Global sagittal alignment of the spine, pelvis, lower limb after vertebral compression fracture and its effect on quality of life
| Autor: | Ying Yeung Law, Ronald Man Yeung Wong, Jack C. Y. Cheng, Sheung Wai Law, Gene Chi Wai Man, Kwong Hang Yeung, Koko Shaau Yiu Ko, Zongshan Hu, Leo Tsz Ching Chau, Winnie C.W. Chu, Lawrence Chun-Man Lau |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pelvic tilt
Quality of life medicine.medical_specialty Vertebral compression fracture Lordosis Kyphosis 030209 endocrinology & metabolism Diseases of the musculoskeletal system Asymptomatic Lower limb Pelvis 03 medical and health sciences 0302 clinical medicine Rheumatology Fractures Compression medicine Humans Orthopedics and Sports Medicine Aged Lumbar Vertebrae business.industry Global sagittal alignment Research Middle Aged medicine.disease Sagittal plane Spine Biplanar radiographs medicine.anatomical_structure Cross-Sectional Studies Lower Extremity RC925-935 Orthopedic surgery Spinal Fractures medicine.symptom Nuclear medicine business 030217 neurology & neurosurgery |
| Zdroj: | BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-7 (2021) BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Background Vertebral compression fractures (VCFs) are the most common among all osteoporotic fractures. The body may compensate to the kyphosis from vertebral compression fractures with lordosis of the adjacent spinal segments, rotation of the pelvis, knee flexion and ankle dorsiflexion. However, the detailed degree of body compensation, especially the lower limb, remains uncertain. Herein, the aim of this study is to investigate the values of global sagittal alignments (GSA) parameters, including the spine, pelvis and lower limbs, in patients with and without VCFs, as well as to evaluate the effect of VCFs on various quality of life (QoL) parameters. Methods A cross-sectional study was conducted from May 2015 to June 2018. A total of 142 patients with VCFs aged over 60 years old and 108 age-matched asymptomatic controls were recruited. Whole body sagittal alignment including thoracic kyphosis (TK), lumbar lordosis (LL), pelvic tilt (PT), pelvic incidence (PI), sagittal vertical axis (SVA), T1-pelvic angle (TPA), knee-flex angle (KA) and ankle-flex angle (AA) were measured. In addition, lower back pain and quality of life were assessed using self-reported questionnaires. Results Compared to asymptomatic controls, patients with VCF showed significantly greater TK (33.4o ± 16.4o vs 28.4o ± 11.4o; p o ± 10.5o vs 16.6o ± 8.9o; p o ± 11.8o vs 45.8o ± 12.0o; p p o ± 10.8o vs 14.8o ± 8.6o; p o ± 7.8o vs 6.0o ± 6.4o; p o ± 3.9o vs 4.8o ± 3.6o; p p p p Conclusion This is the first study to illustrate the abnormal lower limb alignment exhibited in patients with VCF. Patients with VCF showed an overall worse global sagittal alignment and decreased quality of life. Poorer global sagittal alignment of VCF patients also imply worse quality of life and more severe VCF. |
| Databáze: | OpenAIRE |
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