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01-11-2012 | Original Article

Comparative study of spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis

Authors: Haruki Funao, Takashi Tsuji, Naobumi Hosogane, Kota Watanabe, Ken Ishii, Masaya Nakamura, Kazuhiro Chiba, Yoshiaki Toyama, Morio Matsumoto

Published in: European Spine Journal | Issue 11/2012

Abstract

Introduction

To date, few studies have focused on spinopelvic sagittal alignment as a predisposing factor for the development of degenerative spondylolisthesis (DS). The objectives of this study were to compare differences in spinopelvic sagittal alignment between patients with or without DS and to elucidate factors related to spinopelvic sagittal alignment.

Materials and methods

A total of 100 patients with or without DS who underwent surgery for lumbar spinal canal stenosis were assessed in this study. Fifty patients with DS (DS group) and 50 age- and gender-matched patients without DS (non-DS group) were enrolled. Spinopelvic parameters including pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), L4 slope, L5 slope, thoracic kyphosis (TK), lumbar lordosis (LL) and sagittal balance were compared between the two groups. In the DS group, the percentage of vertebral slip (% slip) was also measured.

Results

Several spinopelvic parameters, PI, SS, L4 slope, L5 slope, TK and LL, in the DS group were significantly greater than those in the non-DS group, and PI had positive correlation with % slip (r = 0.35, p < 0.05). Degrees of correlations among spinopelvic parameters differed between the two groups. In the DS group, PI was more strongly correlated with SS (r = 0.82, p < 0.001) than with PT (r = 0.41, p < 0.01). In the non-DS group, PI was more strongly correlated with PT (r = 0.73, p < 0.001) than with SS (r = 0.38, p < 0.01).

Conclusions

Greater PI may lead to the development and the progression of vertebral slip. Different compensatory mechanisms may contribute to the maintenance of spinopelvic sagittal alignment in DS and non-DS patients.

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Title: Comparative study of spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis
Authors: Haruki Funao
Takashi Tsuji
Naobumi Hosogane
Kota Watanabe
Ken Ishii
Masaya Nakamura
Kazuhiro Chiba
Yoshiaki Toyama
Morio Matsumoto
Publication date: 01-11-2012
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 11/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2374-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparative study of spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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