Is there a sagittal imbalance of the spine in isthmic spondylolisthesis? A correlation study

脊椎滑脱 医学 骨盆倾斜 矢状面 后凸 腰骶关节 脊椎峡部裂 骶骨 骨盆 腰椎 入射(几何) Oswestry残疾指数 前凸 腰椎 脊柱融合术 口腔正畸科 神经外科 脊柱侧凸 柯布角
作者
Raphaël Vialle,Brice Ilharreborde,C. Dauzac,T. Lenoir,L. Rillardon,P. Guigui
出处
期刊:European Spine Journal [Springer Science+Business Media]
卷期号:16 (10): 1641-1649 被引量:100
标识
DOI:10.1007/s00586-007-0348-4
摘要

Recent studies suggested a predominant role of spinopelvic parameters to explain lumbosacral spondylolisthesis pathogeny. We compare the pelvic incidence and other parameters of sagittal spinopelvic balance in adolescents and young adults with developmental spondylolisthesis to those parameters in a control group of healthy volunteers. We compared the angular parameters of the sagittal balance of the spine in a cohort of 244 patients with a developmental L5–S1 spondylolisthesis with those of a control cohort of 300 healthy volunteers. A descriptive and correlation study was performed. The L5 anterior slipping and lumbosacral kyphosis in spondylolisthesis patients was described using multiple regression analysis study. Our study demonstrates that the related measures of sagittal spinopelvic alignment are disturbed in adolescents and young adults with developmental spondylolisthesis. These subjects stand with an increased sacral slope, pelvic tilt and lumbar lordosis but with a decreased thoracic kyphosis. Pelvic incidence was significantly higher in spondylolisthesis patients as compared with controls but was not clearly correlated with the grade of slipping. We showed the same “sagittal balance strategy” in spondylolisthesis patients as in the control group regarding correlations between pelvic incidence, sacral slope, pelvic tilt and lumbar lordosis. We believe that the lumbosacral kyphosis is a stronger factor than pelvic incidence which need to be taken into account as a predominant factor in theories of pathogenesis of lumbosacral spondylolithesis. We thus believe that increased lumbar lordosis associated with L5–S1 spondylolisthesis is secondary to the high pelvic incidence and is an important factor causing high shear stresses at the L5–S1 pars interarticularis. However, the “local” sagittal imbalance of the lumbosacral junction is compensated by adjacent mobile segments in the upper lumbar spine, the pelvis orientation and the thoracic spine. The result is not optimal but a satisfactory global sagittal balance of the trunk, even in the most severe grade of slipping.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
刚刚
桐桐应助油个大饼呜呜呜采纳,获得10
刚刚
上官若男应助天子笑采纳,获得30
1秒前
2秒前
3秒前
乐乐乐发布了新的文献求助10
4秒前
Re完成签到,获得积分20
4秒前
两滴水的云完成签到,获得积分10
4秒前
yiyiluo发布了新的文献求助10
5秒前
领导范儿应助坚强的紫菜采纳,获得10
6秒前
旺仔Mario发布了新的文献求助10
6秒前
wzy完成签到 ,获得积分10
7秒前
xmx发布了新的文献求助10
7秒前
123关闭了123文献求助
8秒前
8秒前
9秒前
香蕉静芙发布了新的文献求助20
9秒前
9秒前
梦想发布了新的文献求助20
10秒前
11秒前
汉堡包应助Tethys采纳,获得10
11秒前
彩色的奄发布了新的文献求助10
13秒前
cabbage关注了科研通微信公众号
14秒前
wbh发布了新的文献求助10
14秒前
keep完成签到 ,获得积分10
14秒前
笑嘻嘻发布了新的文献求助10
14秒前
善学以致用应助ff采纳,获得10
16秒前
16秒前
g123发布了新的文献求助10
16秒前
研友_VZG7GZ应助yiyiluo采纳,获得10
17秒前
17秒前
和谐的松鼠完成签到,获得积分10
17秒前
李健应助科研栀采纳,获得10
17秒前
17秒前
19秒前
田様应助xxxllllll采纳,获得10
19秒前
乐乐乐完成签到,获得积分20
19秒前
清欢完成签到,获得积分10
20秒前
shuang0116完成签到,获得积分0
20秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3988827
求助须知:如何正确求助?哪些是违规求助? 3531197
关于积分的说明 11252739
捐赠科研通 3269830
什么是DOI,文献DOI怎么找? 1804815
邀请新用户注册赠送积分活动 881915
科研通“疑难数据库(出版商)”最低求助积分说明 809028