Sagittal plane assessment of spino-pelvic complex in a Central European population with adolescent idiopathic scoliosis: a case control study

Burkus, Máté; Schlégl, Ádám Tibor; O’Sullivan, Ian; Márkus, István; Vermes, Csaba; Tunyogi-Csapó, Miklós

doi:10.1186/s13013-018-0156-0

Cited by 4 publications

(4 citation statements)

References 34 publications

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“…The analysis of measurements in our study revealed decreased values of thoracic kyphosis in the IS group. This finding supports findings obtained by other authors who described changes in spinal curvature in the sagittal plane and suggested their influence on the development of scoliosis [43,44]. Numerous correlations were noted between the neurodynamic tests and the selected postural parameters.…”

Section: Discussionsupporting

confidence: 91%

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Neurodynamic Functions and Their Correlations with Postural Parameters in Adolescents with Idiopathic Scoliosis

Stępień

Pałdyna²

2022

JCM

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Knowledge about neurodynamic functions of the nervous system (NS) in patients with idiopathic scoliosis (IS) is limited. This study aimed to assess the mechanosensitivity of the NS structures (MNS) in adolescents with IS. The study included 69 adolescents with IS and 57 healthy peers aged 10–15 years. The Upper Limb Neurodynamic Test 1 (ULNT1), straight leg raise (SLR) test, and slump test (SLUMP) were used to assess MNS. The spinal curvatures in the sagittal plane and selected ranges of motion were measured. The data were analysed using the Mann–Whitney U test and Spearman’s rank correlation. Increased MNS assessed by ULNT1 and SLUMP tests was observed in participants with IS. Values of the neurodynamic tests correlated significantly with the sagittal profile of the spine and the mobility of the spine and lower limbs in both groups. In conclusion, increased MNS occurs in adolescents with IS. Therefore, the examination of adolescents with IS should include an assessment of MNS with the neurodynamic tests. Future studies should investigate this issue to better understand the mechanisms that coexist with IS.

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Section: Discussionsupporting

confidence: 91%

“…It appeared that the position of the C, T1, and LS segments in the sagittal plane was a significant factor affecting the values of the ULNT1 and SLR tests. This correlation could indicate that changes in the spine curvatures in the sagittal plane observed in patients with scoliosis affect MNS changes [43,44].…”

Section: Discussionmentioning

confidence: 90%

Neurodynamic Functions and Their Correlations with Postural Parameters in Adolescents with Idiopathic Scoliosis

Stępień

Pałdyna²

2022

JCM

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“…In this way, PI has prime importance as a fundamental pelvic parameter for three dimensional regulations of spinal sagittal curves and subsequently measured in this study on pre-operative, post-operative, and final follow-up X-rays. Several studies have found that LL and PI were higher in the African-American population than Caucasian and Asian population [13,26]. Comparative analysis done be Arima et al [13] who showed that the mean values for PI were greater in the African-American (57.7°) than Asian (48.7°).…”

Section: Discussionmentioning

confidence: 97%

Clinical and Radiological Outcome following MIS-TLIF and Open-TLIF between Asian and African Population- A Comparative Retrospective Analysis in 104 Patients

Modi¹,

Shreshtha²

2022

bbj

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Purpose: This study aimed to evaluate pre-operative and post-operative sagittal parameters using pelvic incidence (PI), lumbar lordosis (LL), and segmental lordosis (SL) between Asian and African population who underwent minimally invasive surgery-transforaminal lumbar interbody fusion (MIS-TLIF) and open-TLIF surgeries. Study compares blood loss, operative time, and hospital stay; and evaluates disability and pain by Oswestry disability index (ODI) and visual analog scale (VAS) score, respectively, in both groups. Methods: This retrospective study included 104 patients with an average age of 52.1 ± 12.9 years. All were operated for open-TLIF and MIS-TLIF for one- or two-level lumbar canal stenosis or spondylolisthesis. Patients were divided into two groups according to race: Asian and African. Clinical improvements were evaluated using VAS and ODI scores. Modified MacNab’s criteria were used to evaluate outcome. Estimated blood loss, hospital stay, operative time, perioperative morbidity, and complications were reviewed. On radiological parameters, patients’ LL, PI, and SL were compared between two groups. Results: Average follow-up was 40.6 ± 13.9 months. Both groups showed significant post-operative improvement in their VAS and ODI scores in both open- and MIS-TLIF (P < 0.0001); however, comparing clinical improvement between Asian and African groups, it did not show significant difference in VAS (P = 0.103) and ODI (P = 0.077). Both groups showed significant improvement in LL and SL in both open- and MIS-TLIF (P < 0.0001); however, there was no change in PI. It did not show any significant difference in improvement in LL (P = 0.156), PI (P = 0.798), and SL (P = 0.179) between Asian and African groups. Regarding post-operative complications, there were 4 (6.9%) and 3 (6.5%) complications occurred in Asian and African population, respectively. There were no difference in complication rates in both groups (P = 0.939). Discussion: TLIF (MIS and open) gives similar clinical outcome between Asian and African population. Sagittal parameters were higher in African population than the Asian population. Attention should be paid to predetermine the value of LL to achieve during surgery. Keywords: Transforaminal lumbar interbody fusion, Asian versus African, Sagittal parameters, Clinical outcome.

