Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with Spondylolisthesis
Study DesignThis was a prospective, two-group comparative study.PurposeThe present study aimed to determine the importance of the spinopelvic parameters in the causation and progression of spondylolisthesis.Overview of LiteratureSpondylolisthesis is slippage of one vertebra over the vertebra below....
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2018-04-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-12-277.pdf |
| _version_ | 1811302371992535040 |
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| author | Sai Krishna M L V Deep Sharma Jagdish Menon |
| author_facet | Sai Krishna M L V Deep Sharma Jagdish Menon |
| author_sort | Sai Krishna M L V |
| collection | DOAJ |
| description | Study DesignThis was a prospective, two-group comparative study.PurposeThe present study aimed to determine the importance of the spinopelvic parameters in the causation and progression of spondylolisthesis.Overview of LiteratureSpondylolisthesis is slippage of one vertebra over the vertebra below. Since the discovery of pelvic incidence (PI) in 1998 in addition to documentation of other parameters in spinopelvic balance, slippage in spondylolisthesis has been attributed to these parameters. Many studies on the Caucasian population have implicated high PI as a causative factor of spondylolisthesis. To the best of our knowledge, no study has described the role of these parameters in the progression of spondylolisthesis.MethodsThe study was conducted in Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India. Seventy-nine patients with spondylolisthesis consented to participate in the study. All patients were advised to undergo conservative treatment and were regularly followed up according to the protocol. Seventy-five asymptomatic volunteers were recruited as a control group. Of the total of 79 patients, 54 were followed up for 6 months, during which 46 improved, eight showed no improvement, and 25 were lost to follow-up. Sagittal spinopelvic parameters were measured by a single observer using the Surgimap spine software ver. 2.1.2 (Nemaris, New York, NY, USA). Parameters measured were PI, pelvic tilt (PT), sacral slope (SS), thoracic kyphosis, and lumbar lordosis. The results from patients and controls were compared using appropriate statistical methods.ResultsThe normal and spondylolisthesis groups significantly differed with respect to PI, SS, and PT (p<0.001). There were no significant differences in the measured spinopelvic parameters between patients with high- and low-grade spondylolisthesis or between those whose condition improved and those whose condition worsened.ConclusionsPI, the most important of all spinopelvic parameters, is responsible for the slip in spondylolisthesis, but not for its progression. |
| first_indexed | 2024-04-13T07:27:00Z |
| format | Article |
| id | doaj.art-6c73001f81d9487ea5371a37dbcada4e |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-04-13T07:27:00Z |
| publishDate | 2018-04-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-6c73001f81d9487ea5371a37dbcada4e2022-12-22T02:56:27ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462018-04-0112227728410.4184/asj.2018.12.2.277347Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with SpondylolisthesisSai Krishna M L V0Deep Sharma1Jagdish Menon2Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.Study DesignThis was a prospective, two-group comparative study.PurposeThe present study aimed to determine the importance of the spinopelvic parameters in the causation and progression of spondylolisthesis.Overview of LiteratureSpondylolisthesis is slippage of one vertebra over the vertebra below. Since the discovery of pelvic incidence (PI) in 1998 in addition to documentation of other parameters in spinopelvic balance, slippage in spondylolisthesis has been attributed to these parameters. Many studies on the Caucasian population have implicated high PI as a causative factor of spondylolisthesis. To the best of our knowledge, no study has described the role of these parameters in the progression of spondylolisthesis.MethodsThe study was conducted in Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India. Seventy-nine patients with spondylolisthesis consented to participate in the study. All patients were advised to undergo conservative treatment and were regularly followed up according to the protocol. Seventy-five asymptomatic volunteers were recruited as a control group. Of the total of 79 patients, 54 were followed up for 6 months, during which 46 improved, eight showed no improvement, and 25 were lost to follow-up. Sagittal spinopelvic parameters were measured by a single observer using the Surgimap spine software ver. 2.1.2 (Nemaris, New York, NY, USA). Parameters measured were PI, pelvic tilt (PT), sacral slope (SS), thoracic kyphosis, and lumbar lordosis. The results from patients and controls were compared using appropriate statistical methods.ResultsThe normal and spondylolisthesis groups significantly differed with respect to PI, SS, and PT (p<0.001). There were no significant differences in the measured spinopelvic parameters between patients with high- and low-grade spondylolisthesis or between those whose condition improved and those whose condition worsened.ConclusionsPI, the most important of all spinopelvic parameters, is responsible for the slip in spondylolisthesis, but not for its progression.http://www.asianspinejournal.org/upload/pdf/asj-12-277.pdfSpondylolisthesisSagittal balanceConservative treatment |
| spellingShingle | Sai Krishna M L V Deep Sharma Jagdish Menon Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with Spondylolisthesis Asian Spine Journal Spondylolisthesis Sagittal balance Conservative treatment |
| title | Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with Spondylolisthesis |
| title_full | Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with Spondylolisthesis |
| title_fullStr | Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with Spondylolisthesis |
| title_full_unstemmed | Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with Spondylolisthesis |
| title_short | Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with Spondylolisthesis |
| title_sort | prognostic importance of spinopelvic parameters in the assessment of conservative treatment in patients with spondylolisthesis |
| topic | Spondylolisthesis Sagittal balance Conservative treatment |
| url | http://www.asianspinejournal.org/upload/pdf/asj-12-277.pdf |
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