Lumbosacral stress and age may contribute to increased pelvic incidence: an analysis of 1625 adults

被引:50
作者
Bao, Hongda [1 ,2 ]
Liabaud, Barthelemy [2 ]
Varghese, Jeffrey [2 ]
Lafage, Renaud [2 ]
Diebo, Bassel G. [2 ]
Jalai, Cyrus [3 ]
Ramchandran, Subaraman [3 ]
Poorman, Gregory [3 ]
Errico, Thomas [3 ]
Zhu, Feng [4 ]
Protopsaltis, Themistocles [3 ]
Passias, Peter [3 ]
Buckland, Aaron [3 ]
Schwab, Frank [2 ]
Lafage, Virginie [2 ]
机构
[1] Nanjing Univ, Nanjing Drum Tower Hosp, Nanjing, Jiangsu, Peoples R China
[2] Hosp Special Surg, 535 East 70th St,Belaire 4-E, New York, NY 10021 USA
[3] NYU, Langone Med Ctr, Hosp Joint Dis, New York, NY USA
[4] Univ Hong Kong, Shenzhen Hosp, Shenzhen, Peoples R China
关键词
Adult spinal deformity; Pelvic incidence; Sagittal alignment; SAGITTAL PARAMETERS; PROSPECTIVE COHORT; SACROILIAC JOINTS; FUSION; SPINE;
D O I
10.1007/s00586-017-5324-z
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
While there is a consensus that pelvic incidence (PI) remains constant after skeletal maturity, recent reports argue that PI increases after 60 years. This study aims to investigate whether PI increases with age and to determine potential associated factors. 1510 patients with various spinal degenerative and deformity pathologies were enrolled, along with an additional 115 asymptomatic volunteers. Subjects were divided into six age subgroups with 10-year intervals. PI averaged 54.1A degrees in all patients. PI was significantly higher in the 45-54-year age group than 35-44-year age group (55.8A degrees vs. 49.7A degrees). There were significant PI differences between genders after age 45. Linear regression revealed age, gender and malalignment as associated factors for increased PI with R (2) of 0.22 (p < 0.001). PI is higher in female patients and in older patients, especially those over 45 years old. Spinal malalignment also may have a role in increased PI due to increased L5-S1 bending moment.
引用
收藏
页码:482 / 488
页数:7
相关论文
共 25 条
[1]
[Anonymous], SPINE J
[2]
[Anonymous], 2015, BIOMED RES INT
[3]
Sacroiliac joint luxation after pedicle subtraction osteotomy: report of two cases and analysis of failure mechanism [J].
Charles, Yann Philippe ;
Yu, Bo ;
Steib, Jean-Paul .
EUROPEAN SPINE JOURNAL, 2016, 25 :S63-S74
[4]
Davey DA, 1995, DEWHURSTS TXB OBSTET, P609
[5]
Diagnostic Imaging of Spinal Deformities Reducing Patients Radiation Dose With a New Slot-Scanning X-ray Imager [J].
Deschenes, Sylvain ;
Charron, Guy ;
Beaudoin, Gilles ;
Labelle, Hubert ;
Dubois, Josee ;
Miron, Marie-Claude ;
Parent, Stefan .
SPINE, 2010, 35 (09) :989-994
[6]
TOWARD STANDARDS FOR POSTURE - POSTURAL CHARACTERISTICS OF THE LOWER BACK SYSTEM IN NORMAL AND PATHOLOGIC CONDITIONS [J].
DURING, J ;
GOUDFROOIJ, H ;
KEESSEN, W ;
BEEKER, TW ;
CROWE, A .
SPINE, 1985, 10 (01) :83-87
[7]
A BARYCENTREMETRIC STUDY OF THE SAGITTAL SHAPE OF SPINE AND PELVIS - THE CONDITIONS REQUIRED FOR AN ECONOMIC STANDING POSITION [J].
DUVALBEAUPERE, G ;
SCHMIDT, C ;
COSSON, P .
ANNALS OF BIOMEDICAL ENGINEERING, 1992, 20 (04) :451-462
[8]
FRYMOYER JW, 1978, CLIN ORTHOP RELAT R, P196
[9]
Degeneration of sacroiliac joint after instrumented lumbar or lumbosacral fusion - A prospective cohort study over five-year follow-up [J].
Ha, Kee-Yong ;
Lee, Jun-Seok ;
Kim, Ki-Won .
SPINE, 2008, 33 (11) :1192-1198
[10]
Is there an optimal patient stance for obtaining a lateral 36" radiograph? A critical comparison of three techniques [J].
Horton, WC ;
Brown, CW ;
Bridwell, KH ;
Glassman, SD ;
Suk, SI ;
Cha, CW .
SPINE, 2005, 30 (04) :427-433