Comparison of Spinopelvic Configuration and Roussouly Alignment Types Between Pediatric and Adult Populations

Charles, Yann Philippe; Lamas, Vincent; Ilharreborde, Brice; Blondel, Benjamin; Prost, Solène; Bauduin, Eloïse; Laouissat, Féthi; Riouallon, Guillaume; Wolff, Stéphane; Challier, Vincent; Obeid, Ibrahim; Boissière, Louis; Ferrero, Emmanuelle; Solla, Federico; Huec, Jean-Charles Le; Bourret, Stéphane; Faddoul, Joe; Lahoud, Georges Naïm Abi; Fière, Vincent; Kerckhove, Michiel Vande; Lebhar, Jonathan; Giorgi, H; Faure, Alice; Sauleau, Erik; Pesenti, Sébastien

doi:10.1097/brs.0000000000004411

Cited by 3 publications

(1 citation statement)

References 26 publications

(115 reference statements)

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“…Several authors have analyzed the sagittal balance of the spine and described this component of body posture and a strong relation between lumbopelvic morphology and human ergonomics has been reported [8][9][10][11]. The sagittal alignment of the pelvis represents the base for maintaining postural equilibrium and spinal balance, and the impact of this region on the management of spinal disorders is of significant importance [12].…”

Section: Introductionmentioning

confidence: 99%

Relation between Photogrammetry and Spinal Mouse for Lumbopelvic Assessment in Adolescents with Thoracic Kyphosis

Belli,

Russo,

Mauro

et al. 2024

Healthcare

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The evaluation of the lumbopelvic region is a crucial point during postural assessment in childhood and adolescence. Photogrammetry (PG) and Spinal Mouse (SM) are two of the most debated tools to properly analyze postural alignment and avoid misleading data. This study aims to find out the best linear regression model that could relate the analytic measurements of the SM with one or more PG parameters in adolescents with kyphotic postures. Thirty-nine adolescents (female = 35.9%) with structural and non-structural kyphosis were analyzed (13.2 ± 1.8 years; 1.59 ± 0.12 m; 47.6 ± 11.8 kg) using the SM and PG on the sagittal plane in a standing and forward-bending position, allowing for the measurement of body vertical inclination, lumbar and pelvic alignment, trunk flexion, sacral inclination during bending, and hip position during bending. Lordosis lumbar angles (SM) were significantly (r = −0.379, r = −0.328) correlated with the SIPS-SIAS angle (PG) during upright standing, while in the bending position, the highest correlation appeared among the sacral–hip (SM) and the sacral tangent (ST_PG; r = −0.72) angles. The stepwise backward procedure was assessed to estimate the SM variability in the bending and standing positions. Only in the bending position did the linear regression model reach high goodness-of-fit values with two regressors (ST_PG η2=0.504, BMI η2=0.252; adjusted- R2 =0.558, p < 0.001, CCC = 0.972, r = 0.763). Despite gold-standard methods reducing error evaluation, physicians and kinesiologists may consider photogrammetry as a good method for spinal curve prediction.

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Section: Introductionmentioning

confidence: 99%

Relation between Photogrammetry and Spinal Mouse for Lumbopelvic Assessment in Adolescents with Thoracic Kyphosis

Belli,

Russo,

Mauro

et al. 2024

Healthcare

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Sagittal balance parameters in achondroplasia

Cai,

Omara,

Castelein

et al. 2023

Brain and Spine

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Association Between Radiological Severity of Lumbar Spinal Stenosis and Spinopelvic Parameters in Adult Patients With Achondroplasia

Cai,

Omara,

Vleggeert-Lankamp

2024

Neurosurgery

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BACKGROUND AND OBJECTIVES: Adults with achondroplasia are more vulnerable to suffer from neurogenic claudication because of a congenital narrow spinal canal, which makes them susceptible to lumbar spinal stenosis (LSS). The study aims to investigate the correlations between sagittal alignment parameters and the degree of LSS in patients with achondroplasia with LSS. METHODS: The radiological data of adult achondroplasts presented to the neurosurgical clinic of our medical center from 2019 to 2022 were collected. Lumbar stenosis was graded using the Schizas scale, and the dural sac cross-sectional area (DSCA) was measured. The angles defining the spinopelvic parameters comprising lumbar lordosis, thoracolumbar kyphosis, sagittal vertical axis, pelvic tilt, sacral slope, and pelvic incidence were measured. Spearman or Pearson correlation was used to investigate the association between sagittal misalignment and LSS. RESULTS: A total of 34 achondroplastics were enrolled, with a median age of 44.3 ± 15.5 years, ranging from 18.6 to 78.5 years. Larger thoracolumbar kyphosis was associated with more severe stenosis according to the Schizas scale of the L12 lumbar level (r = 0.44, P = .020, 95% CI [0.08, 0.70]). Larger sagittal vertical axis correlated with a smaller DSCA at L23 (r = −0.53, P = .036, 95% CI [−0.81, −0.04]) and L45 (r = −0.66, P = .004, 95% CI [−0.87, −0.26]). Larger pelvic tilt was demonstrated to be associated with a smaller DSCA of the L34 lumbar level (r = −0.42, P = .027, 95% CI [−0.68, −0.05]) and the L45 lumbar level (r = −0.47, P = .011, 95% CI [−0.71, −0.12]). CONCLUSION: The upper LSS may be attributed to an increased kyphosis of the thoracolumbar spine. On the contrary, the lower LSS seemed to be correlated with a more backward tilt of the pelvis.

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Comparison of Spinopelvic Configuration and Roussouly Alignment Types Between Pediatric and Adult Populations

Cited by 3 publications

References 26 publications

Relation between Photogrammetry and Spinal Mouse for Lumbopelvic Assessment in Adolescents with Thoracic Kyphosis

Relation between Photogrammetry and Spinal Mouse for Lumbopelvic Assessment in Adolescents with Thoracic Kyphosis

Sagittal balance parameters in achondroplasia

Association Between Radiological Severity of Lumbar Spinal Stenosis and Spinopelvic Parameters in Adult Patients With Achondroplasia

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