Normal sagittal parameters of global spinal balance in children and adolescents: a prospective study of 646 asymptomatic subjects

被引:18
作者
Gutman, Gabriel [1 ,2 ]
Labelle, Hubert [1 ,2 ]
Barchi, Soraya [2 ]
Roussouly, Pierre [4 ]
Berthonnaud, Eric [5 ]
Mac-Thiong, Jean-Marc [1 ,2 ,3 ]
机构
[1] Univ Montreal, Fac Med, Dept Surg, CP 6128,Succursale Ctr Ville, Montreal, PQ H3C 3J7, Canada
[2] CHU St Justine, Dept Surg, 3175 Ch Cote St Catherine, Montreal, PQ H3T 1C4, Canada
[3] Hop Sacre Coeur, Dept Surg, 5400 Boul Gouin O, Montreal, PQ H4J 1C5, Canada
[4] Ctr Medicochirurg Readaptat Massues, Dept Orthoped Surg, Lyon, France
[5] Hop Nord Ouest Villefranche, Clin Res Unit, Villefranche, France
关键词
Sagittal alignment; Global spinal balance; Posture; Normal population; Children; Adolescents; ALIGNMENT;
D O I
10.1007/s00586-016-4665-3
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
To document values for parameters of global spinal balance in asymptomatic children and adolescents. Multicenter prospective study of normal sagittal global spinal balance in Caucasian children and adolescents. Spinosacral angle (SSA), spinal tilt (ST), and C7 translation ratio were evaluated in 646 asymptomatic children and adolescents (276 males and 370 females). Mean and standard deviation for SSA, ST, and C7 translation ratio were, respectively 132.1A degrees A A +/- A 8.3A degrees, 93.2A degrees A A +/- A 4.6A degrees and -0.7 +/- A 8.3. Mean +/- A 2 standard deviations were, respectively 116A degrees aEuro"149A degrees for SSA and 84A degrees aEuro"102A degrees for ST. C7 plumbline was behind the HA (hip axis) in 78 % of subjects. Correlations between global balance and age were small (-0.17 aecurrency sign r aecurrency sign 0.19). Asymptomatic children and adolescents tend to stand with a stable global balance, and 95 % have an SSA and ST between 116A degrees and 149A degrees and 85A degrees-102A degrees, respectively. C7 plumbline in front of the HA is not necessarily associated with a spinal pathology.
引用
收藏
页码:3650 / 3657
页数:8
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