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Thoracic and pelvic compensation during lumbar degeneration: a retrospective study of 625 asymptomatic adults

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机构: [1]Capital Med Univ, Natl Clin Res Ctr Geriatr Dis, Dept Orthoped & Elderly Spinal Surg, Xuanwu Hosp, 45 Changchun St, Beijing, Peoples R China
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关键词: Adult spinal deformity Degenerative lumbar spine Thoracic and pelvic compensation Spine sagittal balance

摘要:
Purpose To verify the parameters of thoracic and pelvic compensation and the criteria for initiating compensation during lumbar degeneration in different pelvic incidence (PI) populations. Methods A total of 625 asymptomatic adult volunteers were enrolled. Radiographic parameters, including the PI, C2-7 angle (C2-7), T1 slope, thoracic kyphosis (TK), lumbar lordosis (LL), pelvic tilt (PT), and sagittal vertical axis (SVA), were measured via standing lateral whole-spine radiographs. Those with a PI of 50 degrees or greater are classified into the high-PI group, and those with a PI of less than 50 degrees are classified into the low-PI group. Results A total of 332 patients were categorized into the low-PI group, and 293 patients were categorized into the high-PI group. In the low-PI group, PI-LL increases by 10 degrees, TK/PI decreases by 0.13, and PT/PI increases by 0.10. In the high-PI group, PI-LL increases by 10 degrees, TK/PI decreases by 0.12, and PT/PI increases by 0.09. ROC curve analysis revealed that TK/PI and PT/PI had good discriminative power for distinguishing loss of LL in the low-PI group (cutoff values = 0.714 and 0.318, respectively) and in the high-PI group (cutoff values = 0.599 and 0.370, respectively). Conclusions With the loss of LL, the PI-LL increases, the TK/PI decreases, and the PT/PI increases due to the occurrence of thoracic and pelvic compensation. The cutoff values of TK/PI and PT/PI can be used to determine whether compensation had occurred in patients with different PIs.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 2 区 骨科 3 区 临床神经病学
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 骨科 3 区 临床神经病学
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出版当年[2023]版:
Q1 ORTHOPEDICS Q2 CLINICAL NEUROLOGY
最新[2024]版:
Q2 CLINICAL NEUROLOGY Q2 ORTHOPEDICS

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第一作者机构: [1]Capital Med Univ, Natl Clin Res Ctr Geriatr Dis, Dept Orthoped & Elderly Spinal Surg, Xuanwu Hosp, 45 Changchun St, Beijing, Peoples R China
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