Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis

Abstract Study design Retrospective study and comparative meta-analysis. Objective To document the sagittal spinopelvic alignment in a large cohort study in asymptomatic Chinese juveniles and adolescents, and to explore whether these parameters were different from various regions using meta-analysis...

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Autores principales: Canglong Hou, Kai Chen, Yu Chen, Tianjunke Zhou, Mingyuan Yang, Ming Li
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Lenguaje:EN
Publicado: BMC 2021
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spelling oai:doaj.org-article:948a511e4d824b50872fd19e25bca0b92021-11-08T11:01:45ZAssessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis10.1186/s13018-021-02773-z1749-799Xhttps://doaj.org/article/948a511e4d824b50872fd19e25bca0b92021-11-01T00:00:00Zhttps://doi.org/10.1186/s13018-021-02773-zhttps://doaj.org/toc/1749-799XAbstract Study design Retrospective study and comparative meta-analysis. Objective To document the sagittal spinopelvic alignment in a large cohort study in asymptomatic Chinese juveniles and adolescents, and to explore whether these parameters were different from various regions using meta-analysis. Methods Medical records of 656 asymptomatic Chinese juveniles and adolescents were reviewed, whose mean age was 13.14 ± 3.41 years old, including 254 male and 402 female volunteers. Demographic and lateral radiological parameters were evaluated. Furthermore, a systematic online search was performed to identify eligible studies. Weight mean difference (WMD) with 95% confidence interval (CI) were used to evaluate whether these sagittal parameters were different from various regions. Results The mean value of sagittal spinopelvic alignment in this study was calculated and analyzed respectively. Significant differences of PI (34.20 ± 4.00 vs. 43.18 ± 7.12, P < 0.001) and PT (3.99 ± 6.04 vs. 8.42 ± 7.08, P < 0.001) were found between juveniles and adolescents. A total of 17 studies were recruited for meta-analysis. For juvenile populations, TK, PI and SS of Caucasians were significantly larger than those of our study (all P < 0.001). As for adolescent populations, PI (P = 0.017), TK (P = 0.017) and SS (P < 0.001) of Caucasians was found to be greater when compared with that of our study. All in all, TK, PI and SS in Chinese pre-adult populations were significantly smaller than those populations in Caucasian regions (all P < 0.001). Conclusion Our study was the first large-scale study that reported the mean values of sagittal parameters in asymptomatic Chinese juveniles and adolescents. There were significant differences in TK, PI and SS between our study and other previous reported populations, which reminded us for using specific mean values in different populations when restoring a relatively normal sagittal spinopelvic balance in spinal deformity.Canglong HouKai ChenYu ChenTianjunke ZhouMingyuan YangMing LiBMCarticleChineseJuvenileAdolescentSagittal alignmentsMeta-analysisOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENJournal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Chinese
Juvenile
Adolescent
Sagittal alignments
Meta-analysis
Orthopedic surgery
RD701-811
Diseases of the musculoskeletal system
RC925-935
spellingShingle Chinese
Juvenile
Adolescent
Sagittal alignments
Meta-analysis
Orthopedic surgery
RD701-811
Diseases of the musculoskeletal system
RC925-935
Canglong Hou
Kai Chen
Yu Chen
Tianjunke Zhou
Mingyuan Yang
Ming Li
Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis
description Abstract Study design Retrospective study and comparative meta-analysis. Objective To document the sagittal spinopelvic alignment in a large cohort study in asymptomatic Chinese juveniles and adolescents, and to explore whether these parameters were different from various regions using meta-analysis. Methods Medical records of 656 asymptomatic Chinese juveniles and adolescents were reviewed, whose mean age was 13.14 ± 3.41 years old, including 254 male and 402 female volunteers. Demographic and lateral radiological parameters were evaluated. Furthermore, a systematic online search was performed to identify eligible studies. Weight mean difference (WMD) with 95% confidence interval (CI) were used to evaluate whether these sagittal parameters were different from various regions. Results The mean value of sagittal spinopelvic alignment in this study was calculated and analyzed respectively. Significant differences of PI (34.20 ± 4.00 vs. 43.18 ± 7.12, P < 0.001) and PT (3.99 ± 6.04 vs. 8.42 ± 7.08, P < 0.001) were found between juveniles and adolescents. A total of 17 studies were recruited for meta-analysis. For juvenile populations, TK, PI and SS of Caucasians were significantly larger than those of our study (all P < 0.001). As for adolescent populations, PI (P = 0.017), TK (P = 0.017) and SS (P < 0.001) of Caucasians was found to be greater when compared with that of our study. All in all, TK, PI and SS in Chinese pre-adult populations were significantly smaller than those populations in Caucasian regions (all P < 0.001). Conclusion Our study was the first large-scale study that reported the mean values of sagittal parameters in asymptomatic Chinese juveniles and adolescents. There were significant differences in TK, PI and SS between our study and other previous reported populations, which reminded us for using specific mean values in different populations when restoring a relatively normal sagittal spinopelvic balance in spinal deformity.
format article
author Canglong Hou
Kai Chen
Yu Chen
Tianjunke Zhou
Mingyuan Yang
Ming Li
author_facet Canglong Hou
Kai Chen
Yu Chen
Tianjunke Zhou
Mingyuan Yang
Ming Li
author_sort Canglong Hou
title Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis
title_short Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis
title_full Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis
title_fullStr Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis
title_full_unstemmed Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: a large cohort study and comparative meta-analysis
title_sort assessment of sagittal spinopelvic alignment in asymptomatic chinese juveniles and adolescents: a large cohort study and comparative meta-analysis
publisher BMC
publishDate 2021
url https://doaj.org/article/948a511e4d824b50872fd19e25bca0b9
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