lumbar lordosis appeared statistical difference.
Conclusion: Sagittal imbalance appears quite a lot in patients with degenerative lumbar disease and supine lateral radiograph can’treflect the whole sagittal imbalance. So, whole spine standing lateral radiograph should be performed routinely to analyze the sagittalalignment.
Key Words: Degenerative lumbar disease, Supine lumbar lateral radiograph, Whole spine standing lateral radiograph, Sagittal balance
KW - Degenerative lumbar disease;Supine lumbar lateral radiograph;Whole spine standing lateral radiograph;Sagittal balance
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Whoan Jeang Kim, 박건영, 성환일, 구제윤, 권원조, 박창규 and Choy, Won-Sik. (2014). Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -. Journal of Korean Society of Spine Surgery, 21(2), 76-83.
Whoan Jeang Kim, 박건영, 성환일, 구제윤, 권원조, 박창규 and Choy, Won-Sik. 2014, "Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -", Journal of Korean Society of Spine Surgery, vol.21, no.2 pp.76-83.
Whoan Jeang Kim, 박건영, 성환일, 구제윤, 권원조, 박창규, Choy, Won-Sik "Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -" Journal of Korean Society of Spine Surgery 21.2 pp.76-83 (2014) : 76.
Whoan Jeang Kim, 박건영, 성환일, 구제윤, 권원조, 박창규, Choy, Won-Sik. Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -. 2014; 21(2), 76-83.
Whoan Jeang Kim, 박건영, 성환일, 구제윤, 권원조, 박창규 and Choy, Won-Sik. "Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -" Journal of Korean Society of Spine Surgery 21, no.2 (2014) : 76-83.
Whoan Jeang Kim; 박건영; 성환일; 구제윤; 권원조; 박창규; Choy, Won-Sik. Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -. Journal of Korean Society of Spine Surgery, 21(2), 76-83.
Whoan Jeang Kim; 박건영; 성환일; 구제윤; 권원조; 박창규; Choy, Won-Sik. Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -. Journal of Korean Society of Spine Surgery. 2014; 21(2) 76-83.
Whoan Jeang Kim, 박건영, 성환일, 구제윤, 권원조, 박창규, Choy, Won-Sik. Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -. 2014; 21(2), 76-83.
Whoan Jeang Kim, 박건영, 성환일, 구제윤, 권원조, 박창규 and Choy, Won-Sik. "Necessity of Whole Spine Standing Lateral Radiograph in Adults over 50 Years Old Who Have Degenerative Lumbar Disease - Comparison with Supine Lumbar Lateral Radiograph -" Journal of Korean Society of Spine Surgery 21, no.2 (2014) : 76-83.