T12 Sagittal Tilt Predicts Thoracic Kyphosis

2016 ◽  
Vol 4 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Stephen J. Lewis ◽  
Taylor E. Dear ◽  
Michael G. Zywiel ◽  
Sam G. Keshen ◽  
Y. Raja Rampersaud ◽  
...  
Keyword(s):  
Thoracic Kyphosis ◽  
Sagittal Tilt

Surgical treatment of fractures of the distal radius – ORIF vs external fixation with ligamentotaxis

2020 ◽  
Vol 99 (8) ◽  
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Locking Plates ◽  
X Rays ◽  
Ao Classification ◽  
Radial Inclination ◽  
First Choice ◽  
Sagittal Tilt ◽  
Radial Length ◽  
The Mean

Introduction: The study compares the results of open reduction using volar locking plates with ligamentotaxis by external fixation in fractures of distal radius type 2R3C according to AO classification. Methods: A retrospective study evaluating the results of osteosynthesis in patients with distal radius fractures type 2R3C according to AO classification, operated until December 2018. The ORIF method with volar locking plates (LCP) was used in 54 patients, and closed reduction with ligamentotaxis using external fixation (EF) was used in 33 patients. The mean age of the patients was 46.7 years in the LCP group and 59.6 years in the EF group. All were evaluated for their X-ray and functional outcomes and according to the Green and O’Brien score at 6 and 12 months after surgery. Results: According to X-rays at 12 months in the LCP group, the mean sagittal tilt was 10.13°, the mean radial inclination was 23.89°, and the mean radial length was 11.84 mm. In the EF group, the mean sagittal tilt was 6.32°, the mean radial inclination was 24.78°, and the mean radial length was 9.89 mm. According to the Green and O’Brien score, we recorded a mean score of 84.44 points in the LCP group at 12 month; we achieved good and excellent results in 83.33% of the patients and no poor result was observed. In the EF group the final mean score was 77.27; good and excellent results were achieved in 45.46% of the patients and a poor result in one patient. Conclusion: Based on the results in our group of patients, the internal type osteosynthesis using LCP implants can be recommended as a first-choice technique in the treatment of 2R3C fractures according to AO classification.

scholarly journals Sagittal profile modifications in hybrid versus all screw technique in adolescent idiopathic scoliosis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Laura Scaramuzzo ◽  
Antonino Zagra ◽  
Giuseppe Barone ◽  
Stefano Muzzi ◽  
Leone Minoia ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Thoracic Kyphosis ◽  
Sagittal Alignment ◽  
Vertical Axis ◽  
Sagittal Profile ◽  
Sacral Slope ◽  
Sagittal Vertical Axis ◽  
Lenke Classification

AbstractAim of the study was to evaluate sagittal parameters modifications, with particular interest in thoracic kyphosis, in patients affected by adolescent idiopathic scoliosis (AIS) comparing hybrid and all-screws technique. From June 2010 to September 2018, 145 patients were enrolled. Evaluation included: Lenke classification, Risser scale, coronal Cobb angle, thoracic kyphosis (TK), lumbar lordosis (LL), sagittal vertical axis (SVA), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS). Patients were divided in two groups (1 all-screws and 2 hybrid); a further division, in both groups, was done considering preoperative TK values. Descriptive and inferential statistical analysis was conducted. 99 patients were in group 1, 46 in group 2 (mean follow-up 3.7 years). Patients with a normo-kyphotic profile developed a little variation in TK (Δ pre–post = 2.4° versus − 2.0° respectively). Hyper-kyphotic subgroups had a tendency of restoring a good sagittal alignment. Hypo-kyphotic subgroups, patients treated with all-screw implants developed a higher increase in TK mean Cobb angle (Δ pre–post = 10°) than the hybrid subgroup (Δ pre–post = 5.4°) (p = 0.01). All-screws group showed better results in restoring sagittal alignment in all subgroups compared to hybrid groups, especially in hypo-TK subgroup, with the important advantage to give better correction on coronal plane.

scholarly journals Specific sagittal alignment patterns are already present in mild adolescent idiopathic scoliosis

2021 ◽  
Author(s):  
Tom P. C. Schlösser ◽  
René M. Castelein ◽  
Pierre Grobost ◽  
Suken A. Shah ◽  
Kariman Abelin-Genevois
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Inflection Point ◽  
Thoracic Kyphosis ◽  
Sagittal Alignment ◽  
Three Dimensional ◽  
Sagittal Profile ◽  
Thoracolumbar Kyphosis ◽  
C7 Slope ◽  
Sagittal Malalignment

Abstract Purpose The complex three-dimensional spinal deformity in AIS consists of rotated, lordotic apical areas and neutral junctional zones that modify the spine’s sagittal profile. Recently, three specific patterns of thoracic sagittal ‘malalignment’ were described for severe AIS. The aim of this study is to define whether specific patterns of pathological sagittal alignment are already present in mild AIS. Methods Lateral spinal radiographs of 192 mild (10°–20°) and 253 severe (> 45°) AIS patients and 156 controls were derived from an international consortium. Kyphosis characteristics (T4–T12 thoracic kyphosis, T10–L2 angle, C7 slope, location of the apex of kyphosis and of the inflection point) and sagittal curve types according to Abelin-Genevois were systematically compared between the three cohorts. Results Even in mild thoracic AIS, already 49% of the curves presented sagittal malalignment, mostly thoracic hypokyphosis, whereas only 13% of the (thoraco) lumbar curves and 6% of the nonscoliosis adolescents were hypokyphotic. In severe AIS, 63% had a sagittal malalignment. Hypokyphosis + thoracolumbar kyphosis occurred more frequently in high-PI and primary lumbar curves, whereas cervicothoracic kyphosis occurred more in double thoracic curves. Conclusions Pathological sagittal patterns are often already present in curves 10°–20°, whereas those are rare in non-scoliotic adolescents. This suggests that sagittal ‘malalignment’ patterns are an integral part of the early pathogenesis of AIS.

