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Relationship between sagittal radiographic parameters and disability in patients with spinal disease using 3D standing analysis.

Abstract：

PURPOSE:To clarify the relationship between whole body sagittal radiographic parameters and health related quality of life (HRQOL) in patients with spinal disease, and further analyse such relationship based on the pelvic incidence (PI) value. METHODS:100 patients (mean age: 64.4 years, M/F=50/50) with lumbar degenerative disease or spinal deformity were prospectively investigated. Following oswestry disability index (ODI) and scoliosis research society score 22 (SRS-22) questionnaire, whole body sagittal x-ray parameters were measured using a slot-scanning 3D x-ray imager (EOS). Correlations between such radiographic parameters and ODI/SRS-22 scores were analysed. Then, patients were divided into three groups based on the PI value (PI≤45°, 4560°) group showed a strong correlation (R>0.4) with both ODI and SRS-22 scores for PI-LL parameter. CONCLUSIONS:PI and FBI showed a significant correlation with both ODI and SRS-22 scores. PI-LL mismatch was strongly correlated with disability in high PI patients. Our study results may indicate that it is important to pay attention to the PI value in addition to the spinopelvic relationship. LEVEL OF EVIDENCE:II, prospective study.

journal_name

Orthop Traumatol Surg Res

journal_title

Orthopaedics & traumatology, surgery & research : OTSR

authors

Yoshihara H,Hasegawa K,Okamoto M,Hatsushikano S,Watanabe K

doi

10.1016/j.otsr.2018.07.009

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1017-1023

issue

7

issn

1877-0568

pii

S1877-0568(18)30222-6

journal_volume

104

pub_type

杂志文章

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