CORRELATION OF THE SAGITTAL BALANCE WITH POSTURAL ANALYSIS OF THE PELVIS AND LUMBAR SPINE.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243201e274089
Marília Simões Lopes Quintana, Angelica Castilho Alonso, Natália Mariana Silva Luna, Jessica Paulino da Silva, Matheus Henrique Dos Santos Lino, Guilherme Carlos Brech, Júlia Maria D'Andrea Greve
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Abstract

Objective: Evaluate and correlate the sagittal balance parameters with the postural of the pelvis and lumbar spine.

Methods: 80 individuals of both sexes, aged between 20 and 35 years, were evaluated. Biophotogrammetry was done with the SAPO software program. Measurements of the sagittal balance parameters were obtained by analyzing a lateral view panoramic radiography of the vertebral column, in which the anatomical points of reference were digitally marked. The calculation of the angles was done automatically by the Keops program.

Results: In Keops assessment, 17.5% of the sample had high pelvic incidence angles (> 60°), 31.5% had low pelvic incidence angles (< 45°), and 51.2% had medium pelvic incidence angles (between 46° and 59°). SAPO showed 12,5% lordosis, 40% retroversion, and 47,5% normal curvature. In the right lateral view, pelvic incidence angle had a moderate and positive correlation with vertical alignment of the trunk and with vertical alignment of the body, and a negative and moderate correlation with horizontal alignment of the pelvis.

Conclusion: Differences were found between vertical alignment measurements from the postural evaluation system (SAPO). A positive correlation was found between PI from Keops and pelvic anteversion from SAPO. Level of Evidence II; Prospective Study.

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矢状平衡与骨盆和腰椎姿势分析的相关性。
目的:评估矢状体平衡参数与骨盆和腰椎姿势的关系:评估矢状面平衡参数与骨盆和腰椎姿势之间的关系。使用 SAPO 软件程序进行生物摄影测量。矢状面平衡参数的测量是通过分析椎体的侧视全景X光片获得的,其中的解剖参考点是用数字标记的。角度的计算由 Keops 程序自动完成:在 Keops 评估中,17.5% 的样本骨盆入射角度较高(大于 60°),31.5% 的样本骨盆入射角度较低(小于 45°),51.2% 的样本骨盆入射角度中等(介于 46°和 59°之间)。SAPO显示12.5%的骨盆前凸,40%的骨盆后倾,47.5%的骨盆弯曲正常。在右侧视图中,骨盆入射角与躯干的垂直排列和身体的垂直排列呈中度正相关,与骨盆的水平排列呈中度负相关:结论:姿势评估系统(SAPO)的垂直排列测量结果之间存在差异。结论:体位评估系统(SAPO)的垂直排列测量值之间存在差异,Keops的垂直排列测量值与SAPO的骨盆前倾测量值之间存在正相关。证据等级 II;前瞻性研究。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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