scholarly journals Thoracic Kyphosis is Now Uncommon Amongst Children and Adolescents with Cystic Fibrosis

2014 ◽  
Vol 2 ◽  
Author(s):  
Nicki Barker ◽  
Ashok Raghavan ◽  
Pauline Buttling ◽  
Kostas Douros ◽  
Mark Lloyd Everard
Keyword(s):  
Cystic Fibrosis ◽  
Children And Adolescents ◽  
Thoracic Kyphosis

Osteoporosis: A "New Morbidity" for Dieting Female Adolescents?

PEDIATRICS ◽  
1990 ◽  
Vol 86 (3) ◽  
pp. 478-480
Author(s):  
Richard E. Kreipe ◽  
Gilbert B. Forbes
Keyword(s):  
Bone Mass ◽  
Thoracic Kyphosis ◽  
The United States ◽  
Female Adolescents ◽  
Vertebral Compression Fractures ◽  
Bone Bank ◽  
Physical Finding ◽  
Compression Fractures ◽  
Skeletal Mass ◽  
New Morbidity

Almost half of the adult skeletal mass is laid down during the adolescent years. The concept of the "bone bank" reminds us that "deposits" of calcium are normally made to the skeleton until about 35 years of age in females. Subsequently, there are continuous "withdrawals" of bone mineral and loss of skeletal mass, eventually resulting in osteopenia (significantly reduced bone mass) and osteoporosis (osteopenia associated with atraumatic fractures) in more than 20 million postmenopausal women, at an annual cost of $7 to 10 billion in the United States.1 Because there is no cure, prevention of the most common and conspicuous physical finding of adult osteoporosis, the so-called "dowager's hump" (marked thoracic kyphosis due to vertebral compression fractures), as well as the more serious complications, such as hip fractures, must focus on optimizing the peak bone mass and maintaining the skeletal mass.

scholarly journals Is the inclinometer a valid measure of thoracic kyphosis? A cross-sectional study

2018 ◽  
Vol 22 (4) ◽  
pp. 310-317 ◽  
Author(s):  
Donald J. Hunter ◽  
Darren A. Rivett ◽  
Sharmain McKiernan ◽  
Ishanka Weerasekara ◽  
Suzanne J. Snodgrass
Keyword(s):  
Thoracic Kyphosis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Valid Measure ◽  
Cross Sectional

scholarly journals Thoracic Kyphosis and Physical Function: The Framingham Study

2017 ◽  
Vol 65 (10) ◽  
pp. 2257-2264 ◽  
Author(s):  
Amanda L. Lorbergs ◽  
Joanne M. Murabito ◽  
Mohamed Jarraya ◽  
Ali Guermazi ◽  
Brett T. Allaire ◽  
...  
Keyword(s):  
Physical Function ◽  
Thoracic Kyphosis ◽  
Framingham Study

scholarly journals Comparison of sagittal spinal curvatures and pelvic tilt in highly trained athletes from different sport disciplines

Kinesiology ◽  
2017 ◽  
Vol 49 (1) ◽  
pp. 109-116 ◽  
Author(s):  
Pedro A. López-Miñarro ◽  
Jose M. Muyor
Keyword(s):  
Thoracic Kyphosis ◽  
Pelvic Tilt ◽  
Trunk Flexion ◽  
Young Athletes ◽  
Spinal Curvatures ◽  
Tennis Players ◽  
Sport Training ◽  
Anterior Pelvic Tilt

The aim of this study was to compare the thoracic and lumbar curvatures and pelvic tilt in relaxed standing and maximal trunk flexion among highly-trained young athletes from three different sports disciplines. Thirty-two male canoeists, 30 male kayakers and 24 male tennis players were recruited for the study. The Spinal Mouse® system was used to measure the thoracic and lumbar sagittal spinal curvatures and pelvic tilt in relaxed standing and maximal trunk flexion in sitting with flexed (McRae & Wright test) and extended knees (sit-and-reach test). Significant differences were found in maximal trunk flexion tests among athletes. Kayakers and canoeists showed increased anterior pelvic tilt compared to tennis players in the McRae & Wright (p<.01) and decreased posterior pelvic tilt in the sit-and-reach (p<.001) tests; however, canoeists had increased posterior pelvic tilt compared to kayakers in the sit-and-reach test (p<.01). Canoeists had increased thoracic kyphosis curvature compared to kayakers (p<.01) and tennis players (p<.001) in the sit-and-reach test. Spinal sagittal curvatures and pelvic tilt in relaxed standing did not show significant differences. In conclusion, specific sport training may be associated with adaptations in the sagittal spinal curvatures and pelvic tilt when maximal trunk flexion positions are performed.

Sign in / Sign up

Export Citation Format

Share Document