Research Article
Year 2018,
Volume: 10 Issue: 1, 8 - 12, 30.01.2018
Abstract
Giriş: Obezite en önemli halk sağlığı sorunlarından biridir ve çeşitli kas-iskelet bozuklukları,
özellikle de omurganın bozulması ile ilişkilidir. Bu çalışmanın amacı, asemptomatik
genç yetişkinlerde vücut kitle indeksi (VKİ) ve spinopelvik parametreler (pelvik
tilt, sakral slope ve pelvik insidans) arasındaki ilişkiyi incelemektir.
Materyal ve Metod: Bu çalışmada toplam 156 (105 erkek ve 51 kadın) sağlıklı yetişkin
birey analiz edildi. Bireylerin yaş, cinsiyet ve vücut kitle indeksleri (kilogram olarak
vücut ağırlığının metre cinsinden boy uzunluğunun karesine bölünmesi) kaydedildi.
Ayakta lumbosakral lateral grafiler çekilerek spinopelvik parametrelere ait ölçümler
elde edildi. VKİ'nin spinopelvik parametreler ile ilişkisi istatistiksel olarak analiz edildi.
p<0.05 değeri istatistiksel olarak anlamlı kabul edildi.
Bulgular: Hastaların yaş ortalaması 26.8 ± 5.2 yıl ve VKİ ortalaması 25.80 ± 4.02
kg / m2 idi. Altmış üç hasta (40.4%) normal kiloda (VKİ 17.26–24.9 kg/m2), yetmiş iki
hasta (46.2%) aşırı kilolu (VKİ 25–29.9 kg/m2) ve yirmi bir hasta (13.4%) obez olarak
bulundu. (VKİ>30). Pelvik tilt, pelvik insidans ve sakral slope ölçümleri ve vücut kitle
indeks ölçümleri arasında istatistiksel olarak önemli fark bulundu.
Sonuç: Obezite spinopelvik parametrelerde istatistiksel olarak anlamlı bir artış ile ilişkilidir.
Obezitenin önlenmesi lumbosakral birleşme noktasındaki aşırı yüklenme ile ilişkili
olan dejeneratif problemleri önleyebilir.
References
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Year 2018,
Volume: 10 Issue: 1, 8 - 12, 30.01.2018
Abstract
References
- 1. Fanuele JC, Abdu WA, Hanscom B, Weinstein JN. Association between obesity and functional status in patients with spine disease. Spine 2002; 27:306–312. 2. Grover PJ, Pushpananthan S, Samarage HM, Mendoza ND. Obesity and posterior spinal fat content: impact on complications in non-complex lumbar spine surgery. Br J Neurosurg. 2016; 23:1-5. [Epub ahead of print] 3. Roussouly P, Pinheiro-Franco JL. Sagittal parameters of the spine: biomechanical approach. Eur Spine J 2011;20(suppl 5):578–585. 4. Legaye J, Duval-Beaupere G, Hecquet J, Marty C. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 1998;7:99–103. 5. Berthonnaud É, Roussouly P, Dimnet J. The parameters describing the shape and the equilibrium of the set back pelvis and femurs in sagittal view. Innov Techn Biol Med 1998;19:411–426. 6. Berthonnaud É, Dimnet J, Roussouly P, Labelle H. Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters. J Spinal Disord 2005;18:40–47. 7. Berthonnaud É, Labelle H, Roussouly P, Grimard G, Vaz G, Dimnet J. A variability study of computerized sagittal spinopelvic radiological measurements of trunk balance. J Spinal Disord 2005;18:66–71 8. Hanson DS, Bridwel KH, Rhee JM, Lenke LG. Correlation of pelvic incidence with low and high-grade isthmic spondylolisthesis. Spine 2002;27(18):2026–2029 9. Vismara L, Menegoni F, Zaina F, Galli M, Negrini S, Capodaglio P. Effect of obesity and low back pain on spinal mobility: a cross sectional study in women. J Neuroeng Rehabil 2010; 18(7):3 10. Romero-Vargas S, Zárate-Kalfópulos B, Otero-Cámara E, Rosales- Olivarez L, Alpízar-Aguirre A, Morales-Hernández E, Reyes-Sánchez A. The impact of body mass index and central obesity on the spino-pelvic parameters: a correlation study. Eur Spine J. 2013;22(4):878-882. 11. Guigui P, Levassor N, Rillardon L, Wodecki P, Cardinne L. [Physiological value of pelvic and spinal parameters of sagital balance: analysis of 250 healthy volunteers]. Rev Chir Orthop Reparatrice Appar Mot. 2003 Oct;89(6):496-506. 12. Lee CS, Chung SS, Kang KC, Park SJ, Shin SK. Normal patterns of sagittal alignment of the spine in young adults radiological analysis in a Korean populations. Spine (Phila Pa 1976) 2011;36:1648–1654. 13. Zhu Z, Xu L, Zhu F, Jiang L, Wang Z, Liu Z, Qian BP, Qiu Y. Sagittal alignment of spine and pelvis in asymptomatic adults: norms in Chinese populations. Spine (Phila Pa 1976). 2014; 39(1):1-6. 14. Zárate-Kalfópulos B, Romero-Vargas S, Otero-Cámara E, Correa VC, Reyes-Sánchez A. Differences in pelvic parameters among Mexican, Caucasian, and Asian populations. J Neurosurg Spine. 2012;16(5):516-519. 15. Lonner BS, Auerbach JD, Sponseller P, Rajadhyaksha AD, Newton PO. Variations in pelvic and other sagittal spinal parameters as a function of race in adolescent idiopathic scoliosis. Spine 2010;35:374–377. 16. Lafage V, Ames C, Schwab F, Klineberg E, Akbarnia B, Smith J, Boachie-Adjei O, Burton D, Hart R, Hostin R, Shaffrey C, Wood K, Bess S. Changes in thoracic kyphosis negatively impact sagittal alignment after lumbar pedicle sub- traction osteotomy: a comprehensive radiographic analysis. Spine 2012;37:180–187. 17. Barrey C, Jund J, Perrin G, Roussouly P. Spinopelvic alignment of patients with degenerative spondylolisthesis. Neurosurgery 2007; 61:981–986 18. Labelle H, Roussouly P, Berthonnaud E, Transfeldt E, O Brien M, Hresko T, Chopin D, Dimmet J. Spondylolisthesis, pelvic incidence and sagittal spino-pelvic balance: a correlation study. Spine 2004;29:2049–2054.
There are 1 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | makaleler |
| Authors | |
| Publication Date | January 30, 2018 |
| Published in Issue | Year 2018 Volume: 10 Issue: 1 |
