Sagittal plane assessment of spino-pelvic complex in a Central European population with adolescent idiopathic scoliosis

A case control study

Máté Burkus, Ádám Tibor Schlégl, Ian O'Sullivan, István Márkus, C. Vermes, Miklós Tunyogi-Csapó

Research output: Contribution to journalArticle

Abstract

Background: Scoliosis is a complex three-dimensional deformity. While the frontal profile is well understood, increasing attention has turned to balance in the sagittal plane. The present study evaluated changes in sagittal spino-pelvic parameters in a large Hungarian population with adolescent idiopathic scoliosis. Methods: EOS 2D/3D images of 458 scoliotic and 69 control cases were analyzed. After performing 3D reconstructions, the sagittal parameters were assessed as a whole and by curve type using independent sample t test and linear regression analysis. Results: Patients with scoliosis had significantly decreased thoracic kyphosis (p<0.001) with values T1-T12, 34.1±17.1o vs. 43.4±12.7o in control; T4-T12, 27.1±18.8o vs. 37.7±15.1o in control; and T5-T12, 24.9±15.8o vs. 32.9±15.0o in control. Changes in thoracic kyphosis correlated with magnitude of the Cobb angle (p<0.001). No significant change was found in lumbar lordosis and the pelvic parameters. After substratification according to the Lenke classification and individually evaluating subgroups, results were similar with a significant decrease in only the thoracic kyphosis. A strong correlation was seen between sacral slope, pelvic incidence, and lumbar lordosis, and between pelvic version and thoracic kyphosis in control and scoliotic groups, whereas pelvic incidence was also seen to be correlated with thoracic kyphosis in scoliosis patients. Conclusion: Adolescent idiopathic scoliosis patients showed a significant decrease in thoracic kyphosis, and the magnitude of the decrease was directly related to the Cobb angle. Changes in pelvic incidence were minimal but were also significantly correlated with thoracic changes. Changes were similar though not identical to those seen in other Caucasian studies and differed from those in other ethnicities. Scoliotic curves and their effect on pelvic balance must still be regarded as individual to each patient, necessitating individual assessment, although changes perhaps can be predicted by patient ethnicity.

Original languageEnglish
Article number10
JournalScoliosis and Spinal Disorders
Volume13
Issue number1
DOIs
Publication statusPublished - Jun 14 2018

Fingerprint

Scoliosis
Kyphosis
Case-Control Studies
Thorax
Population
Lordosis
Incidence
Linear Models
Regression Analysis
Control Groups

Keywords

  • Adolescent idiopathic scoliosis
  • EOS 2D/3D
  • Sagittal alignment
  • Spino-pelvic parameters

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Sagittal plane assessment of spino-pelvic complex in a Central European population with adolescent idiopathic scoliosis : A case control study. / Burkus, Máté; Schlégl, Ádám Tibor; O'Sullivan, Ian; Márkus, István; Vermes, C.; Tunyogi-Csapó, Miklós.

In: Scoliosis and Spinal Disorders, Vol. 13, No. 1, 10, 14.06.2018.

Research output: Contribution to journalArticle

Burkus, Máté ; Schlégl, Ádám Tibor ; O'Sullivan, Ian ; Márkus, István ; Vermes, C. ; Tunyogi-Csapó, Miklós. / Sagittal plane assessment of spino-pelvic complex in a Central European population with adolescent idiopathic scoliosis : A case control study. In: Scoliosis and Spinal Disorders. 2018 ; Vol. 13, No. 1.
@article{257e49fe122a441294e18971c689567c,
title = "Sagittal plane assessment of spino-pelvic complex in a Central European population with adolescent idiopathic scoliosis: A case control study",
abstract = "Background: Scoliosis is a complex three-dimensional deformity. While the frontal profile is well understood, increasing attention has turned to balance in the sagittal plane. The present study evaluated changes in sagittal spino-pelvic parameters in a large Hungarian population with adolescent idiopathic scoliosis. Methods: EOS 2D/3D images of 458 scoliotic and 69 control cases were analyzed. After performing 3D reconstructions, the sagittal parameters were assessed as a whole and by curve type using independent sample t test and linear regression analysis. Results: Patients with scoliosis had significantly decreased thoracic kyphosis (p<0.001) with values T1-T12, 34.1±17.1o vs. 43.4±12.7o in control; T4-T12, 27.1±18.8o vs. 37.7±15.1o in control; and T5-T12, 24.9±15.8o vs. 32.9±15.0o in control. Changes in thoracic kyphosis correlated with magnitude of the Cobb angle (p<0.001). No significant change was found in lumbar lordosis and the pelvic parameters. After substratification according to the Lenke classification and individually evaluating subgroups, results were similar with a significant decrease in only the thoracic kyphosis. A strong correlation was seen between sacral slope, pelvic incidence, and lumbar lordosis, and between pelvic version and thoracic kyphosis in control and scoliotic groups, whereas pelvic incidence was also seen to be correlated with thoracic kyphosis in scoliosis patients. Conclusion: Adolescent idiopathic scoliosis patients showed a significant decrease in thoracic kyphosis, and the magnitude of the decrease was directly related to the Cobb angle. Changes in pelvic incidence were minimal but were also significantly correlated with thoracic changes. Changes were similar though not identical to those seen in other Caucasian studies and differed from those in other ethnicities. Scoliotic curves and their effect on pelvic balance must still be regarded as individual to each patient, necessitating individual assessment, although changes perhaps can be predicted by patient ethnicity.",
keywords = "Adolescent idiopathic scoliosis, EOS 2D/3D, Sagittal alignment, Spino-pelvic parameters",
author = "M{\'a}t{\'e} Burkus and Schl{\'e}gl, {{\'A}d{\'a}m Tibor} and Ian O'Sullivan and Istv{\'a}n M{\'a}rkus and C. Vermes and Mikl{\'o}s Tunyogi-Csap{\'o}",
year = "2018",
month = "6",
day = "14",
doi = "10.1186/s13013-018-0156-0",
language = "English",
volume = "13",
journal = "Scoliosis and Spinal Disorders",
issn = "1748-7161",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Sagittal plane assessment of spino-pelvic complex in a Central European population with adolescent idiopathic scoliosis