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“…It has been established that abnormal lower limb loading pattern ultimately leads to reduced balance ( Márkus et al, 2018 ). Although many studies have explored the correlation between balance and spinopelvic parameters, most of these studies are limited to a single anatomical plane ( Luo et al, 2021 ) ( Ma, 2019 ) ( Burkus et al, 2018 ); in contrast, we included spinopelvic parameters from all three dimensions. Luo et al also recorded that PT was positively correlated with almost all baropodometric parameters on the major curve, but not with other parameters ( Luo et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Correlational analysis of three-dimensional spinopelvic parameters with standing balance and gait characteristics in adolescent idiopathic scoliosis: A preliminary research on Lenke V

Liu

Dou

et al. 2022

Front. Bioeng. Biotechnol.

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Background: Adolescent idiopathic scoliosis (AIS), the most common spinal deformity, possibly develops due to imbalanced spinal loading following asymmetric development. Since altered loading patterns may affect standing balance and gait, we investigated whether a correlation exists between balance ability, gait pattern, and the three-dimensional radiographic spinopelvic parameters in AIS patients.Methods: A cross-sectional observational study was conducted with 34 AIS patients (aged 10–18 years) and an equal number of healthy age and sex-matched teenagers (normal group). We obtained the spinopelvic three-dimensional parameters and balance parameters simultaneously through the EOS imaging system and gait and center of pressure (CoP) characteristics using a plantar pressure measurement mat. Besides determining the intergroup differences in balance and gait parameters, multiple linear regression analyses were performed to identify any correlation between the static plantar pressure and radiographic parameters.Results: Compared to the normal group, the CoPx is lower, the CoP path length and 90% confidence ellipse area were significantly higher in AIS patients (AIS: −13.7 ± 5.7 mm, 147.4 ± 58.1 mm, 150.5 ± 62.8 mm2; normal: −7.0 ± 5.4 mm, 78.8 ± 32.0 mm, 92.1 ± 41.7 mm2, respectively), correlated with apical vertebra translation, sagittal pelvic tilt, and pelvis axial rotation, respectively. Moreover, AIS patients had a shorter stance phase (61.35 ± 0.97 s vs. 62.39 ± 1.09 s), a longer swing phase (38.66 ± 0.97 s vs. 37.62 ± 1.08 s), and smaller maximum pressure peaks in the gait cycle, especially on the left foot, as compared to healthy subjects. Moreover, the CoP trajectory in AIS patients was different from the latter, and changes in the bipedal trend were not consistent.Conclusion: The standing balance and gait characteristics of AIS patients are different from those of healthy subjects, as reflected in their three-dimensional spinopelvic radiographic parameters. Trial registration: The study protocol was registered with the Chinese Clinical Trial Registry (Number ChCTR1800018310) and the Human Subject Committee of Guangzhou Sport University (Number: 2018LCLL003).

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Sagittal plane assessment of spino-pelvic complex in a Central European population with adolescent idiopathic scoliosis: a case control study

Cited by 4 publications

References 34 publications

Neurodynamic Functions and Their Correlations with Postural Parameters in Adolescents with Idiopathic Scoliosis

Neurodynamic Functions and Their Correlations with Postural Parameters in Adolescents with Idiopathic Scoliosis

Clinical and Radiological Outcome following MIS-TLIF and Open-TLIF between Asian and African Population- A Comparative Retrospective Analysis in 104 Patients

Correlational analysis of three-dimensional spinopelvic parameters with standing balance and gait characteristics in adolescent idiopathic scoliosis: A preliminary research on Lenke V

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