52. Upper vs lower lumbar lordosis corrections in relation to pelvic tilt: An essential element in surgical planning for sagittal plane deformity

2021 ◽  
Vol 21 (9) ◽  
pp. S26
Author(s):  
Han Jo Kim ◽  
Jonathan Elysee ◽  
Justin S. Smith ◽  
Gregory M. Mundis ◽  
Christopher I. Shaffrey ◽  
...  
Keyword(s):  
Lumbar Lordosis ◽  
Surgical Planning ◽  
Pelvic Tilt ◽  
Sagittal Plane ◽  
Essential Element ◽  
Plane Deformity ◽  
Lower Lumbar

scholarly journals Postural analysis in female Bharatanatyam dancers: a cross-sectional study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Vrushali P. Panhale ◽  
Prachita P. Walankar ◽  
Aishwarya Sridhar
Keyword(s):  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Pelvic Tilt ◽  
Sagittal Plane ◽  
Cross Sectional Study ◽  
The Body ◽  
Cervical Lordosis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference

Abstract Background Gaining proficiency in Bharatanatyam dance form necessitates maintenance of different postures for prolonged duration. These repetitive movements place tremendous physical demands on the body at young age and may alter the postural profile of the dancer. The study aimed to evaluate the differences in terms of posture between female Bharatanatyam dancers and age-matched non-dancers. A cross-sectional study was conducted in 40 female Bharatanatyam dancers and 40 age-matched female non-dancers in the age group of 18 to 30 years. Analysis of erect standing posture of dancers and non-dancers was conducted in a reserved environment using a photogrammetric method. Static photographs of the subjects were taken in the sagittal plane. The measurement of the angles of the digitized photographs was performed using KINOVEA 0.8.15 software. Head protrusion angle, cervical lordosis angle, thoracic kyphosis angle, lumbar lordosis angle, and pelvic tilt angle were evaluated. Results There was no significant difference between the dancers and non-dancers with respect to head protrusion angle (p = 0.081), cervical lordosis (p = 0.15), and thoracic kyphosis (p = 0.33). Significant differences were identified between the dancers and non-dancers for lumbar lordosis (p = 0.00) and pelvic tilt (p = 0.00) using independent t test with dancers. Higher values of lumbar lordosis and pelvic tilt were observed in dancers. Conclusion Increased lumbar lordosis and anterior pelvic tilt were observed in Bharatanatyam dancers as compared to non-dancers. Hence, it is vital to establish preventive measures like postural re-education, muscular balance, and flexibility to prevent erroneous postural patterns capable of causing pain and injuries.

scholarly journals Characterization of lumbar angle, pelvic sagittal balance and flexibility in preschoolers

2020 ◽  
pp. 1-5
Author(s):  
Camila Mayumi Beresoski ◽  
Mariana Zingari Camargo ◽  
Cláudia Patrícia Cardoso M. Siqueira ◽  
Débora Beckner de Almeida Leitão Prado Vieira ◽  
Fabíola Unbehaun Cibinello ◽  
...  
Keyword(s):  
Public Schools ◽  
Sagittal Balance ◽  
Pelvic Tilt ◽  
Sagittal Plane ◽  
Lumbar Region ◽  
Test Results ◽  
Balance Test ◽  
Hamstring Muscles ◽  
Lower Lumbar

Introduction: The alignment between anterior superior and inferior posterior iliac spine is related to the lumbar curvature in the sagittal plane. Objective: To characterize the flexibility and angulations of the lumbar spine and the relation with the pelvic tilt in sagittal plane of preschool children. Methods: Participated in the study 138 children with ages ranging from five to six years and enrolled in eight public schools. The evaluation was performed by photogrammetry, pelvic sagittal balance test and limb stretching by fleximeter and Thomas test. Results: There was no difference in the lumbar angle with relation to gender, body mass and age. With regard to pelvic sagittal balance, the majority of preschoolers presented pelvic retroversion (56.6%). Children with pelvic anteversion (4.3%) presented a lower lumbar angle, indicating hyperlordosis. Children with pelvic sagittal balance presented better flexibility of the hamstring muscles than those with the pelvis in retroversion and anteversion. Conclusion: Flexibility was greatest in girls and in five-year-old children. The angle of the lumbar was 24.07°. The pelvis was retroversed in most children, differing from expected for the age group. The lowest angle of the lumbar region corresponded to a pelvis in anteroversion and balanced.

