Normative values for the L5 incidence in a subgroup of transitional anomalies extracted from 147 asymptomatic subjects

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
D DominguezJ C Le Huec

Abstract

Pelvic incidence angle is not always measurable due to lumbosacral transitional vertebrae (LSV). The fifth lumbar vertebra (L5) is rarely abnormal. The purpose of this study was to quantify from full-body standing X-rays, the L5 incidence angle (L5I) in a normal asymptomatic population and to correlate it with standard spino-pelvic parameters taking the sacrum (S1) as a reference. One hundred and forty seven asymptomatic volunteers were enrolled. The ethics committee approved the study protocol. Subjects underwent a low-dose full spine X-ray. 3D reconstructions were obtained and L5I was measured using the upper L5 endplate as the reference instead of the S1 endplate. A group of subjects with LSV was identified and subdivided in two subgroups. Standard spino-pelvic parameters and normative values for the L5 parameters were obtained. Statistical correlations were calculated between the standard and L5 parameters as well as L5I with L1-L5 lordosis in both subgroups. Twenty two (14.96 %) subjects with LSV were found. Ten of these had an unidentifiable S1 endplate due to a sacralisation of L5. Mean values for the L5I, L5 tilt, L5 slope and L1-L5 lordosis were, respectively, 22.43, 4.65, 17.73, and 45.51 for normal subjects (N = 137)...Continue Reading

References

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Sep 24, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·C BoulayJ Pélissier
Jul 29, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pierre Roussouly, João Luiz Pinheiro-Franco
Aug 4, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J C Le Huec, P Roussouly
Aug 11, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Gérard MorvanMarc Wybier
Sep 29, 2011·The Spine Journal : Official Journal of the North American Spine Society·Alexios ApazidisJeffrey M Spivak

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Citations

Oct 28, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·R PriceK Hasegawa
Sep 26, 2019·Global Spine Journal·Matthew V AbolaRaymond W Liu
Feb 26, 2019·Proceedings of the National Academy of Sciences of the United States of America·Martin HaeuslerNakita Frater
May 25, 2018·Journal of Orthopaedic Surgery and Research·Ying-Zhao YanXiang-Yang Wang
May 18, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Nam-Su ChungChang-Hoon Jeon

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