Radiographic Restoration of Sagittal Spinopelvic Alignment After Posterior Lumbar Interbody Fusion in Degenerative Spondylolisthesis

Kong, Lingde; Zhang, Yingze; Wang, Feng; Kong, Fanlong; Ding, Wenyuan; Shen, Yong

doi:10.1097/bsd.0000000000000104

Cited by 44 publications

(34 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An increase in the sacral slope (38.8±7.1 to 43.6±7.2º), an increase in lumbar lordosis (58.0±10.4 to 62.3±9.9º), and a reduction in the angulation of the pelvic inclination (20.2±8.3 to 15.3±7.8º) were recorded in those patients who presented less pain following the surgery (clinical improvement was defined as a change in the visual analog scale for pain of 3 points less than the preoperative evaluation), all of them changes which were statistically significant. 10 In our study, we observed changes in the spino-pelvic parameters similar to those reported by Kong: an increase of sacral slope and lumbar lordosis and a reduction of pelvic tilt, though not statistically significant. Sagittal balance remained within the normal range in all cases.…”

Section: Discussionsupporting

confidence: 75%

“…Kong et al 10 analyzed the changes in the spino-pelvic parameters of patients with degenerative L4-L5 spondylolisthesis who underwent surgical fusion. They observed that following surgical management all the patients presented recovery of the spino-pelvic parameters and improvement of pain as measured by the visual analog scale with an average follow-up of 23.8 months.…”

Section: Discussionmentioning

confidence: 99%

“…This refers to the orientation of the sacral plateau in relation to a horizontal line. [8][9][10] BMI less than 30, with adequate bone quality (determined through densitometry), without immune or rheumatic diseases, and with a signed informed consent form for the research participants in all cases. The study was conducted after approval by the Institutional Review Board under registration number 13/15.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Alteration of Pelvic Parameters in Adjacent Segment Degeneration

García-Ramos

Sánchez

2018

Coluna/Columna

View full text Add to dashboard Cite

Objective: To describe the changes in the spino-pelvic parameters obtained after lumbar spine surgery. Methods: Prospective study. Results: The post-surgical pelvic parameters were found as follows: pelvic incidence of 75.75°, sacral slope 46.18°, pelvic tilt 19.68°. The sagittal balance was 30.93 mm, the postoperative lordosis was 66.06º. The surgery has significant effects on the patient's pain and posture. In our analysis, in a 12-month follow-up, we found: four patients (8.8%, two males and two females) with degeneration of the adjacent segment according to the criteria, and there was no degeneration of the underlying segment, nor any relationship with the spino-pelvic parameters. Conclusions: The degeneration of the adjacent segment does not correlate with the pelvic parameters. Level of Evidence II, Prognostic studies. Investigation of the effect of characteristics of a patient on the outcome of the disease.Keywords: Intervertebral disc degeneration; Magnetic resonance; Postural balance. RESUMO

show abstract

Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Alteration of Pelvic Parameters in Adjacent Segment Degeneration

García-Ramos

Sánchez

2018

Coluna/Columna

View full text Add to dashboard Cite

show abstract

“…Development of spondylolisthesis positions the center of gravity of the pelvis towards the anterior position (16,18,19). Nevertheless, increased L 4-5 T but decreased L 4-5 S is found to compensate and prevent the center of gravity displacement (19). Interestingly, L 4-5 I was normal in patients with disk herniation (L 4-5 I = 49.8°) and degenerative disk disease (L 4-5 I = 51.6°), but it was much higher (L 4-5 I = 60.0°) in patients with DLS (24,38), indicating a predisposition to DLS in patients with a higher L 4-5 I (4).…”

Section: Statisticsmentioning

confidence: 85%

Determination of spinopelvic parameters in degenerative lumbar spondylolisthesis patients undergoing lumbosacral spine fusion surgery: the lesson learnt

Chumnanvej

Segkhaphant²

2018

Turkish Neurosurgery

View full text Add to dashboard Cite

be elucidated (1,7,33). Thus, the objective parameters such as spinopelvic parameters are required (9,11,29). Since spinopelvic parameters are intricately associated with the deformity, changes in spinopelvic parameters can be objectively determined after correction of the deformity (10,17,23,25,28,38). Several studies have proposed methods for determination of spinopelvic parameters after surgical correction for DLS (2-5,

show abstract

“…Extensive studies have been performed on the relationship between coronal imbalance and spinal-pelvic parameters in adult spinal deformity (Kong et al, 2016). However, there are few studies comparing spinal-pelvic parameters and sagittal spinal-pelvic morphology between patients with adolescent idiopathic scoliosis (AIS) and normal adolescents.…”

Section: Introductionmentioning

confidence: 99%

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

Zhang

Wang

et al. 2020

Int. J. Morphol.

View full text Add to dashboard Cite

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.

show abstract

Radiographic Restoration of Sagittal Spinopelvic Alignment After Posterior Lumbar Interbody Fusion in Degenerative Spondylolisthesis

Cited by 44 publications

References 10 publications

Alteration of Pelvic Parameters in Adjacent Segment Degeneration

Alteration of Pelvic Parameters in Adjacent Segment Degeneration

Determination of spinopelvic parameters in degenerative lumbar spondylolisthesis patients undergoing lumbosacral spine fusion surgery: the lesson learnt

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

Contact Info

Product

Resources

About