Measurement of sagittal parameters of spine and pelvis in asymptomatic Han population

doi:10.3969/j.issn.1006-7795.2021.01.018

Abstract

Abstract: Objective To analysis the morphology and orientation characteristics of pelvis in normal Chinese adults and study the correlations among all the spinopelvic parameters and the correlations between these parameters and body properties like sex, age and body mass index (BMI). Methods A total of 85 asymptomatic Chinese adult volunteers from Beijing City with the age ranged from 21 to 65 years were enrolled in this study. The average age of the male were (46.0±14.1) years and the female were (41.8±13.6) years, respectively. Ten most important pelvic and spinal parameters were evaluated, which included pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), cervical lordosis(CL), thoracic kyphosis (TK), sagittal vertical axis (SVA), lumbopelvic lordosis angle (PR-T12), Spino-sacral angle (SSA), and sacral pelvic angle (SPA). Both the relationship among these parameters one another and the relationships between these parameters and age, sex, and BMI were assessed using the Pearson correlation analysis. Results The mean values of PI, PT, SS, LL, TK, CL, SVA, PR-T12, SSA, and SPA were51.1°±8.2°, 18.5°±8.0°, 32.8°±6.3°, 36.7°±11.8°, 20.8°±11.3°, 11.2°±9.7°,(14.9±39.6) mm, 75.6°± 9.8°, 122.9°±7.8°, 54.3°±7.1°, respectively. The results showed that the age is positively correlated with PI and PT, while negatively correlated with LL and TK. SS was correlated with ethnicity. Besides, TK, CL, and SVA were very different between the male and female groups. While LL and TK were slightly correlated with BMI. Conclusions The normal values of spinopelvic parameters were related with the age, ethnicity, sex, and BMI of the individuals. These results offered a significant reference for clinical work.

Key words: sagittal alignment, spine-pelvic, Chinese Han Nationality

CLC Number:

Liu Miaomiao, Lyu Rui, Cheng Weiwei. Measurement of sagittal parameters of spine and pelvis in asymptomatic Han population[J]. Journal of Capital Medical University, 2021, 42(1): 105-110.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2021.01.018

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2021/V42/I1/105

References

[1] Barrey C, Jund J, Noseda O, et al. Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases [J]. Eur Spine J, 2007, 16(9):1459-1467.
[2] Roussouly P, Gollogly S, Berthonnaud E, et al. Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position [J]. Spine(Phila Pa 1976), 2005,30(3):346-353.
[3] Legaye J, Duval- Beaupère G, Hecquet J, et al. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves [J]. Eur Spine J,1998, 7(2):99-103.
[4] Mac-Thiong J M, Roussouly P, Berthonnaud E, et al. Age-and sex-related variations in sagittal sacropelvic morphology and balance in asymptomatic adults [J]. Eur Spine J,2011, 20 (Suppl 5):572-577.
[5] Endo K, Suzuki H, Nishimura H, et al. Characteristics of sagittal spino-pelvic alignment in Japanese young adults [J]. Asian Spine J, 2014, 8(5):599-604.
[6] Lee C S, Chung S S, Kang K C, et al. Normal patterns of sagittal alignment of the spine in young adults radiological analysis in a Korean population [J]. Spine (Phila Pa 1976), 2011, 36(25):E1648-1654.
[7] Zhu Z, Xu L, Zhu F, et al. Sagittal alignment of spine and pelvis in asymptomatic adults: norms in Chinese populations [J]. Spine (Phila Pa 1976),2014, 39(1):E1-6.
[8] Park S A, Kwak D S, Cho H J, et al. Changes of spinopelvic parameters in different positions [J]. Arch Orthop Trauma Surg,2017, 137(9):1223-1232.
[9] Vialle R, Levassor N, Rillardon L, et al. Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects [J]. J Bone Joint Surg Am,2005, 87(2):260-267.
[10]Suzuki H, Endo K, Mizuochi J, et al. Clasped position for measurement of sagittal spinal alignment [J]. Eur Spine J, 2010, 19(5):782-786.
[11]Boulay C, Tardieu C, Hecquet J, et al. Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis [J]. Eur Spine J,2006,15(4):415-422.
[12]Gelb D E, Lenke L G, Bridwell K H, et al. An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers [J]. Spine (Phila Pa 1976), 1995, 20(12):1351-1358.
[13]Berthonnaud E, Dimnet J, Roussouly P, et al. Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters [J]. J Spinal Disord Tech, 2005, 18(1):40-47.
[14]Rose P S, Bridwell K H, Lenke L G, et al. Role of pelvic incidence, thoracic kyphosis, and patient factors on sagittal plane correction following pedicle subtraction osteotomy [J]. Spine (Phila Pa 1976), 2009, 34(8):785-791.
[15]Lafage V, Ames C, Schwab F, et al. Changes in thoracic kyphosis negatively impact sagittal alignment after lumbar pedicle subtraction osteotomy: a comprehensive radiographic analysis [J]. Spine (Phila Pa 1976),2012, 37(3):E180-187.
[16]Chanplakorn P, Wongsak S, Woratanarat P, et al. Lumbopelvic alignment on standing lateral radiograph of adult
volunteers and the classification in the sagittal alignment of lumbar spine [J]. European Spine J, 2010,20(5):706-712.
[17]Lafage R, Schwab F, Challier V, et al. Defining spino-pelvic alignment thresholds: should operative goals in adult spinal deformity surgery account for age? [J].Spine (Phila Pa 1976), 2016, 41(1):62-68.
[18]Hasegawa K, Okamoto M, Hatsushikano S, et al. Normative values of spino-pelvic sagittal alignment, balance, age, and health-related quality of life in a cohort of healthy adult subjects [J]. Eur Spine J, 2016, 25(11):3675-3686.
[19]Banno T, Togawa D, Arima H, et al. The cohort study for the determination of reference values for spinopelvic parameters (T1 pelvic angle and global tilt) in elderly volunteers [J]. Eur Spine J, 2016,25 (11):3687-3693.
[20]Hammerberg E M, Wood K B. Sagittal profile of the elderly [J]. J Spinal Disord Tech, 2003, 16(1):44-50.
[21]Gilsanz V, Skaggs D L, Kovanlikaya A, et al. Differential effect of race on the axial and appendicular skeletons of children [J]. J Clin Endocrinol Metab, 1998, 5:1420-1427.
[22]Seeman E. Growth in bone mass and size-Are racial and gender differences in bone mineral density more apparent than real? [J].J Clin Endocrinol Metab,1998, 83:1414-1419.
[23]Lonner B S, Auerbach J D, Sponseller P, et al. Variations in pelvic and other sagittal spinal parameters as a function of race in adolescent idiopathic scoliosis [J]. Spine (Phila Pa 1976),2010, 35(10):E374-377.
[24]Janssen M M, Drevelle X, Humbert L, et al. Differences in male and female spino-pelvic alignment in asymptomatic young adults: a three-dimensional analysis using upright low-dose digital biplanar X-rays[J]. Spine (Phila Pa 1976),2009, 34(23):E826-832.
[25]Atici Y, Akman Y E, Erdogan S, et al. The effect of growing rod lengthening technique on the sagittal spinal and the spinopelvic parameters [J]. Eur Spine J, 2015, 24(6):1148-1157.
[26]Diebo B G, Challier V, Segreto F A, et al. Impact of preopeative spinopelvic alignment on outcomes of total hip arthroplasty [J]. Spine J, 2017, 17(10):S59.