Radiographic Evaluation of Spinopelvic Sagittal Alignment Anatomy in Juvenile and Adolescent Idiopathic Scoliosis Patients

Makaleler > Tam Makale · 2026

Yazarlar: ÖZDEN BEDRE DUYGU, Figen GÖKMEN, Anıl Murat ÖZTÜRK, GÖKHAN GÖKMEN

TOMOGRAPHY, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Scopus, 2026, cilt 12, ss 1-18

DOI: 10.3390/tomography12040052

Özet

<p>Background&nbsp;and&nbsp;Objectives:&nbsp;The&nbsp;association&nbsp;between&nbsp;spinal&nbsp;and&nbsp;pelvic&nbsp;alignment&nbsp;significantly&nbsp;impacts&nbsp;sagittal&nbsp;balance&nbsp;in&nbsp;adults.&nbsp;This&nbsp;study,&nbsp;that&nbsp;is&nbsp;retrospective,&nbsp;aims&nbsp;to&nbsp;investigate&nbsp;sagittal&nbsp;alignment&nbsp;anatomy&nbsp;of&nbsp;the&nbsp;pelvis&nbsp;and&nbsp;spine&nbsp;in&nbsp;juvenile&nbsp;idiopathic&nbsp;scoliosis&nbsp;(JIS)&nbsp;and&nbsp;adolescent&nbsp;idiopathic&nbsp;scoliosis&nbsp;(AIS)&nbsp;patients.&nbsp;Materials&nbsp;and&nbsp;Methods:&nbsp;We&nbsp;evaluated&nbsp;nine&nbsp;sagittal&nbsp;parameters&nbsp;from&nbsp;lateral&nbsp;radiographs&nbsp;of&nbsp;100&nbsp;JIS&nbsp;and&nbsp;AIS&nbsp;patients,&nbsp;including&nbsp;thoracic&nbsp;kyphosis&nbsp;(TKA),&nbsp;lumbar&nbsp;lordosis&nbsp;(LLA),&nbsp;pelvic&nbsp;tilt&nbsp;(PTA),&nbsp;pelvic&nbsp;incidence&nbsp;(PIA),&nbsp;spinosacral&nbsp;(SSA),&nbsp;sacral&nbsp;slope&nbsp;(SSLA),&nbsp;C7&nbsp;tilt&nbsp;angles&nbsp;(C7-TA),&nbsp;sagittal&nbsp;vertical&nbsp;axis&nbsp;length&nbsp;(SVAL),&nbsp;and&nbsp;odontoid&nbsp;process&nbsp;hip&nbsp;axis&nbsp;angle&nbsp;(OPHAA)&nbsp;using&nbsp;the&nbsp;ImageJ&nbsp;program.&nbsp;Participants&nbsp;were&nbsp;classified&nbsp;based&nbsp;on&nbsp;their&nbsp;coronal&nbsp;curve&nbsp;group.&nbsp;Analysis&nbsp;of&nbsp;variance&nbsp;compared&nbsp;parameters&nbsp;between&nbsp;curve&nbsp;groups,&nbsp;and&nbsp;Pearson&nbsp;coefficients&nbsp;assessed&nbsp;the&nbsp;relationship&nbsp;between&nbsp;all&nbsp;parameters&nbsp;(p&nbsp;&lt;&nbsp;0.05).&nbsp;Results:&nbsp;Female&nbsp;participants&nbsp;had&nbsp;an&nbsp;average&nbsp;age&nbsp;of&nbsp;13.4,&nbsp;and&nbsp;male&nbsp;participants&nbsp;had&nbsp;an&nbsp;average&nbsp;age&nbsp;of&nbsp;13.0.&nbsp;Female&nbsp;participants&nbsp;had&nbsp;an&nbsp;average&nbsp;scoliosis&nbsp;degree&nbsp;of&nbsp;19.3,&nbsp;while&nbsp;male&nbsp;participants&nbsp;had&nbsp;15.2.&nbsp;PIA,&nbsp;PTA,&nbsp;SSLA,&nbsp;and&nbsp;SSA&nbsp;values&nbsp;were&nbsp;significantly&nbsp;higher&nbsp;in&nbsp;women&nbsp;participants&nbsp;than&nbsp;in&nbsp;men&nbsp;participants&nbsp;(p&nbsp;&lt;&nbsp;0.05).&nbsp;Additionally,&nbsp;PIA,&nbsp;PTA,&nbsp;SSLA,&nbsp;SSA,&nbsp;and&nbsp;OPHAA&nbsp;values&nbsp;were&nbsp;significantly&nbsp;lower&nbsp;in&nbsp;participants&nbsp;with&nbsp;a&nbsp;lower&nbsp;scoliosis&nbsp;degree&nbsp;(p&nbsp;&lt;&nbsp;0.05).&nbsp;We&nbsp;observed&nbsp;a&nbsp;moderately&nbsp;positive&nbsp;association&nbsp;between&nbsp;LLA&nbsp;and&nbsp;TKA,&nbsp;PIA,&nbsp;SSA,&nbsp;and&nbsp;C7-TA.&nbsp;There&nbsp;was&nbsp;also&nbsp;a&nbsp;moderate&nbsp;positive&nbsp;association&nbsp;between&nbsp;spinopelvic&nbsp;alignment&nbsp;parameters&nbsp;and&nbsp;the&nbsp;degree&nbsp;of&nbsp;scoliosis&nbsp;in&nbsp;participants.&nbsp;Conclusions:&nbsp;Easily&nbsp;measured&nbsp;values&nbsp;such&nbsp;as&nbsp;PIA,&nbsp;PTA,&nbsp;SSLA,&nbsp;SSA,&nbsp;and&nbsp;OPHAA&nbsp;may&nbsp;be&nbsp;related&nbsp;to&nbsp;severity&nbsp;of&nbsp;vertebral&nbsp;column&nbsp;deformities&nbsp;in&nbsp;patients,&nbsp;making&nbsp;them&nbsp;valuable&nbsp;for&nbsp;monitoring&nbsp;scoliosis&nbsp;patients.&nbsp;</p>

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