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Comparison of sagittal plane morphology of spine and pelvis in adolescents with L₅S₁ developmental spondylolisthesis and isthmic spondylolisthesis / 中国骨伤
Article en Zh | WPRIM | ID: wpr-776103
Biblioteca responsable: WPRO
ABSTRACT
OBJECTIVE@#To compare the sagittal morphological features of the spine and pelvis between L₅S₁ dysplastic spondylolisthesis and isthmus spondylolisthesis in adolescent.@*METHODS@#Retrospective analysis of 24 cases of adolescent L₅S₁ spondylolisthesis with complete imaging data from May 2002 to December 2016. Those included 8 males and 16 females, aged from 10 to 18 years old with an average of (13.4±2.0) years. Among them, 9 cases were diagnosed as dysplastic spondylolisthesis (dysplasia group) and 15 cases isthmic spondylolisthesis (ischemic group). Radiographic parameters including slippage distance, slippage degree, slippage angle, sagittal vertical axis(SVA), thoracic kyphosis(TK), lumbar lordosis(LL), L₅ incidence(L₅I), pelvic incidence(PI), pelvic tilt(PT), sacral slope(SS), sagittal pelvic thickness(SPT), lumbosacral angle (LSA), sacral table angle (STA) were measured on the spinal lateral X-ray of the standing position. Independent-samples t-test was used in the comparison of each variable between two groups. 0.05).@*CONCLUSIONS@#Significant different from isthmic spondylolisthesis, adolescents with dysplastic spondylolisthesis present a different spino-pelvic sagittal alignment, characterized with trunk forward leaning and pelvic retroversion. In case of sagittal imbalance, early surgical intervention is required to restore a balanced spino-pelvic alignment.
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Texto completo: 1 Base de datos: WPRIM Asunto principal: Pelvis / Columna Vertebral / Cirugía General / Espondilolistesis / Radiografía / Estudios Retrospectivos / Equilibrio Postural / Vértebras Lumbares Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: Zh Revista: China Journal of Orthopaedics and Traumatology Año: 2019 Tipo del documento: Article
Texto completo: 1 Base de datos: WPRIM Asunto principal: Pelvis / Columna Vertebral / Cirugía General / Espondilolistesis / Radiografía / Estudios Retrospectivos / Equilibrio Postural / Vértebras Lumbares Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: Zh Revista: China Journal of Orthopaedics and Traumatology Año: 2019 Tipo del documento: Article