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European Spine Journal

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01-03-2014 | Original Article

Spinopelvic balance: new biomechanical insights with clinical implications for Parkinson’s disease

Authors: Luciano Bissolotti, Massimiliano Gobbo, Jorge Hugo Villafañe, Stefano Negrini

Published in: European Spine Journal | Issue 3/2014

Abstract

Purpose

The aim of this study was to describe the disease-related sagittal balance changes in relation to the sacropelvic morphology of PD patients with different durations of disease.

Methods

Thirty-one consecutive Parkinson’s disease patients (26 males, 5 females; age 55–83 years) participated in the cross-sectional study. The clinical assessment included: Hoehn Yahr score; plumb line distance from the spinous process of C7, kyphosis apex, spinous process of L3 and S1. Lumbar lordosis (LL), thoracic kyphosis (TK), spinosacral angle, spinopelvic angle, spinal tilt, pelvic incidence, sacral slope (SS) and pelvic tilt were radiographically assessed.

Results

Radiographic spinopelvic angles appeared normal, but many patients presented variations from normality. In particular, pelvic tilt increased and SS decreased; spinosacral and spinopelvic angles were greatly reduced compared to healthy people, and spinal tilt increased. Unlike TK, LL was well correlated with most of the parameters.

Conclusions

Sagittal balance evaluation provides new valuable insights for biomechanical understanding of PD patients. Specific spinal parameters (spinosacral, spinopelvic and spinal tilt angles), and their clinical correlation, as well as pelvic parameters like pelvic tilt and sacral slope, appear particularly interesting for their clinical implications in terms of spinal deformities correction in PD population.

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Title: Spinopelvic balance: new biomechanical insights with clinical implications for Parkinson’s disease
Authors: Luciano Bissolotti
Massimiliano Gobbo
Jorge Hugo Villafañe
Stefano Negrini
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 3/2014
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-013-3068-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Spinopelvic balance: new biomechanical insights with clinical implications for Parkinson’s disease

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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