Spinopelvic Parameters among Healthy Volunteers in Iran

Document Type : RESEARCH PAPER

Authors

Department of Neurosurgery, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Recently, in approach to spinal pathologies, the whole spine should be considered as a biomechanical
unit. Studies have shown the great importance of sagittal and coronal balance and the relationship between the various
parts of spine together and pelvis. Former studies have shown a close relationship between spinopelvic parameters
and sagittal balance. A complete understanding of sagittal balance basics is needed to achieve the best outcome
and avoiding future complications after treatment of spinal deformities. In this study, the normal range of spinopelvic
parameters among healthy volunteers in Iran has been evaluated.
Methods: This cross-sectional study was conducted on healthy volunteers in 2017. The lateral whole-spine X-ray was
obtained under the standard conditions. Two spine surgeons measured the parameters including pelvic incidence,
pelvic tilt, sacral slope and lumbar lordosis.
Results: In this study 100 volunteers were studied; out of whom, 41 participants were male and the mean age was
47.5±11.7 years. The average pelvic incidence, pelvic tilt, and sacral slope were 51.5±10.9, 17.4±9.9, and 34.8±8.8
degrees, respectively. The pelvic tilt was significantly lower in women. It was found that with increasing age, the pelvic
incidence and pelvic tilt increases while lumbar lordosis decreases (p <0.05).
Conclusion: This study is the first study on the normal range of spinopelvic parameters in healthy individuals in Iran..
Our data showed that PT and PI-LL are significantly lower in women, while, PT, PI and PI-LL increase and LL decreases
in older ages.
Level of evidence: II

Keywords

References

1. Mac-Thiong JM, Labelle H, Roussouly P. Pediatric
sagittal alignment. European spine journal. 2011;
20(5):586.
2. Davis H. Increasing rates of cervical and lumbar spine
surgery in the United States, 1979-1990. Spine. 1994;
19(10):1117-23.
3. Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang
K, Pagala M, et al. Adult scoliosis: prevalence, SF-36,
and nutritional parameters in an elderly volunteer
population. Spine. 2005 30(9):1082-5.
4. Jacob CJ, Cardoso IM, Batista JL, Maia TC, Roncaglio
B. Spinopelvic parameters evaluation in a Brazilian
population sample. European Journal of Orthopaedic
Surgery & Traumatology. 2015; 25(1):21-4.
5. Yukawa Y, Kato F, Suda K, Yamagata M, Ueta T, Yoshida
M. Normative data for parameters of sagittal spinal
alignment in healthy subjects: an analysis of gender
specific differences and changes with aging in 626
asymptomatic individuals. European Spine Journal.
2018; 27(2):426-32.
6. Chung NS, Jeon CH, Lee HD, Won SH. Measurement
of Spinopelvic Parameters on Standing Lateral
Lumbar Radiographs. Clinical spine surgery. 2017;
30(2):E119-23.
7. Henneman SA, Antoneli PH, Oliveira GC. Incidência
pélvica: um parâmetro fundamental para definição
do equilí􀆴brio sagital da coluna vertebral. Coluna/
Columna. 2012; 11(3):237-9.
8. Li WS, Gang L, Chen ZQ, Wood KB. Sagittal plane analysis
of the spine and pelvis in adult idiopathic scoliosis.
Chinese medical journal. 2010; 123(21):2978-82.
9. Sudhir G, Acharya S, Kalra KL, Chahal R. Radiographic
analysis of the sacropelvic parameters of the spine and
their correlation in normal asymptomatic subjects.
Global spine journal. 2016; 6(2):169-75.
10. Labelle H, Roussouly P, Berthonnaud É􀆵 , Transfeldt E,
O’Brien M, Chopin D, et al. Spondylolisthesis, pelvic
incidence, and spinopelvic balance: a correlation
study. Spine. 2004; 29(18):2049-54.
11. Morvan G, Mathieu P, Vuillemin V, Guerini H, Bossard
P, Zeitoun F, et al. Standardized way for imaging of the
sagittal spinal balance. European Spine Journal. 2011;
20(5):602.
12. Berjano P, Damilano M, Bozzaro M, Pejrona M,
Cecchinato R, Lamartina C. Standing lateral lumbar
spine and pelvis (SLLP) radiograph: a screening,
reduced radiation method, for sagittal imbalance.
European Spine Journal. 2013; 22(6):842-6.
13. Drummond Filho ML, Risso Neto MÍ􀆵, Lechoczi MA,
Cavali PT, Veiga IG, Zuiani GR, et al. Evaluation of
spino-pelvic parameters according to intraoperative
position in lumbosacral spine arthrodesis. Coluna/
Columna. 2013; 12(3):228-31.
14. Morvan G, Mathieu P, Vuillemin V, Guerini H, Bossard
P, Zeitoun F, et al. Standardized way for imaging of the
sagittal spinal balance. European Spine Journal. 2011;
20(5):602.
15. Gussous Y, Theologis AA, Demb JB, Tangtiphaiboontana
J, Berven S. Correlation between lumbopelvic and
sagittal parameters and health related quality of
life in adults with lumbosacral spondylolisthesis.
Scoliosis Research Society (SRS) 50th Annual meeting.
Minneapolis, MN: SRS; 2015:232.
16. Garbossa D, Pejrona M, Damilano M, Sansone V,
Ducati A, Berjano P. Pelvic parameters and global
spine balance for spine degenerative disease: the
importance of containing for the well-being of content.
European Spine Journal. 2014; 23(6):616-27.
17. Vrtovec T, Janssen MM, Likar B, Castelein RM,
Viergever MA, Pernuš F. Evaluation of pelvic
morphology in the sagittal plane. The Spine Journal.
2013; 13(11):1500-9.
18. Noshchenko A, Hoffecker L, Cain CM, Patel VV, Burger
EL. Spinopelvic parameters in asymptomatic subjects
without spine disease and deformity. Clinical Spine
Surgery. 2017; 30(9):392-403.
19. Mac-Thiong JM, Roussouly P, Berthonnaud E, Guigui P.
Age-and sex-related variations in sagittal sacropelvic
morphology and balance in asymptomatic adults.
European Spine Journal. 2011; 20(5):572.
20. Merrill RK, Kim JS, Leven DM, Kim JH, Cho SK. Beyond
Pelvic Incidence–Lumbar Lordosis Mismatch: The
Importance of Assessing the Entire Spine to Achieve
Global Sagittal Alignment. Global Spine Journal. 2017;
7(6):536-42.
21. Roussouly P, Nnadi C. Sagittal plane deformity:
an overview of interpretation and management.
European spine journal. 2010; 19(11):1824-36.
The Archives of Bone and Joint Surgery
Volume 8, Issue 5
September 2020
Pages 620-624

Files

History

  • Receive Date: 31 July 2019
  • Revise Date: 10 May 2020
  • Accept Date: 02 June 2020

Share

How to cite

Statistics