Sacral anatomical parameters varies in different Roussouly sagittal shapes as well as their relations to lumbopelvic parameters

Ru, Nan; Li, Jianlong; Li, Yang; Sun, Jui Sheng; Wang, Guodong; Cui, Xingang

doi:10.1002/jsp2.1180

Cited by 10 publications

(5 citation statements)

References 34 publications

(119 reference statements)

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“…A significant correlation of p-value < 0.001 is found between PI, SHA, and SIA. 3,15,24,31 A nonsignificant correlation having a p-value > 0.05 was found between LLA and LSA and PT. The correlation between LLA and age was assessed by Jackson and McManus et al, in patients with chronic low back pain.…”

Section: Discussionmentioning

confidence: 81%

Significance of Correlation Between Spinopelvic Parameters in Patients of Chronic Low Back Pain

Waqas Noor Chughtai,

Tahira Fatima,

Azhar Rashid

et al. 2023

Pak J Neurol Surg

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Objective: To determine the significance of the correlation between spinopelvic parameters in patients with chronic low back pain. Materials and Methods: 129 patients with chronic low back pain of a minimum of 03 months duration were included in our study from September 2020 to February 2023. Sagittal standing spinopelvic radiographs were done on all patients. Various spinopelvic measurements were done including PI, PT, LLA, SLA L1 – L3, SLA L3 – S1, LSA, SHA, and SIA. Pearson correlation was used to determine the correlation coefficient. Results: The mean age was 36.45 ± 9.54 years. Males were 59 and females 70. Mean and SD of spine pelvic measures were LLA = 57.32 ± 12.45, SLA L1-L3 = 15.31 ± 3.75, SLA L3 – S1 = 42.46 ± 8.34, LSA = 8.94 ± 4.72, SHA = 38.10 ± 7.94, SIA = 52.42 ± 6.84, PT = 11.21 ± 5.83, PI = 48.72 ± 8.90. PI has a significant positive correlation with LLA ( r= 0.492 and p-value < 0.001). Conclusion: PI and LLA are important spinopelvic parameters and have significant correlation with other spinopelvic parameters and derangement of one of them can affect the overall spine sagittal balance resulting in chronic low back pain.

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Section: Discussionmentioning

confidence: 81%

Significance of Correlation Between Spinopelvic Parameters in Patients of Chronic Low Back Pain

Waqas Noor Chughtai,

Tahira Fatima,

Azhar Rashid

et al. 2023

Pak J Neurol Surg

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“…It has been observed that STA is more closely related than PI in the development of spondylolysis and increased a decreased STA accompanies PI. In a cohort study, high PI was observed in people with spondylolisthesis, while a decrease in STA was observed [21,22].…”

Section: Discussionmentioning

confidence: 94%

Evaluation of Sacrum Measurements in Healthy Individuals and Patients with L5-S1 Spondylolisthesis

Erbek,

Dogan,

Oztürk

et al. 2024

Eur J Ther

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Objective: In recent studies, the relationship between sacrum morphology and orientation and spondylolisthesis has gained importance. The present study aimed to compare the morphometry of the sacrum between patients with L5-S1 spondylolisthesis and healthy subjects on multidetector computed tomography (MDCT) images. Methods: In this study, abdominopelvic MDCT images of 191 individuals (age range 20-92 years; 101 males and 90 females; 56 patients diagnosed with L5-S1 spondylolisthesis and 135 healthy individuals) were retrospectively evaluated. In this study, the sacrum parameters (Intercornual distance (ICD), sacral hiatus length (LHS), anteroposterior diameter of hiatus at the apex of sacral hiatus(APCWHSA), sacral height (SH), sacral table angle (STA), sacral table index (STI), S1 superior angle (S1A), sacral slope(SS)) evaluated morphometric and morphological in healthy individuals and patients with L5-S1 spondylolisthesis. Kolmogorov–Smirnov test was used to test the normality, which is one of the parametric test assumptions, of the data. Results: Age parameter was found statistically significant higher in the patient group (p<0.001). STA, S1A, SH, LHS and APCWHSA measurements were found to be significantly higher in the healthy group. (p<0.001, p<0.001, p=.008, p=.005, and p=.002, respectively). STI and ICD were found to be significantly higher in women in the healthy group (p=.031, p=.010), while SH parameter was found statistically significant higher in men in the healthy group (p=.007). SS was found statistically significant lower in the healthy group (p<0.001). S1A, L5-S1 spondylolisthesis was found statistically significant higher than Grade 1, Grade 2 according to the degree of slippage (p=.045). Conclusion: The results of this study showed that sacral morphology is important in the development or at least progression of spondylolisthesis.

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“…Previous studies have demonstrated the correlations of sagittal spinopelvis both in normal population and spinal degenerative diseases [20][21][22][23][24][25] . Our results showed that signi cantly positive correlations were found between PI and LL, PI and SS, LL and SS in either patients with LDH or SPL or normal subjects, the trends between PI and LL, PI and SS are decrease, and between LL and SS is increase.…”

Section: Discussionmentioning

confidence: 99%

The significant difference in compensatory mechanism of sagittal spinopelvis between patients with lumbar disc herniation and patients with spondylolisthesis

Chen,

Yang,

Liang

et al. 2023

Preprint

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Background: Sagittal spinopelvis plays an important role in occurrence and development in spinal disorders, no study was focused on the differences of spinopelvic alignment between patients with LDH and patients. Objective: to study differences of spinopelvic alignment and to analyze differences of correlation between sagittal alignment parameters among patients with lumbar disc herniation (LDH), spondylolisthesis (SPL) and normal population. Methods: Standard up-standing antero-posterior and lateral X-ray of the whole spine were preformed in all subjects. Evidence of LDH was confirmed by CT or MRI. SPL was diagnosed by X-ray or MRI. The parameters were measured including TK, LL, PI, SS, PT and SVA in lateral radiography. Results: 60 patients with LDH, 62 patients with SPL and 57 normal were included. Significant differences for the SS, TK, LL and SVA (P <0.05) was found among three groups. PI of SPL patients was the highest among the three groups (P <0.05). PT of both SPL patients and LDH patients were significant higher than controls’ (P <0.05). LL of LDH patients was the lowest among the three groups (P <0.05). PI was less correlated with LL (P <0.05) in patients with LDH and SPL. PT was more strongly negative correlated with SS, LL and TK in LDH group (P <0.05). SS was more strongly positive correlated with TK (P <0.05), and SS and LL were more strongly negative correlated with SVA (P <0.05) in LDH patients. Conclusions: the present results indicated a disharmonious spinopelvic relationship and exhibited different compensatory models of spine to adapt changes in spinal alignment in LDH patients and SPL patients.

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Sacral anatomical parameters varies in different Roussouly sagittal shapes as well as their relations to lumbopelvic parameters

Cited by 10 publications

References 34 publications

Significance of Correlation Between Spinopelvic Parameters in Patients of Chronic Low Back Pain

Significance of Correlation Between Spinopelvic Parameters in Patients of Chronic Low Back Pain

Evaluation of Sacrum Measurements in Healthy Individuals and Patients with L5-S1 Spondylolisthesis

The significant difference in compensatory mechanism of sagittal spinopelvis between patients with lumbar disc herniation and patients with spondylolisthesis

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