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European Spine Journal

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01-06-2015 | Original Article

Sagittal spinopelvic alignment in 654 degenerative spondylolisthesis

Authors: Emmanuelle Ferrero, Mourad Ould-Slimane, Olivier Gille, Pierre Guigui, French Spine Society (SFCR)

Published in: European Spine Journal | Issue 6/2015

Abstract

Purpose

Degenerative spondylolisthesis (DS) is common degenerative spinal disease. Recent studies highlighted relationship between DS and high pelvic incidence (PI). Moreover, impact of spinopelvic alignment on clinical outcomes has been emphasized. We aimed at describing epidemiologic and sagittal spinopelvic parameters in patients with DS, comparing them with asymptomatic volunteers, and determining a classification of DS patients.

Methods

In this retrospective multicenter study of prospectively collected data, any adult patients treated for lumbar DS were included. Demographic data as well as radiographic parameters such as PI, pelvic tilt (PT), maximal lumbar lordosis (LLmax), lumbosacral lordosis, thoracic kyphosis, and C7tilt were recorded. DS patients were compared to 709 asymptomatic, age-matched volunteers. Cluster analyses were used to classify patients in homogenous groups.

Results

654 patients were included (72 % female, 67 years). DS patients had greater PI (58.8° vs. 53.2°, p < 0.001) and C7tilt (p < 0.001). LLmax and lumbosacral lordosis were significantly smaller in the DS group. Cluster analysis allowed for the identification of 2 groups of patients according to C7tilt—159 patients with anterior C7tilt and 495 with normal C7tilt. In each group, 3 subgroups were found with different PI and sagittal spinopelvic parameters.

Conclusion

Predominance of high PI and female gender was emphasized in DS population. Moreover, these findings highlighted the importance of sagittal alignment analysis in DS with 24 % of patients with anterior malalignment and in the remaining 76 % (normal C7Tilt), more than 50 % had pelvic retroversion. Consequently, DS sagittal malalignment should lead to specific surgical correction adapted to each subgroup of patients.

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Title: Sagittal spinopelvic alignment in 654 degenerative spondylolisthesis
Authors: Emmanuelle Ferrero
Mourad Ould-Slimane
Olivier Gille
Pierre Guigui
French Spine Society (SFCR)
Publication date: 01-06-2015
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 6/2015
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-015-3778-4

2024 ASCO Annual Meeting

Springer Medicine

Sagittal spinopelvic alignment in 654 degenerative spondylolisthesis

Abstract

Purpose

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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