Search

Objective: The aim of this study is to investigate the relationship between sagittal balance, spinopelvic parameters, bone mineral density, balance, and falls efficacy in postmenopausal osteoporosis patients. Materials and Methods: Forty patients between the ages of 40-80 with a diagnosis of postmenopausal osteoporosis were included in the study. Spinopelvic parameters (sagittal vertical axis (SVA), thoracic kyphosis, lumbar lordosis, pelvic tilt, pelvic incidence, sacral slope) were calculated from spine radiographs. Patients were applied Tinetti Balance and Gait Assessment and Falls Efficacy Scale. Relationship between bone mineral density measurements, clinical parameters, spinopelvic parameters, balance and gait, and falls efficacy were investigated. Results: Mean age of the patients was 63.42 +/- 8.98 and the mean L1-L4 T score was 2.5 +/- 0.68. Statistically significant negative correlation was found between the L1-L4 and L2-L4 vertebrae bone mineral density and T score, and sacral slope. Negative statistical correlations were found between SVA and Tinetti Balance and Gait Assessment balance subtest and total scores. There was no statistically significant relationship with other spinopelvic parameters. There was no significant correlation between SVA and spinopelvic parameters and Falls Efficacy Scale, while a statistically significant negative correlation detected between Falls Efficacy Scale and Tinetti Balance and Gait Assessment balance and gait subtests and total scores. Among the patients with normal, mild and severe deformity sagittal balance, there was statistically significant difference in terms of Tinetti Balance and Gait Assessment balance and gait subtests scores and total scores, while there was no difference with regards to Falls Efficacy Scale. Conclusion: In postmenopausal women with osteoporosis, SVA, sagittal balance parameters, and balance and gait functions were found to be associated.

Amaç: El ile ya da bilgisayar yardımlı yapılan pelvik insidans ölçümlerinin birbirine üstünlüğünün karşılaştırılması. Hastalar ve Metod: Ayakta tüm spinal kolon anteroposterior ve lateral radyografileri olan otuz 20-40 yaş arası yetişkin örneklem olarak seçildi. Sagital balans için sakral slop açısı, pelvik insidans ve pelvik tilt açıları ölçüldü. 2 spinal cerrah ve 1 ortopedi uzmanı tüm ölçümleri yaptı. Ölçümler hem el ile röntgen üzerinden, hem bilgisayar yardımlı yapıldı. İstatistik olarak grup içi korelasyon katsayısı (Intraclass correlation coefficent ) uygulandı. Bulgular: Cerrahların bilgisayar yardımı ile yaptığı ölçümlerde mükemmele yakın uyum bulunurken el ile yaptıkları ölçümlerde orta ya da güçlü derecede uyum bulundu. Sonuç: Özellikle sagittal balans gibi nispeten zor açıların hesaplanmasında bilgisayar yardımlı programların kullanılması ölçüm doğruluğunu arttırır. Objective: To show superiority of computer assisted measurement of pelvic incidence over measurement made by manually. Study Design: Standing anteroposterior and lateral radiograph of entire spinal colon of 30 patients aged between 20-40 years-old included in the study. Sacral slope, pelvic incidence and pelvic tilt were evaluated to measure sagittal balance. The measurements were done by both computer assisted and manually by two spinal surgeons and one orthopedic surgeon. Statistically, Intraclass correlation coefficent method is used. Results: Almost perfect agreement is found between surgeons by computer assisted measurements. It was found to be moderate to strong agreement by manual way. Conclusion: The use of computer assisted programs will improve accuracy of measurement especially in measurements which is difficult to calculate such as sagittal balance.

Eser, Olcay (Balikesir Author), Bu makalede omurgada sagittal dengenin önemi ve sagittal denge ile bağlantılı olan spinopelvik parametrelerden bahsedilmektedir. Omurgadaki sagittal denge ile ilişkili anlatılan parametreler; C7 şakül hattı, ağırlık çizgisi hattı, pelvik insidans, sakral eğim, pelvik eğim açılarıdır. Dejeneratif spondilolistezis, istmik spondilolistezis, lomber disk hernisi, pedikül substraksiyon osteotomi ve posterior lomber interbody füzyon (PLIF) klinik tabloları spinopelvik parametreler eşliğinde değerlendirilmiştir., This article explains the significance of sagittal balance of the spine and spinopelvic parameters associated with sagittal balance of the spine. Here in the parameters related spinal sagittal balance are C7 plumb line, gravity line, pelvic incidence, sacral slope, pelvic tilt angle. Degenerative spondylolisthesis, isthmic spondylolisthesis, lumbar disc herniation, pedicle subtraction osteotomy and posterior lumbar interbody fusion (PLIF) were evaluated as clinical manifestations, with spinopelvic parameters.