泰国人口脊柱矢状排列的特征:一项横断面研究。

IF 1.6 Q3 CLINICAL NEUROLOGY Spine deformity Pub Date : 2024-10-31 DOI:10.1007/s43390-024-00997-7
Tinnakorn Pluemvitayaporn, Wachirawit Penrat, Sombat Kunakornsawat, Suttinont Surapuchong, Warot Ratanakoosakul, Kitjapat Tiracharnvut, Chaiwat Piyasakulkaew, Piyabuth Kittithamvongs
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引用次数: 0

摘要

背景:脊柱畸形是与衰老过程相关的一个重要健康问题。其主要原因是脊柱关节增厚、韧带病变或椎管狭窄,导致脊髓和神经根受压,进而引起肌肉骨骼问题。在考虑对成人脊柱畸形进行矫正手术时,脊柱外科医生必须考虑到矢状脊柱对齐的标准值。值得注意的是,目前在泰国人群中缺乏这方面的具体数据。因此,我们的研究重点是评估泰国人群的对位情况:分析泰国无症状人群的矢状脊柱排列参数,并与其他人群进行比较:本研究设计为横断面分析,涉及 194 名参与者,利用放射影像对矢状脊柱参数进行评估。矢状纵轴(SVA)、骨盆内陷(PI)、腰椎前凸(LL)、骶骨斜度(SS)和骨盆倾斜(PT)的测量值是由两名骨科住院医师和一名脊柱外科医生评估后得出的平均值。此外,还通过问卷调查获得了参与者的人口统计学信息,并对年龄、性别和体重指数数据进行了进一步分析。研究还包括确定各种参数之间的相关性,并将这些参数与其他人群进行比较:结果:研究参与者的体重指数(BMI)与多个脊柱参数之间存在显著关联。该研究揭示了一批健康泰国人的脊柱骨盆参数,并观察到他们的体重指数(BMI)与骨盆内陷(PI)、腰椎前凸(LL)、骶骨斜度(SS)和骨盆倾斜(PT)之间存在相关性。值得注意的是,泰国成年人的平均骶骨斜度在统计学上低于印度、欧洲白种人、亚洲人和墨西哥人。这些见解对泰国脊柱畸形患者制定手术干预策略具有潜在的参考价值。
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Characteristics of sagittal spinopelvic alignment in Thai population: a cross-sectional study.

Background: The prevalence of spinal deformity is a significant health concern often associated with the aging process. It is primarily attributed to the thickening of spinal joints, ligament pathologies, or the narrowing of the spinal canal, leading to compression of the spinal cord and nerve roots, and subsequently causing musculoskeletal problems. When considering corrective surgery for adult spinal deformities, it is crucial for spine surgeons to take into account the standard values of sagittal spinopelvic alignment. Notably, there is currently a lack of specific data on this aspect within the Thai population. Therefore, our study was focused on evaluating the alignment in the Thai population.

Objectives: To analyze sagittal spinopelvic alignment parameters in the asymptomatic Thai population and compare them with other populations.

Materials and methods: This study was designed as a cross-sectional analysis involving 194 participants, wherein the sagittal spinopelvic parameters were evaluated utilizing radiographic images. The measurements of the sagittal vertical axis (SVA), pelvic incidence (PI), lumbar lordosis (LL), sacral slope (SS), and pelvic tilt (PT) were determined by averaging the assessments conducted by two orthopedic residents and a spine surgeon. In addition, participants' demographic information was obtained through questionnaires, and further analysis was performed on age, gender, and body mass index data. The study also encompassed the determination of correlations between various parameters and the comparison of these parameters with other populations.

Results: The body mass index (BMI) of the study participants demonstrated significant associations with several spinal parameters. Specifically, BMI showed significant correlations with sagittal vertical axis (SVA) (r = 0.2, p = 0.09), pelvic incidence (PI) (r = 0.4, p < 0.01), lumbar lordosis (LL) (r = 0.2, p = 0.02), sacral slope (SS) (r = -0.2, p = 0.02), and pelvic tilt (PT) (r = 0.2, p = 0.02). The SS exhibited a statistically significant decline with increasing age (p = 0.04). Furthermore, the mean SVA, PI, LL, SS, and PT differed significantly between the study participants and the Indian population. In addition, the SS was notably lower when compared to the European population.

Conclusion: The study revealed the spinopelvic parameters in a cohort of healthy Thai population and observed a correlation between their body mass index (BMI) and pelvic incidence (PI), lumbar lordosis (LL), sacral slope (SS), and pelvic tilt (PT). Notably, the average SS among Thai adults was found to be statistically lower than that of individuals from Indian, European Caucasian, Asian, and Mexican populations. These insights hold potential value as a reference when strategizing surgical interventions for Thai patients with spinal deformities.

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来源期刊
CiteScore
3.20
自引率
18.80%
发文量
167
期刊介绍: Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
期刊最新文献
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