Examination of Age and Gender-Related Changes in Spinopelvic Parameters in Children and Adolescents Using Computed Tomography Images

Year 2024, Volume: 6 Issue: 2, 212 - 218, 16.05.2024

Burak Oğuzhan Karapınar , Niyazi Acer , Hatice Susar Güler , Adem Tokpınar , Süreyya Burcu Görkem

https://doi.org/10.37990/medr.1458990

Cited By: 1

Abstract

Aim: In order for a person to stand in a balanced way, the pelvis and spine must be in harmony. The aim of this study was to determine the normal ranges of spinopelvic parameters in children and adolescents in Türkiye.
Material and Method: In our study, computed tomography images of 1018 healthy 7-17 year olds were examined. As a result of this examination, sacrum pubic incidence, lumbar lordosis, sacral slope, sacral kyphosis, pelvic tilt and pelvic incidence were measured.
Results: The sacrum pubic incidence was 58.71±6.17°, sacral slope 37.26±5.77, lumbar lordosis 42.98±8.06°, sacral kyphosis 21.27±9.96°, pelvic incidence 46.77±6.38, and pelvic tilt 9.51±5.06°. The calculations revealed that, with age, all parameters except pelvic tilt increased significantly. A statistically significant difference was found between the age groups.
Conclusion: The results of this study will contribute to the existing literature and may give clinicians insight into sagittal corrections in spine and pelvic surgery.

Keywords

Sagittal balance , spinopelvic parameters , sacral slope , pelvic incidence

Ethical Statement

This study was carried out with the scope of the approval and information of Erciyes University Clinical Research Ethics Committee (Date and Decision No: 2019/587).

Thanks

We would like to thank The Scientific and Technological Research Council of Turkey for their support within the scope of the 2211-A General Doctorate Scholarship.

References

• Le Huec JC, Aunoble S, Philippe L, Nicolas P. Pelvic parameters: origin and significance. Eur Spine J. 2011;20:564-71.
• 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;30:346-53.
• Yucekul A, Ozpinar A, Kilickan FDB, et al. Relationship between pelvic incidence-adjusted relative spinopelvic parameters, global sagittal alignment and lower extremity compensations. Eur Spine J. 2023;32:3599-607.
• Tan TH, Tan JH, Hey HWD. Changes in spinopelvic parameters between standing and sitting postures: a systematic review and meta-analysis. Clin Spine Surg. 2024;37:97-113.
• Tonbul M, Güzelant AY, Gökçe A, et al. T Spinopelvic parameters in a turkish population: a study on 120 healthy individuals that could facilitate treatment planning. Turkiye Klinikleri J Med Sci. 2012;32:670.
• 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.
• Wang W, Wu M, Liu Z, et al. Sacrum pubic incidence and sacrum pubic posterior angle: two morphologic radiological parameters in assessing pelvic sagittal alignment in human adults. Eur Spine J. 2014;23:1427-32.
• Bailey JF, Shefi S, Soudack M, et al. Development of pelvic incidence and lumbar lordosis in children and adolescents. Anat Rec (Hoboken). 2019;302:2132-9.
• Baker JF, Don AS, Robertson PA. Pelvic incidence: computed tomography study evaluating correlation with sagittal sacropelvic parameters. Clin Anat. 2020;33:237-44.
• Celestre PC, Dimar JR 2nd, Glassman SD. Spinopelvic parameters: lumbar lordosis, pelvic incidence, pelvic tilt, and sacral slope: what does a spine surgeon need to know to plan a lumbar deformity correction?. Neurosurg Clin N Am. 2018;29:323-9.
• McKay G, Torrie PA, Dempster G, et al. The relationship between sacral kyphosis and pelvic incidence. Asian Spine J. 2018;12:74-9.
• Karademir M, Karavelioglu E, Boyaci M, Eser O. The importance of the sagittal balance of the spine and spinopelvic parameters. The Journal of Turkish Spinal Surgery. 2014;25:139-48.
• Arima H, Dimar JR 2nd, Glassman SD, et al. Differences in lumbar and pelvic parameters among African American, Caucasian and Asian populations. Eur Spine J. 2018;27:2990-8.
• Lee CS, Chung SS, Kang KC, et al. Normal patterns of sagittal alignment of the spine in young adults radiological analysis in a Korean population. Spine (Phila Pa 1976). 2011;36:E1648-54.
• Mac-Thiong J-M, Labelle H, Berthonnaud E, et al. Sagittal spinopelvic balance in normal children and adolescents. Eur Spine J. 2007;16:227-34.
• Mac-Thiong J-M, Labelle H, Roussouly P. Pediatric sagittal alignment. Eur Spine J. 2011;20:586-90.
• Zhou XY, Zhao J, Li B, et al. Assessment of sagittal spinopelvic balance in a population of normal Chinese children. Spine (Phila Pa 1976). 2020;45:E787-91.
• Wang Z, Parent S, Mac-Thiong JM, et al. Influence of sacral morphology in developmental spondylolisthesis. Spine (Phila Pa 1976). 2008;33:2185-91.
• İplikçioğlu AC, Karabağ H. Validity and reliability of spinopelvic parameters measured on computed tomography. Int J Spine Surg. 2022;16:875-80.
• Chen HF, Mi J, Zhang HH, Zhao CQ. Pelvic incidence measurement using a computed tomography data-based three-dimensional pelvic model. J Orthop Surg Res. 2019;14:13.
• Tyrakowski M, Wojtera-Tyrakowska D, Siemionow K. Influence of pelvic rotation on pelvic incidence, pelvic tilt, and sacral slope. Spine (Phila Pa 1976). 2014;39:E1276-83.
• Vrtovec T, Janssen MM, Pernus F, et al. Analysis of pelvic incidence from 3-dimensional images of a normal population. Spine (Phila Pa 1976). 2012;37:E479-85.
• Abelin-Genevois K, Idjerouidene A, Roussouly P, et al. Cervical spine alignment in the pediatric population: a radiographic normative study of 150 asymptomatic patients. Eur Spine J. 2014;23:1442-8.
• Hanson DS, Bridwell KH, Rhee JM, Lenke LG. Correlation of pelvic incidence with low- and high-grade isthmic spondylolisthesis. Spine (Phila Pa 1976). 2002;27:2026-9.
• Mac-Thiong JM, Berthonnaud E, Dimar JR 2nd, et al. Sagittal alignment of the spine and pelvis during growth. Spine (Phila Pa 1976). 2004;29:1642-7.
• Sevinc O, Is M, Barut C, et al. Sagittal alignment of the lumbar spine in a Turkish population. Neurosciences (Riyadh). 2007;12:221-5.
• Tokpinar A, Ulger H, Yilmaz S, et al. Examination of inclinations in spine at childhood and adolescence stage. Folia Morphol (Warsz). 2018;78:47-53.