Sensitivity of Intersegmental Angles of the Spinal Column to Errors Due to Marker Misplacement

2015 ◽  
Vol 137 (7) ◽  
Author(s):  
Hossein Rouhani ◽  
Sara Mahallati ◽  
Richard Preuss ◽  
Kei Masani ◽  
Milos R. Popovic
Keyword(s):  
Relative Error ◽  
Sagittal Plane ◽  
Gaussian Function ◽  
Spinal Column ◽  
Transverse Plane ◽  
Lumbar Region ◽  
Experimental Errors ◽  
Rms Error ◽  
Lower Lumbar ◽  
Anterior Direction

The ranges of angular motion measured using multisegmented spinal column models are typically small, meaning that minor experimental errors can potentially affect the reliability of these measures. This study aimed to investigate the sensitivity of the 3D intersegmental angles, measured using a multisegmented spinal column model, to errors due to marker misplacement. Eleven healthy subjects performed trunk bending in five directions. Six cameras recorded the trajectory of 22 markers, representing seven spinal column segments. Misplacement error for each marker was modeled as a Gaussian function with a standard deviation of 6 mm, and constrained to a maximum value of 12 mm in each coordinate across the skin. The sensitivity of 3D intersegmental angles to these marker misplacement errors, added to the measured data, was evaluated. The errors in sagittal plane motions resulting from marker misplacement were small (RMS error less than 3.2 deg and relative error in the angular range less than 15%) during the five trunk bending direction. The errors in the frontal and transverse plane motions, induced by marker misplacement, however, were large (RMS error up to 10.2 deg and relative error in the range up to 58%), especially during trunk bending in anterior, anterior-left, and anterior-right directions, and were often comparable in size to the intersubject variability for those motions. The induced errors in the frontal and transverse plane motions tended to be the greatest at the intersegmental levels in the lower lumbar region. These observations questioned reliability of angle measures in the frontal and transverse planes particularly in the lower lumbar region during trunk bending in anterior direction, and thus did not recommend interpreting these measures for clinical evaluation and decision-making.

The utility of supine radiographs in the assessment of thoracic flexibility and risk of proximal junctional kyphosis

2021 ◽  
pp. 1-7
Author(s):  
Francis Lovecchio ◽  
Renaud Lafage ◽  
Jonathan Charles Elysee ◽  
Alex Huang ◽  
Bryan Ang ◽  
...  
Keyword(s):  
Thoracic Spine ◽  
Lumbar Lordosis ◽  
Pelvic Tilt ◽  
Pelvic Incidence ◽  
Vertical Axis ◽  
Control Analysis ◽  
Proximal Junctional Kyphosis ◽  
Sagittal Vertical Axis ◽  
Significant Difference ◽  
Junctional Kyphosis

