A Comparative Study of Sagittal Spinal-Pelvic Parameters Between Patients with Adolescent Idiopathic Scoliosis and Healthy Controls

SUMMARY: This study aimed to investigate the sagittal spinal-pelvic morphological changes, as well as the relationship between pelvic anatomical changes and the spinal-pelvic plane in patients with adolescent idiopathic scoliosis (AIS), in order to provide guidelines for orthopedic surgery in AIS. X...

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Autores principales: Zhang,Cong, Zhang,Yunfeng, Wang,Lidong, Yu,Jinghong, Zhao,Yan, Sun,Huifeng, Wang,Haiyan, Su,Baoke, Gao,Shang, Wang,Jianzhong, Wang,Xing, Cai,Yongqiang, Jirigala,Enhe, Xu,Yangyang, Wang,Zhiqiang, Gao,Mingjie, Li,Zhijun, Wang,Wei, Li,Xiaohe
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000200415
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spelling oai:scielo:S0717-950220200002004152020-02-03A Comparative Study of Sagittal Spinal-Pelvic Parameters Between Patients with Adolescent Idiopathic Scoliosis and Healthy ControlsZhang,CongZhang,YunfengWang,LidongYu,JinghongZhao,YanSun,HuifengWang,HaiyanSu,BaokeGao,ShangWang,JianzhongWang,XingCai,YongqiangJirigala,EnheXu,YangyangWang,ZhiqiangGao,MingjieLi,ZhijunWang,WeiLi,Xiaohe Idiopathic scoliosis Adolescent Spinal-pelvic parameters Digital measurement SUMMARY: This study aimed to investigate the sagittal spinal-pelvic morphological changes, as well as the relationship between pelvic anatomical changes and the spinal-pelvic plane in patients with adolescent idiopathic scoliosis (AIS), in order to provide guidelines for orthopedic surgery in AIS. X-ray data were collected for retrospective analysis from 30 patients diagnosed as AIS in the Departments of Radiology at the Second Affiliated Hospital of Inner Mongolia Medical University and the Inner Mongolia International Mongolian Medical Hospital from April 2014 to November 2018, along with 30 normal adolescents as control. Pelvic parameters, including pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS), a spinal parameter, lumbar lordosis (LL), and anatomical parameters, including sacral width (SW) and femoral head- sacrum distance (FH-S), were measured. The spinal-pelvic parameters were compared between AIS patients and normal controls and also between male and female AIS patients. Pearson correlation was performed to analyze correlation between spinal-pelvic parameters and between spinal-pelvic parameters and anatomical parameters in both AIS patients and normal controls. PT was significantly lower in AIS patients than in normal controls (P < 0.05), whereas no significant difference was found in the other spinal-pelvic parameters, i. e. , LL, PI, and SS. There was a significant difference in PT between sexes in AIS patients. SS was significantly correlated with LL in EIA patients (P < 0.05, r > 0.5). SS was significantly correlated with LL and PI, and PT with LL, PI, and SS in normal controls (all P < 0.05), and there was no significant correlation between the other sagittal spinal-pelvic parameters (P > 0.05). FH-S was significantly correlated with LL, PI, SS, and PT in AIS patients (all P < 0.05). AIS affects some of the sagittal spinalpelvic parameters and anatomical parameters. In AIS, there is a significant correlation between the spinal-pelvic parameters, and the anatomical parameter is significantly correlated with multiple spinal-pelvic parameters.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.38 n.2 20202020-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000200415en10.4067/S0717-95022020000200415
institution Scielo Chile
collection Scielo Chile
language English
topic Idiopathic scoliosis
Adolescent
Spinal-pelvic parameters
Digital measurement
spellingShingle Idiopathic scoliosis
Adolescent
Spinal-pelvic parameters
Digital measurement
Zhang,Cong
Zhang,Yunfeng
Wang,Lidong
Yu,Jinghong
Zhao,Yan
Sun,Huifeng
