Assessment of sagittal spinopelvic parameters in a Taiwanese population with spondylolysis by the EOS imaging system: a retrospective radiological analysis
Abstract Background The impact of sagittal spinopelvic alignment on spondylolysis is well established in Caucasian populations. However, prior studies suggest that people from different ethnological backgrounds showed divergence, and a few studies that focused on Asian populations reported conflicti...
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| Format: | Article |
| Language: | English |
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BMC
2021-06-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-021-04440-0 |
| _version_ | 1818865307741061120 |
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| author | Hao-Chun Chuang Yu-Hsiang Tseng Yueh Chen Po-Hsin Chou Wei-Lun Chang Pei-Fang Su Cheng-Li Lin |
| author_facet | Hao-Chun Chuang Yu-Hsiang Tseng Yueh Chen Po-Hsin Chou Wei-Lun Chang Pei-Fang Su Cheng-Li Lin |
| author_sort | Hao-Chun Chuang |
| collection | DOAJ |
| description | Abstract Background The impact of sagittal spinopelvic alignment on spondylolysis is well established in Caucasian populations. However, prior studies suggest that people from different ethnological backgrounds showed divergence, and a few studies that focused on Asian populations reported conflicting results. The aim of this study is to use the EOS imaging system to evaluate the spinopelvic parameters of spondylolysis patients, and their relationship with spondylolisthesis, disc degeneration, and age in a Taiwanese population. Methods Radiographic sagittal spinopelvic parameters for 45 spondylolysis patients and 32 healthy people were evaluated, including pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), thoracic kyphosis (TK), and lumbar lordosis (LL). The spinopelvic parameters were compared between spondylolytic and control groups. These parameters were further compared between spondylolytic subjects with and without spondylolisthesis, with and without high-grade disc degeneration, and young (< 30 years old) and middle-aged. Results The PI and LL of the spondylolytic group (52.6°±12.0° and 41.3°±15.2°) were significantly higher than those of the healthy control group (47.16°±7.95° and 28.22°±10.65°). Further analysis of the spondylolytic patients revealed that those with high-grade disc degeneration were more prone to spondylolisthesis (92.3 %) compared to those without (50 %; p = 0.001). The middle-aged group had significantly higher rates of spondylolisthesis (80 %) and high-grade disc degeneration (52.4 %) compared with those for the young group (45 and 16.7 %, respectively; p = 0.017 and 0.047, respectively). No statistically significant difference in the sagittal spinopelvic parameters was found when spondylolytic patients were divided according to the occurrence of spondylolisthesis or high-grade disc degeneration. Conclusions In a Taiwanese population, PI and LL were significantly larger in spondylolytic patients. Disc degeneration and age were associated with the occurrence of spondylolisthesis. Ethnological differences should thus be taken into account when making clinical decisions regarding spondylolysis in a Taiwanese population. |
| first_indexed | 2024-12-19T10:45:28Z |
| format | Article |
| id | doaj.art-62ec6b6b1af84ab3abbf5e06cad488b3 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-19T10:45:28Z |
| publishDate | 2021-06-01 |
| publisher | BMC |
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| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-62ec6b6b1af84ab3abbf5e06cad488b32022-12-21T20:25:17ZengBMCBMC Musculoskeletal Disorders1471-24742021-06-012211910.1186/s12891-021-04440-0Assessment of sagittal spinopelvic parameters in a Taiwanese population with spondylolysis by the EOS imaging system: a retrospective radiological analysisHao-Chun Chuang0Yu-Hsiang Tseng1Yueh Chen2Po-Hsin Chou3Wei-Lun Chang4Pei-Fang Su5Cheng-Li Lin6Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityDepartment of Plastic Surgery, Kaohsiung Veterans General HospitalDepartment of Orthopaedic Surgery, Sin Lau Christian HospitalDepartment of Orthopedics and Traumatology, Taipei Veterans General HospitalDepartment of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityDepartment of Statistics, National Cheng Kung UniversityDepartment of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung UniversityAbstract Background The impact of sagittal spinopelvic alignment on spondylolysis is well established in Caucasian populations. However, prior studies suggest that people from different ethnological backgrounds showed divergence, and a few studies that focused on Asian populations reported conflicting results. The aim of this study is to use the EOS imaging system to evaluate the spinopelvic parameters of spondylolysis patients, and their relationship with spondylolisthesis, disc degeneration, and age in a Taiwanese population. Methods Radiographic sagittal spinopelvic parameters for 45 spondylolysis patients and 32 healthy people were evaluated, including pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), thoracic kyphosis (TK), and lumbar lordosis (LL). The spinopelvic parameters were compared between spondylolytic and control groups. These parameters were further compared between spondylolytic subjects with and without spondylolisthesis, with and without high-grade disc degeneration, and young (< 30 years old) and middle-aged. Results The PI and LL of the spondylolytic group (52.6°±12.0° and 41.3°±15.2°) were significantly higher than those of the healthy control group (47.16°±7.95° and 28.22°±10.65°). Further analysis of the spondylolytic patients revealed that those with high-grade disc degeneration were more prone to spondylolisthesis (92.3 %) compared to those without (50 %; p = 0.001). The middle-aged group had significantly higher rates of spondylolisthesis (80 %) and high-grade disc degeneration (52.4 %) compared with those for the young group (45 and 16.7 %, respectively; p = 0.017 and 0.047, respectively). No statistically significant difference in the sagittal spinopelvic parameters was found when spondylolytic patients were divided according to the occurrence of spondylolisthesis or high-grade disc degeneration. Conclusions In a Taiwanese population, PI and LL were significantly larger in spondylolytic patients. Disc degeneration and age were associated with the occurrence of spondylolisthesis. Ethnological differences should thus be taken into account when making clinical decisions regarding spondylolysis in a Taiwanese population.https://doi.org/10.1186/s12891-021-04440-0RadiographySpinopelvic parameterSpinopelvic alignmentSpondylolysisSpondylolisthesis |
| spellingShingle | Hao-Chun Chuang Yu-Hsiang Tseng Yueh Chen Po-Hsin Chou Wei-Lun Chang Pei-Fang Su Cheng-Li Lin Assessment of sagittal spinopelvic parameters in a Taiwanese population with spondylolysis by the EOS imaging system: a retrospective radiological analysis BMC Musculoskeletal Disorders Radiography Spinopelvic parameter Spinopelvic alignment Spondylolysis Spondylolisthesis |
| title | Assessment of sagittal spinopelvic parameters in a Taiwanese population with spondylolysis by the EOS imaging system: a retrospective radiological analysis |
| title_full | Assessment of sagittal spinopelvic parameters in a Taiwanese population with spondylolysis by the EOS imaging system: a retrospective radiological analysis |
| title_fullStr | Assessment of sagittal spinopelvic parameters in a Taiwanese population with spondylolysis by the EOS imaging system: a retrospective radiological analysis |
| title_full_unstemmed | Assessment of sagittal spinopelvic parameters in a Taiwanese population with spondylolysis by the EOS imaging system: a retrospective radiological analysis |
| title_short | Assessment of sagittal spinopelvic parameters in a Taiwanese population with spondylolysis by the EOS imaging system: a retrospective radiological analysis |
| title_sort | assessment of sagittal spinopelvic parameters in a taiwanese population with spondylolysis by the eos imaging system a retrospective radiological analysis |
| topic | Radiography Spinopelvic parameter Spinopelvic alignment Spondylolysis Spondylolisthesis |
| url | https://doi.org/10.1186/s12891-021-04440-0 |
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