Spondylolisthesis, pelvic incidence, and spinopelvic balance: a correlation study

Spine
Hubert LabelleJoannès Dimnet

Abstract

A retrospective study of the sagittal alignment in developmental spondylolisthesis. To investigate the role of pelvic anatomy and its effect on the global balance of the trunk in developmental spondylolisthesis. Pelvic incidence (PI) is a fundamental anatomic parameter that is specific and constant for each individual, and independent of the three-dimensional orientation of the pelvis. Recent studies have suggested an association between a high PI and patients with isthmic spondylolisthesis. The lateral standing radiographs of the spine and pelvis of 214 subjects with developmental L5-S1 spondylolisthesis were analyzed with a dedicated software allowing the calculation of the following parameters: pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), lumbar lordosis (LL), thoracic kyphosis (TK), and grade of spondylolisthesis. All measurements were done by the same individual and compared to those of a cohort of 160 normal subjects. Student's tests were used to compare the parameters between the curve types and Pearson's correlation coefficients were used to investigate the association between all parameters (alpha = 0.01). PI, SS, PT, and LL are significantly greater (P < 0.01) in subjects with spondylolisthesis, while T...Continue Reading

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