How does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery?
Abstract Background To evaluate the effects of correction in lumbar lordosis (LL) that have on full-body realignments in patients with degenerative lumbar scoliosis (DLS) who had undergone long sacroiliac fusion surgery. Methods A multi-center retrospective study including 88 DLS patients underwent...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | European Journal of Medical Research |
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| Online Access: | https://doi.org/10.1186/s40001-023-01339-5 |
| _version_ | 1797453488073998336 |
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| author | Zifang Zhang Jianing Song Shu Jia Zhikang Tian Zhenyu Zhang Guoquan Zheng Chunyang Meng Nianhu Li |
| author_facet | Zifang Zhang Jianing Song Shu Jia Zhikang Tian Zhenyu Zhang Guoquan Zheng Chunyang Meng Nianhu Li |
| author_sort | Zifang Zhang |
| collection | DOAJ |
| description | Abstract Background To evaluate the effects of correction in lumbar lordosis (LL) that have on full-body realignments in patients with degenerative lumbar scoliosis (DLS) who had undergone long sacroiliac fusion surgery. Methods A multi-center retrospective study including 88 DLS patients underwent the surgical procedure of long sacroiliac fusion with instrumentations was performed. Comparisons of radiographic and quality-of-life (QoL) data among that at the pre-operation, the 3rd month and the final follow-up were performed. The correlations between the LL correction and the changes in other spinopelvic parameters were explored using Pearson-correlation linear analysis and linear regression analysis. The correlation coefficient (r) and the adjusted r 2 were calculated subsequently. Results All radiographic and QoL data improved significantly (P < 0.001) after the surgical treatments. The LL correction correlated (P < 0.001) with the changes in the sacral slope (SS, r = 0.698), pelvic tilt (PT, r = -0.635), sagittal vertical axis (SVA, r = −0.591), T1 pelvic angle (TPA, r = −0.782), and the mismatch of pelvic incidence minus lumbar lordosis (PI–LL, r = −0.936), respectively. Moreover, LL increased by 1° for each of the following spinopelvic parameter changes (P < 0.001): 2.62° for SS (r 2 = 0.488), −4.01° for PT (r 2 = 0.404), −4.86° for TPA (r 2 = 0.612), −2.08° for the PI–LL (r 2 = 0.876) and -15.74 mm for SVA (r 2 = 0.349). Changes in the thoracic kyphosis (r = 0.259) and pelvic femur angle (r = 0.12) were independent of the LL correction, respectively. Conclusions LL correction correlated significantly to the changes in spinopelvic parameters; however, those independent variables including the thoracic spine and hip variables probably be remodeled themselves to maintain the full-body balance in DLS patients underwent the correction surgery. |
| first_indexed | 2024-03-09T15:23:33Z |
| format | Article |
| id | doaj.art-903bd3eff2db4418858c16b0717f7380 |
| institution | Directory Open Access Journal |
| issn | 2047-783X |
| language | English |
| last_indexed | 2024-03-09T15:23:33Z |
| publishDate | 2023-10-01 |
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| spelling | doaj.art-903bd3eff2db4418858c16b0717f73802023-11-26T12:41:36ZengBMCEuropean Journal of Medical Research2047-783X2023-10-012811910.1186/s40001-023-01339-5How does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery?Zifang Zhang0Jianing Song1Shu Jia2Zhikang Tian3Zhenyu Zhang4Guoquan Zheng5Chunyang Meng6Nianhu Li7Affiliated Hospital of Jining Medical University, Jining Medical UniversityBeijing Rehabilitation Hospital, Capital Medical UniversityAffiliated Hospital of Jining Medical University, Jining Medical UniversityAffiliated Hospital of Jining Medical University, Jining Medical UniversityAffiliated Hospital of Jining Medical University, Jining Medical UniversityThe Spine Surgery, The first medical center of the Chinese PLA General HospitalAffiliated Hospital of Jining Medical University, Jining Medical UniversityDepartment of Orthopedics, Shandong University of Traditional Chinese MedicineAbstract Background To evaluate the effects of correction in lumbar lordosis (LL) that have on full-body realignments in patients with degenerative lumbar scoliosis (DLS) who had undergone long sacroiliac fusion surgery. Methods A multi-center retrospective study including 88 DLS patients underwent the surgical procedure of long sacroiliac fusion with instrumentations was performed. Comparisons of radiographic and quality-of-life (QoL) data among that at the pre-operation, the 3rd month and the final follow-up were performed. The correlations between the LL correction and the changes in other spinopelvic parameters were explored using Pearson-correlation linear analysis and linear regression analysis. The correlation coefficient (r) and the adjusted r 2 were calculated subsequently. Results All radiographic and QoL data improved significantly (P < 0.001) after the surgical treatments. The LL correction correlated (P < 0.001) with the changes in the sacral slope (SS, r = 0.698), pelvic tilt (PT, r = -0.635), sagittal vertical axis (SVA, r = −0.591), T1 pelvic angle (TPA, r = −0.782), and the mismatch of pelvic incidence minus lumbar lordosis (PI–LL, r = −0.936), respectively. Moreover, LL increased by 1° for each of the following spinopelvic parameter changes (P < 0.001): 2.62° for SS (r 2 = 0.488), −4.01° for PT (r 2 = 0.404), −4.86° for TPA (r 2 = 0.612), −2.08° for the PI–LL (r 2 = 0.876) and -15.74 mm for SVA (r 2 = 0.349). Changes in the thoracic kyphosis (r = 0.259) and pelvic femur angle (r = 0.12) were independent of the LL correction, respectively. Conclusions LL correction correlated significantly to the changes in spinopelvic parameters; however, those independent variables including the thoracic spine and hip variables probably be remodeled themselves to maintain the full-body balance in DLS patients underwent the correction surgery.https://doi.org/10.1186/s40001-023-01339-5Degenerative lumbar scoliosisLumbar lordosisSpinopelvic alignmentQuality of life |
| spellingShingle | Zifang Zhang Jianing Song Shu Jia Zhikang Tian Zhenyu Zhang Guoquan Zheng Chunyang Meng Nianhu Li How does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery? European Journal of Medical Research Degenerative lumbar scoliosis Lumbar lordosis Spinopelvic alignment Quality of life |
| title | How does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery? |
| title_full | How does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery? |
| title_fullStr | How does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery? |
| title_full_unstemmed | How does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery? |
| title_short | How does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery? |
| title_sort | how does the correction in lumbar lordosis affect the spinopelvic realignments in degenerative lumbar scoliosis underwent scoliosis surgery |
| topic | Degenerative lumbar scoliosis Lumbar lordosis Spinopelvic alignment Quality of life |
| url | https://doi.org/10.1186/s40001-023-01339-5 |
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