Examination of the changes in lower extremities related to progression of adult spinal deformity: a longitudinal study of over 22 years
Autor: | S. Abe, Keisuke Matsukura, Mutsuya Shimizu, Tetsuya Kobayashi, Hiroshi Ito, Hisashi Chiba, Issei Senoo |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Pelvic tilt
Adult musculoskeletal diseases Longitudinal study Sacrum Radiography Posture lcsh:Medicine Osteoarthritis Thoracic Vertebrae Article 03 medical and health sciences 0302 clinical medicine Medical research medicine Humans Kyphosis Longitudinal Studies lcsh:Science Aged Orthodontics 030222 orthopedics Multidisciplinary Lumbar Vertebrae business.industry lcsh:R Middle Aged medicine.disease Sagittal plane medicine.anatomical_structure Lower Extremity Coronal plane Spinal deformity Disease Progression Lordosis Female lcsh:Q Anatomy business Lumbar lordosis 030217 neurology & neurosurgery |
Zdroj: | Scientific Reports, Vol 10, Iss 1, Pp 1-9 (2020) Scientific Reports |
ISSN: | 2045-2322 |
DOI: | 10.1038/s41598-020-68573-3 |
Popis: | This longitudinal observational study investigated the relationship between changes in spinal sagittal alignment and changes in lower extremity coronal alignment. A total of 58 female volunteers who visited our institution at least twice during the 1992 to 1997 and 2015 to 2019 periods were investigated. We reviewed whole-spine radiographs and lower extremity radiographs and measured standard spinal sagittal parameters including pelvic incidence [PI], lumbar lordosis [LL], pelvic tilt [PT], sacral slope [SS] and sagittal vertical axis [SVA], and coronal lower extremity parameters including femorotibial angle (FTA), hip–knee–ankle angle (HKA), mechanical lateral distal femoral angle (mLDFA), mechanical medial proximal tibial angle (mMPTA) and mechanical lateral distal tibial angle (mLDTA). Lumbar spondylosis and knee osteoarthritis were assessed using the Kellgren–Lawrence (KL) grading system at baseline and at final follow-up. We investigated the correlation between changes in spinal sagittal alignment and lower extremity alignment and changes in lumbar spondylosis. The mean age [standard deviation (SD)] was 48.3 (6.3) years at first visit and 70.2 (6.3) years at final follow-up. There was a correlation between changes in PI-LL and FTA (R = 0.449, P |
Databáze: | OpenAIRE |
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