Relationship between lumbar subcutaneous adipose tissue thickness and spinopelvic parameters

Sevil Okan; Murat Beyhan

doi:10.17826/cumj.736745

EN TR

Relationship between lumbar subcutaneous adipose tissue thickness and spinopelvic parameters

Abstract

Purpose: The aim of this study was too reveal the relationship between lumbar subcutaneous adipose tissue thickness and spinopelvic parameters. Materials and Methods: This retrospective study included a total of 92 individuals who had lumbosacral radiographs and lumbar magnetic resonance imaging among the people who applied to Tokat State Hospital in October-December 2019 period. Lumbar subcutaneous adipose tissue thickness, pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis and spinopelvic mismatch (Pelvic incidence minus lumbar lordosis) were determined, and correlations between these measurements were evaluated. Results: Subcutaneous adipose tissue thickness was 20.50±12.34 mm at L1 vertebra level and 29.79±15.68 mm at L5 vertebra level. Subcutaneous adipose tissue thickness at L1 vertebra level was strongly correlated with body mass index and adipose tissue thickness at L5 vertebra level, but weakly correlated with pelvic tilt and spinal misalignments. Conclusion: Subcutaneous adipose tissue thickness and body mass index increase was positively correlated. In addition, lumbar subcutaneous adipose tissue thickness and body mass index increase have effects on pelvis and spinal alignment. Lumbar subcutaneous adipose tissue thickness could be used to evaluate the effect of body composition on spinopelvic parameters.

Keywords

Lumbar subcutaneous adipose tissue thickness , Spinopelvic parameter , adipose tissue

Lomber subkutan yağ doku kalınlığının spinopelvik parametrelerle ilişkisi

Öz

Amaç: Lomber subkutan yağ doku kalınlığı ile spinopelvik parametreler arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: Retrospektif tipte planlanan çalışmaya Ekim 2019 ve Aralık 2019 tarihleri arasında Tokat Devlet Hastanesi'ne başvuran Lomber MR ve 2-yönlü lumbosakral grafileri çekilmiş olan 92 birey dahil edildi. Lomber subkutan yağ doku kalınlığı, pelvik insidans, pelvik tilt, sakral slop, lomber lordoz ve spinopelvik uyumsuzluk (pelvik insidans minus lomber lordoz) değerleri ölçüldü ve ölçümler arasındaki korelasyon değerlendirildi. Bulgular: L1 vertebra düzeyinde subkutan yağ doku kalınlığı 20.50±12.34 mm tespit edilirken L5 vertebra düzeyinde subkutan yağ doku kalınlığı 29.79±15.68 mm olarak ölçüldü. L1 düzeyi subkutan yağ doku kalınlığı ile VKI ve L5 vertebra düzeyi subkutan yağ doku kalınlığı arasında kuvvetli korelasyon, pelvik tilt ve spinal dizilim bozukluğu arasında zayıf korelasyon tespit edildi (p<0.05). Sonuç: Subkutan yağ doku kalınlığı ve VKİ deki artış arasında pozitif korelasyon mevcuttu. Buna ek olarak lomber subkuan yağ doku kalınlığı ve VKİ’ deki artışın pelvik tilt ve spinal dizilim bozukluğu üzerinde etkili olduğu tespit edildi. Lomber subkutan yağ doku kalınlığı; vücut kompozisyonunun spinopelvik parametreler üzerine etkisinin değerlendirilmesinde kullanılabilir.

Anahtar Kelimeler

lomber subkutan yağ doku kalınlığı , spinopelvik parametre , yağ dokusu

References

1. Blair SN. Physical inactivity: the biggest public health problem of the 21st century. Br J Sports Med. 2009; 43(1): 1-2.
2. Aro S, Leino P. Overweight and musculoskeletal morbidity: A ten-year follow-up. Int. J. Obes. 1985; 9: 267–275.
3. Farfan HF, Huberdeau RM, Dubow HI. Lumbar intervertebral disc degeneration: the influence of geometrical features on the pattern of disc degeneration: a post mortem study. J Bone Joint Surg [Am]. 1972; 54-A: 492–510.
4. Bernhardt M, Bridwell KH. Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction. Spine (Phila Pa 1976). 1989; 14: 717–721.
5. Leboeuf-Yde C, Kyvic KO, Bruun NH. Low back pain and lifestyle. Part II-obesity. Information from a population-based sample of 29,242 twin subjects. Spine. 1999; 15: 779–783.
6. Klare C, Johnson N, Chapman T, Darden B, Davidson D, Milam A. Comparison of Subcutaneous Fat Thickness in the Lumbar Spine Related to BMI Between Males and Females. J Neurosurg Spine. 2019; 30: 45.
7. Takatalo J, Karppinen J, Taimela S, et al. Association of abdominal obesity with lumbar disc degeneration--a magnetic resonance imaging study. PLoS One. 2013; 8(2): e56244.
8. Schwab F, Patel A, Ungar B, Farcy J, Lafage V. Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery. Spine (Phila Pa 1976). 2010; 35 : 2224 – 31.
9. Vaz G, Roussouly P, Berthonnaud E, Dimnet J. Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J. 2002; 11(1): 80–7.
10. Diebo BG, Ferrero E, Lafage R, et al. Recruitment of compensatory mechanisms in sagittal spinal malalignment is age and regional deformity dependent: a full-standing axis analysis of key radiographical parameters. Spine (Phila Pa 1976). 2015; 40: 642–649.

11. Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F. The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976). 2005; 30(18): 2024–9.
12. O’Sullivan PB, Dankaerts W, Burnett AF, Farrell GT, Jefford E, Naylor CS. Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population. Spine. 2006; 31(19): E707-E712.
13. Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P. Radio.graphic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Jt Surg Am. 2005; 87: 260–267.
14. West W, Brady-West D, West KP. A comparison of statistical associations between oedema in the lumbar fat on MRI, BMI and Back Fat Thickness (BFT). Heliyon. 2018; 4(1): e00500.
15. Romero-Vargas S, Zárate-Kalfópulos B, Otero-Cámara E, et al. The impact of body mass index and central obesity on the spino-pelvic parameters: a correlation study. Eur Spine J. 2013; 22(4): 878-82.
16. Berthonnaud E, Labelle H, Roussouly P, Grimard G, Vaz G, Dimnet,J. A variability study of computerized sagittal spinopelvic radiologic measurements of trunk balance. Clinical Spine Surgery. 2005; 18(1): 66-71.
17. Schwab FJ, Bess S, Blondel B, et al. Combined Assessment of Pelvic Tilt, Pelvic Incidence/Lumbar Lordosis Mismatch and Sagittal Vertical Axis Predicts Disability in Adult Spinal Deformity: A Prospective Analysis. Spine Journal Meeting Abstracts. 2011:65.
18. Haslam D, James W. Obesity. Lancet. 2005; 366: 1197–1209.
19. Wallner-Liebmann SJ, Kruschitz R, Hübler K, et al. A measure of obesity: BMI versus subcutaneous fat patterns in young athletes and nonathletes. Coll Antropol. 2013 ;37: 351–357.
20. Chang E, Varghese M, Singer K. Gender and sex differences in adipose tissue. Current diabetes reports. 2018; 18(9): 69.
21. Wang T, Wang H, Liu F, Yang D, Ma L, Ding W. The characteristics of spino-pelvic sagittal parameters and obesity factors for adolescents with lumbar disc herniation. Int J Clin Exp Med. 2016; 9(7): 14321-14328.
22. Schuller S, Charles YP, Steib JP. Sagittal spinopelvic alignment and body mass index in patients with degenerative spondylolisthesis. European Spine Journal. 2011; 20(5): 713-719.
23. Zawojska K, Wnuk-Scardaccione A, Bilski J, Nitecka E. Correlation of Body Mass Index with Pelvis and Lumbar Spine Alignment in Sagittal Plane in Hemophilia Patients. Medicina. 2019; 55(10): 627.
24. Song MY, Chung WS, Kim SS, Shin HD. Correlation between obesity and lumbar lordosis in obese pre-menupausal Korean females. J Korean Orient Med. 2004; 25: 43-50.
25. Noshchenko A, Hoﬀecker L, Cain CM, Patel VV, Burger EL. Spinopelvic parameters in asymptomatic subjects without spine disease and deformity. Clin Spine Surg. 2017; 30: 392–403.
26. Kim PK. Case Presentation of Sagittal Balance. Spine (Phila Pa 1976). 2016; 41(7): S20.
27. Aono K, Kobayashi T, Jimbo S, Atsuta Y, Matsuno T. Radiographic analysis of newly developed degenerative spondylolisthesis in a mean twelve-year prospective study. Spine (Phila Pa 1976). 2010; 35: 887-891.
28. Roussouly P, Gollogly S, Berthonnaud E, Dimnet J. Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976). 2005; 30: 346-353.
29. Horn SR, Bortz CA, Ramachandran S, Poorman GW, Segreto F, Siow M. Suboptimal Age-Adjusted Lumbo-Pelvic Mismatch Predicts Negative Cervical-Thoracic Compensation in Obese Patients. International journal of spine surgery. 2019; 13(3): 252-261.
30. Park P, Wang MY, Nguyen S, et al. Comparison of Complications and Clinical and Radiographic Outcomes Between Non-Obese and Obese Patients with Adult Spinal Deformity Undergoing Minimally Invasive Surgery. World Neurosurg. 2016; 87:55-60.

Details

Primary Language

English

Subjects

Internal Diseases

Journal Section

Research Article

Authors

Sevil Okan ^*
0000-0002-0446-6866
Türkiye

Murat Beyhan This is me
0000-0002-8630-4632
Türkiye

Publication Date

September 30, 2020

Submission Date

May 13, 2020

Acceptance Date

August 5, 2020

Published in Issue

Year 2020 Volume: 45 Number: 3

DOI

https://doi.org/10.17826/cumj.736745

IZ

https://izlik.org/JA69XG26GN

MLA

Okan, Sevil, and Murat Beyhan. “Relationship Between Lumbar Subcutaneous Adipose Tissue Thickness and Spinopelvic Parameters”. Cukurova Medical Journal, vol. 45, no. 3, Sept. 2020, pp. 1238-45, doi:10.17826/cumj.736745.

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