T2 - A case control study

AU - Burkus, Máté

AU - Schlégl, Ádám Tibor

AU - O'Sullivan, Ian

AU - Márkus, István

AU - Vermes, C.

AU - Tunyogi-Csapó, Miklós

PY - 2018/6/14

Y1 - 2018/6/14

N2 - Background: Scoliosis is a complex three-dimensional deformity. While the frontal profile is well understood, increasing attention has turned to balance in the sagittal plane. The present study evaluated changes in sagittal spino-pelvic parameters in a large Hungarian population with adolescent idiopathic scoliosis. Methods: EOS 2D/3D images of 458 scoliotic and 69 control cases were analyzed. After performing 3D reconstructions, the sagittal parameters were assessed as a whole and by curve type using independent sample t test and linear regression analysis. Results: Patients with scoliosis had significantly decreased thoracic kyphosis (p<0.001) with values T1-T12, 34.1±17.1o vs. 43.4±12.7o in control; T4-T12, 27.1±18.8o vs. 37.7±15.1o in control; and T5-T12, 24.9±15.8o vs. 32.9±15.0o in control. Changes in thoracic kyphosis correlated with magnitude of the Cobb angle (p<0.001). No significant change was found in lumbar lordosis and the pelvic parameters. After substratification according to the Lenke classification and individually evaluating subgroups, results were similar with a significant decrease in only the thoracic kyphosis. A strong correlation was seen between sacral slope, pelvic incidence, and lumbar lordosis, and between pelvic version and thoracic kyphosis in control and scoliotic groups, whereas pelvic incidence was also seen to be correlated with thoracic kyphosis in scoliosis patients. Conclusion: Adolescent idiopathic scoliosis patients showed a significant decrease in thoracic kyphosis, and the magnitude of the decrease was directly related to the Cobb angle. Changes in pelvic incidence were minimal but were also significantly correlated with thoracic changes. Changes were similar though not identical to those seen in other Caucasian studies and differed from those in other ethnicities. Scoliotic curves and their effect on pelvic balance must still be regarded as individual to each patient, necessitating individual assessment, although changes perhaps can be predicted by patient ethnicity.

AB - Background: Scoliosis is a complex three-dimensional deformity. While the frontal profile is well understood, increasing attention has turned to balance in the sagittal plane. The present study evaluated changes in sagittal spino-pelvic parameters in a large Hungarian population with adolescent idiopathic scoliosis. Methods: EOS 2D/3D images of 458 scoliotic and 69 control cases were analyzed. After performing 3D reconstructions, the sagittal parameters were assessed as a whole and by curve type using independent sample t test and linear regression analysis. Results: Patients with scoliosis had significantly decreased thoracic kyphosis (p<0.001) with values T1-T12, 34.1±17.1o vs. 43.4±12.7o in control; T4-T12, 27.1±18.8o vs. 37.7±15.1o in control; and T5-T12, 24.9±15.8o vs. 32.9±15.0o in control. Changes in thoracic kyphosis correlated with magnitude of the Cobb angle (p<0.001). No significant change was found in lumbar lordosis and the pelvic parameters. After substratification according to the Lenke classification and individually evaluating subgroups, results were similar with a significant decrease in only the thoracic kyphosis. A strong correlation was seen between sacral slope, pelvic incidence, and lumbar lordosis, and between pelvic version and thoracic kyphosis in control and scoliotic groups, whereas pelvic incidence was also seen to be correlated with thoracic kyphosis in scoliosis patients. Conclusion: Adolescent idiopathic scoliosis patients showed a significant decrease in thoracic kyphosis, and the magnitude of the decrease was directly related to the Cobb angle. Changes in pelvic incidence were minimal but were also significantly correlated with thoracic changes. Changes were similar though not identical to those seen in other Caucasian studies and differed from those in other ethnicities. Scoliotic curves and their effect on pelvic balance must still be regarded as individual to each patient, necessitating individual assessment, although changes perhaps can be predicted by patient ethnicity.

KW - Adolescent idiopathic scoliosis

KW - EOS 2D/3D

KW - Sagittal alignment

KW - Spino-pelvic parameters

UR - http://www.scopus.com/inward/record.url?scp=85048522081&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048522081&partnerID=8YFLogxK

U2 - 10.1186/s13013-018-0156-0

DO - 10.1186/s13013-018-0156-0

M3 - Article

VL - 13

JO - Scoliosis and Spinal Disorders

JF - Scoliosis and Spinal Disorders

SN - 1748-7161

IS - 1

M1 - 10

ER -