Wang,Haiyan
Su,Baoke
Gao,Shang
Wang,Jianzhong
Wang,Xing
Cai,Yongqiang
Jirigala,Enhe
Xu,Yangyang
Wang,Zhiqiang
Gao,Mingjie
Li,Zhijun
Wang,Wei
Li,Xiaohe
A Comparative Study of Sagittal Spinal-Pelvic Parameters Between Patients with Adolescent Idiopathic Scoliosis and Healthy Controls
description SUMMARY: This study aimed to investigate the sagittal spinal-pelvic morphological changes, as well as the relationship between pelvic anatomical changes and the spinal-pelvic plane in patients with adolescent idiopathic scoliosis (AIS), in order to provide guidelines for orthopedic surgery in AIS. X-ray data were collected for retrospective analysis from 30 patients diagnosed as AIS in the Departments of Radiology at the Second Affiliated Hospital of Inner Mongolia Medical University and the Inner Mongolia International Mongolian Medical Hospital from April 2014 to November 2018, along with 30 normal adolescents as control. Pelvic parameters, including pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS), a spinal parameter, lumbar lordosis (LL), and anatomical parameters, including sacral width (SW) and femoral head- sacrum distance (FH-S), were measured. The spinal-pelvic parameters were compared between AIS patients and normal controls and also between male and female AIS patients. Pearson correlation was performed to analyze correlation between spinal-pelvic parameters and between spinal-pelvic parameters and anatomical parameters in both AIS patients and normal controls. PT was significantly lower in AIS patients than in normal controls (P < 0.05), whereas no significant difference was found in the other spinal-pelvic parameters, i. e. , LL, PI, and SS. There was a significant difference in PT between sexes in AIS patients. SS was significantly correlated with LL in EIA patients (P < 0.05, r > 0.5). SS was significantly correlated with LL and PI, and PT with LL, PI, and SS in normal controls (all P < 0.05), and there was no significant correlation between the other sagittal spinal-pelvic parameters (P > 0.05). FH-S was significantly correlated with LL, PI, SS, and PT in AIS patients (all P < 0.05). AIS affects some of the sagittal spinalpelvic parameters and anatomical parameters. In AIS, there is a significant correlation between the spinal-pelvic parameters, and the anatomical parameter is significantly correlated with multiple spinal-pelvic parameters.
author Zhang,Cong
Zhang,Yunfeng
Wang,Lidong
Yu,Jinghong
Zhao,Yan
Sun,Huifeng
Wang,Haiyan
Su,Baoke
Gao,Shang
Wang,Jianzhong
Wang,Xing
Cai,Yongqiang
Jirigala,Enhe
Xu,Yangyang
Wang,Zhiqiang
Gao,Mingjie
Li,Zhijun
Wang,Wei
Li,Xiaohe
author_facet Zhang,Cong
Zhang,Yunfeng
Wang,Lidong
Yu,Jinghong
Zhao,Yan
Sun,Huifeng
Wang,Haiyan
Su,Baoke
Gao,Shang
Wang,Jianzhong
Wang,Xing
Cai,Yongqiang
Jirigala,Enhe
Xu,Yangyang
Wang,Zhiqiang
Gao,Mingjie
Li,Zhijun
Wang,Wei
Li,Xiaohe
author_sort Zhang,Cong
title A Comparative Study of Sagittal Spinal-Pelvic Parameters Between Patients with Adolescent Idiopathic Scoliosis and Healthy Controls
title_short A Comparative Study of Sagittal Spinal-Pelvic Parameters Between Patients with Adolescent Idiopathic Scoliosis and Healthy Controls
title_full A Comparative Study of Sagittal Spinal-Pelvic Parameters Between Patients with Adolescent Idiopathic Scoliosis and Healthy Controls
title_fullStr A Comparative Study of Sagittal Spinal-Pelvic Parameters Between Patients with Adolescent Idiopathic Scoliosis and Healthy Controls
title_full_unstemmed A Comparative Study of Sagittal Spinal-Pelvic Parameters Between Patients with Adolescent Idiopathic Scoliosis and Healthy Controls
title_sort comparative study of sagittal spinal-pelvic parameters between patients with adolescent idiopathic scoliosis and healthy controls
publisher Sociedad Chilena de Anatomía
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000200415
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