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International Journal of Computer Assisted Radiology and Surgery
Published in: International Journal of Computer Assisted Radiology and Surgery 1/2023

Open Access 24-12-2022 | Magnetic Resonance Imaging | Original Article

Rotational-motion measurement of the sacroiliac joint using upright MRI scanning and intensity-based registration: is there a sex difference?

Authors: Tetsuro Tani, Masaki Takao, Mazen Soufi, Yoshito Otake, Norio Fukuda, Hidetoshi Hamada, Keisuke Uemura, Yoshinobu Sato, Nobuhiko Sugano

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 1/2023

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Abstract

Purpose

The sacroiliac joint (SIJ) has attracted increasing attention as a source of low back and groin pain, but the kinematics of SIJ against standing load and its sex difference remain unclear due to the difficulty of in vivo load study. An upright magnetic resonance imaging (MRI) system can provide in vivo imaging both in the supine and standing positions. The reliability of the mobility of SIJ against the standing load was evaluated and its sex difference was examined in healthy young volunteers using an upright MRI.

Method

Static (reliability) and kinematic studies were performed. In the static study, a dry bone of pelvic ring embedded in gel form and frozen in the plastic box was used. In the kinematic study, 19 volunteers (10 males, 9 females) with a mean age of 23.9 years were included. The ilium positions for the sacrum in supine and standing positions were measured against the pelvic coordinates to evaluate the mobility of the SIJ.

Results

In the static study, the residual error of the rotation of the SIJ study was < 0.2°. In the kinematic study, the mean values of SIJ sagittal rotation from supine to standing position in males and females were − 0.9° ± 0.7° (mean ± standard deviation) and − 1.7° ± 0.8°, respectively. The sex difference was statistically significant (p = 0.04). The sagittal rotation of the SIJ showed a significant correlation with the sacral slope.

Conclusion

The residual error for measuring the SIJ rotation using the upright MRI was < 0.2°. The young healthy participants showed sex differences in the sagittal rotation of the SIJ against the standing load and the females showed a larger posterior rotation of the ilium against the sacrum from the supine to standing position than the males. Therefore, upright MRI is useful to investigate SIJ motion.
Literature
1.
Vleeming A, Schuenke MD, Masi AT, Carreiro JE, Danneels L, Willard FH (2012) The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J Anat 221(6):537–567CrossRef
2.
Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK (2020) Biomechanics of the sacroiliac joint: anatomy, function, biomechanics, sexual dimorphism, and causes of pain. Int J Spine Surg 14(Suppl 1):3–13CrossRef
3.
Lingutla KK, Pollock R, Ahuja S (2016) Sacroiliac joint fusion for low back pain: a systematic review and meta-analysis. Eur Spine J 25(6):1924–1931CrossRef
4.
Sachs D, Capobianco R (2012) One year successful outcomes for novel sacroiliac joint arthrodesis system. Ann Surg Innov Res 6(1):13CrossRef
5.
Schwarzer AC, Aprill CN, Bogduk N (1995) The sacroiliac joint in chronic low back pain. Spine (Phila Pa 1976) 20(1):31–37CrossRef
6.
Damen L, Buyruk HM, Güler-Uysal F, Lotgering FK, Snijders CJ, Stam HJ (2002) The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain. Spine (Phila Pa 1976) 27(24):2820–2824CrossRef
7.
Abbas A, Du JT, Toor J, Versteeg A, Finkelstein JA (2022) The efficacy of primary sacroiliac joint fusion for low back pain caused by sacroiliac joint pathology: a systematic review and meta-analysis. Eur Spine J 31(10):2461–2472CrossRef
8.
Cohen SP (2005) Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg 101(5):1440–1453CrossRef
9.
Cohen SP, Chen Y, Neufeld NJ (2013) Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Rev Neurother 13(1):99–116CrossRef
10.
Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA (2014) Epidemiology of low back pain in adults. Neuromodulation 17(Suppl 2):3–10CrossRef
11.
Eichenseer PH, Sybert DR, Cotton JR (2011) A finite element analysis of sacroiliac joint ligaments in response to different loading conditions. Spine (Phila Pa 1976) 36(22):E1446-1452CrossRef
12.
Joukar A, Shah A, Kiapour A, Vosoughi AS, Duhon B, Agarwal AK, Elgafy H, Ebraheim N, Goel VK (2018) Sex specific sacroiliac joint biomechanics during standing upright: a finite element study. Spine (Phila Pa 1976) 43(18):1053–1060CrossRef
13.
Vlaanderen E, Conza NE, Snijders CJ, Bouakaz A, De Jong N (2005) Low back pain, the stiffness of the sacroiliac joint: a new method using ultrasound. Ultrasound Med Biol 31(1):39–44CrossRef
14.
Nagamoto Y, Iwasaki M, Sakaura H, Sugiura T, Fujimori T, Matsuo Y, Kashii M, Murase T, Yoshikawa H, Sugamoto K (2015) Sacroiliac joint motion in patients with degenerative lumbar spine disorders. J Neurosurg Spine 23(2):209–216CrossRef
15.
Klein S, Staring M, Murphy K, Viergever MA, Pluim JP (2010) elastix: a toolbox for intensity-based medical image registration. IEEE Trans Med Imaging 29(1):196–205CrossRef
16.
Chevillotte T, Coudert P, Cawley D, Bouloussa H, Mazas S, Boissière L, Gille O (2018) Influence of posture on relationships between pelvic parameters and lumbar lordosis: comparison of the standing, seated, and supine positions. A preliminary study. Orthop Traumatol Surg Res 104(5):565–568CrossRef
17.
Karabag H, Iplikcioglu AC, Dusak A, Karayol SS (2022) Pelvic incidence measurement with supine magnetic resonance imaging: a validity and reliability study. Clin Neurol Neurosurg 222:107424CrossRef
18.
Roussouly P, Gollogly S, Berthonnaud E, Dimnet J (2005) Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976) 30(3):346–353CrossRef
19.
Janssen MM, Drevelle X, Humbert L, Skalli W, Castelein RM (2009) Differences in male and female spino-pelvic alignment in asymptomatic young adults: a three-dimensional analysis using upright low-dose digital biplanar X-rays. Spine (Phila Pa 1976) 34(23):E826-832CrossRef
20.
Zheng N, Watson LG, Yong-Hing K (1997) Biomechanical modelling of the human sacroiliac joint. Med Biol Eng Comput 35(2):77–82CrossRef
21.
Albert H, Godskesen M, Westergaard J (2000) Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. Eur Spine J 9(2):161–166CrossRef
22.
Larsen EC, Wilken-Jensen C, Hansen A, Jensen DV, Johansen S, Minck H, Wormslev M, Davidsen M, Hansen TM (1999) Symptom-giving pelvic girdle relaxation in pregnancy. I: Prevalence and risk factors. Acta Obstet Gynecol Scand 78(2):105–110
23.
Ostgaard HC, Andersson GB (1991) Previous back pain and risk of developing back pain in a future pregnancy. Spine (Phila Pa 1976) 16(4):432–436CrossRef
24.
Lukaski HC (1987) Methods for the assessment of human body composition: traditional and new. Am J Clin Nutr 46(4):537–556CrossRef
Metadata
Title
Rotational-motion measurement of the sacroiliac joint using upright MRI scanning and intensity-based registration: is there a sex difference?
Authors
Tetsuro Tani
Masaki Takao
Mazen Soufi
Yoshito Otake
Norio Fukuda
Hidetoshi Hamada
Keisuke Uemura
Yoshinobu Sato
Nobuhiko Sugano
Publication date
24-12-2022
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 1/2023
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-022-02806-w

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