Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis
Background: We investigated the spinopelvic parameters of lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT) and sacral slope (SS) in patients with fragility fractures of the pelvis (FFPs). We hypothesized that these parameters differ from asymptomatic patients. Methods: All patients trea...
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MDPI AG
2023-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/13/4445 |
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| author | Moritz F. Lodde Thies M. Fischer Oliver Riesenbeck Steffen Roßlenbroich J. Christoph Katthagen Daria Rometsch Dennis Günes Marc Schneider Michael J. Raschke Ulf Liljenqvist |
| author_facet | Moritz F. Lodde Thies M. Fischer Oliver Riesenbeck Steffen Roßlenbroich J. Christoph Katthagen Daria Rometsch Dennis Günes Marc Schneider Michael J. Raschke Ulf Liljenqvist |
| author_sort | Moritz F. Lodde |
| collection | DOAJ |
| description | Background: We investigated the spinopelvic parameters of lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT) and sacral slope (SS) in patients with fragility fractures of the pelvis (FFPs). We hypothesized that these parameters differ from asymptomatic patients. Methods: All patients treated for FFPs in a center of maximal care of the German Spine Society (DWG) between 2017 and 2021 were included. The inclusion criteria were age ≥ 60 years and the availability of a standing lateral radiograph of the spine and pelvis in which the spine from T12 to S1 and both femoral heads were visible. The baseline characteristics and study parameters were calculated and compared with databases of asymptomatic patients. The two-sample <i>t</i>-Test was performed with <i>p</i> < 0.05. Results: The study population (<i>n</i> = 57) consisted of 49 female patients. The mean age was 81.0 years. The mean LL was 47.9°, the mean PT was 29.4°, the mean SS was 34.2° and the mean PI was 64.4°. The mean value of LLI was 0.7. LL, LLI and SS were significantly reduced, and PI and PT were significantly increased compared to asymptomatic patients. Conclusions: The spinopelvic parameters in patients with FFPs differ significantly from asymptomatic patients. In patients with FFPs, LL, LLI and SS are significantly reduced, and PI and PT are significantly increased. The sagittal spinopelvic balance is abnormal in patients with FFPs. |
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| language | English |
| last_indexed | 2024-03-11T01:37:35Z |
| publishDate | 2023-07-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-dfc62338905d44bbb0770c588d42554c2023-11-18T16:53:58ZengMDPI AGJournal of Clinical Medicine2077-03832023-07-011213444510.3390/jcm12134445Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the PelvisMoritz F. Lodde0Thies M. Fischer1Oliver Riesenbeck2Steffen Roßlenbroich3J. Christoph Katthagen4Daria Rometsch5Dennis Günes6Marc Schneider7Michael J. Raschke8Ulf Liljenqvist9Department for Trauma Hand and Reconstructive Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Building W1, Waldeyerstraße 1, 48149 Münster, GermanyDepartment for Spine Surgery and Scoliosis, St. Franziskus-Hospital GmbH Münster, Hohenzollernring 70, 48145 Münster, GermanyDepartment for Trauma Hand and Reconstructive Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Building W1, Waldeyerstraße 1, 48149 Münster, GermanyDepartment for Trauma Hand and Reconstructive Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Building W1, Waldeyerstraße 1, 48149 Münster, GermanyDepartment for Trauma Hand and Reconstructive Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Building W1, Waldeyerstraße 1, 48149 Münster, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Münster, Kardinal-von-Galen-Ring 10, 48149 Münster, GermanyDepartment for Spine Surgery and Scoliosis, St. Franziskus-Hospital GmbH Münster, Hohenzollernring 70, 48145 Münster, GermanyDepartment for Spine Surgery and Scoliosis, St. Franziskus-Hospital GmbH Münster, Hohenzollernring 70, 48145 Münster, GermanyDepartment for Trauma Hand and Reconstructive Surgery, University Hospital Münster, Albert-Schweitzer-Campus 1, Building W1, Waldeyerstraße 1, 48149 Münster, GermanyDepartment for Spine Surgery and Scoliosis, St. Franziskus-Hospital GmbH Münster, Hohenzollernring 70, 48145 Münster, GermanyBackground: We investigated the spinopelvic parameters of lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT) and sacral slope (SS) in patients with fragility fractures of the pelvis (FFPs). We hypothesized that these parameters differ from asymptomatic patients. Methods: All patients treated for FFPs in a center of maximal care of the German Spine Society (DWG) between 2017 and 2021 were included. The inclusion criteria were age ≥ 60 years and the availability of a standing lateral radiograph of the spine and pelvis in which the spine from T12 to S1 and both femoral heads were visible. The baseline characteristics and study parameters were calculated and compared with databases of asymptomatic patients. The two-sample <i>t</i>-Test was performed with <i>p</i> < 0.05. Results: The study population (<i>n</i> = 57) consisted of 49 female patients. The mean age was 81.0 years. The mean LL was 47.9°, the mean PT was 29.4°, the mean SS was 34.2° and the mean PI was 64.4°. The mean value of LLI was 0.7. LL, LLI and SS were significantly reduced, and PI and PT were significantly increased compared to asymptomatic patients. Conclusions: The spinopelvic parameters in patients with FFPs differ significantly from asymptomatic patients. In patients with FFPs, LL, LLI and SS are significantly reduced, and PI and PT are significantly increased. The sagittal spinopelvic balance is abnormal in patients with FFPs.https://www.mdpi.com/2077-0383/12/13/4445FFPs (fragility fractures of the pelvis)osteoporosisspinopelvic parameterspelvic incidencepelvic tiltsacral slope |
| spellingShingle | Moritz F. Lodde Thies M. Fischer Oliver Riesenbeck Steffen Roßlenbroich J. Christoph Katthagen Daria Rometsch Dennis Günes Marc Schneider Michael J. Raschke Ulf Liljenqvist Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis Journal of Clinical Medicine FFPs (fragility fractures of the pelvis) osteoporosis spinopelvic parameters pelvic incidence pelvic tilt sacral slope |
| title | Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis |
| title_full | Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis |
| title_fullStr | Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis |
| title_full_unstemmed | Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis |
| title_short | Analysis of the Spinopelvic Parameters in Patients with Fragility Fractures of the Pelvis |
| title_sort | analysis of the spinopelvic parameters in patients with fragility fractures of the pelvis |
| topic | FFPs (fragility fractures of the pelvis) osteoporosis spinopelvic parameters pelvic incidence pelvic tilt sacral slope |
| url | https://www.mdpi.com/2077-0383/12/13/4445 |
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