OBJECTIVE Supine radiographs have successfully been used for preoperative planning of lumbar deformity corrections. However, they have not been used to assess thoracic flexibility, which has recently garnered attention as a potential contributor to proximal junctional kyphosis (PJK). The purpose of this study was to compare supine to standing radiographs to assess thoracic flexibility and to determine whether thoracic flexibility is associated with PJK. METHODS A retrospective study was conducted of a single-institution database of patients with adult spinal deformity (ASD). Sagittal alignment parameters were compared between standing and supine and between pre- and postoperative radiographs. Thoracic flexibility was determined as the change between preoperative standing thoracic kyphosis (TK) and preoperative supine TK, and these changes were measured over the overall thoracic spine and the fused portion of the thoracic spine (i.e., TK fused). A case-control analysis was performed to compare thoracic flexibility between patients with PJK and those without (no PJK). The cohort was also stratified into three groups based on thoracic flexibility: kyphotic change (increased TK), lordotic change (decreased TK), and no change. The PJK rate was compared between the cohorts. RESULTS A total of 101 patients (mean 63 years old, 82.2% female, mean BMI 27.4 kg/m2) were included. Preoperative Scoliosis Research Society–Schwab ASD classification showed moderate preoperative deformity (pelvic tilt 27.7% [score ++]; pelvic incidence–lumbar lordosis mismatch 44.6% [score ++]; sagittal vertical axis 42.6% [score ++]). Postoperatively, the average offset from age-adjusted alignment goals demonstrated slight overcorrection in the study sample (−8.5° ± 15.6° pelvic incidence–lumbar lordosis mismatch, −29.2 ± 53.1 mm sagittal vertical axis, −5.4 ± 10.8 pelvic tilt, and −7.6 ± 11.7 T1 pelvic angle). TK decreased between standing and supine radiographs and increased postoperatively (TK fused: −25.3° vs −19.6° vs −29.9°; all p < 0.001). The overall rate of radiographic PJK was 23.8%. Comparisons between PJK and no PJK demonstrated that offsets from age-adjusted alignment goals were similar (p > 0.05 for all). There was a significant difference in the PJK rate when stratified by thoracic flexibility cohorts (kyphotic: 0.0% vs no change: 18.4% vs lordotic: 35.0%; p = 0.049). Logistic regression revealed thoracic flexibility (p = 0.045) as the only independent correlate of PJK. CONCLUSIONS Half of patients with ASD experienced significant changes in TK during supine positioning, a quality that may influence surgical strategy. Increased thoracic flexibility is associated with PJK, possibly secondary to fusing the patient’s spine in a flattened position intraoperatively.

scholarly journals Sacro-pelvic Tilt as a Predictor for Optimal Lumbar Lordosis

2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1583119-s-0036-1583119
Author(s):  
khalid Mukhtar ◽  
Abdul Moeen Baco ◽  
Nasser Khan ◽  
Abduljabbar Alhammoud ◽  
Mahmoud Arbash
Keyword(s):  
Lumbar Lordosis ◽  
Pelvic Tilt

scholarly journals Adolescent idiopathic scoliosis: sagital plane and low density pedicle screws

2014 ◽  
Vol 13 (1) ◽  
pp. 13-15
Author(s):  
Rodrigo Augusto do Amaral ◽  
Robert Meves ◽  
Maria Fernanda Silber Caffaro ◽  
Ricardo Shigueaki Galhego Umeta ◽  
Luciano Antônio Nassar Pelegrino ◽  
...  
Keyword(s):  
Medical Records ◽  
Lumbar Lordosis ◽  
Thoracic Kyphosis ◽  
Sagittal Plane ◽  
Pedicle Screws ◽  
Low Density ◽  
Kyphosis Correction ◽  
Pearson Coefficient ◽  
Analysis Of Dispersion

OBJECTIVE: To examine the sagittal curves of patients treated with CD instrumentation using exclusively pedicle screws. METHODS: Image analysis of medical records of 27 patients (26 M and 1 F) with a minimum follow-up of 6 months, who underwent surgical treatment in our service between January 2005 and December 2010. The curves were evaluated on coronal and sagittal planes, taking into account the potential correction of the technique. RESULTS: In the coronal plan the following curves were evaluated: proximal thoracic (TPx), main thoracic (TPp), and thoracolumbar; lumbar (TL, L), and the average flexibility was 52%, 52%, and 92% and the capacity of correction was 51%, 72%, and 64%, respectively. In the sagittal plane there was a mean increase in thoracic kyphosis (CT) of 41% and an average reduction of lumbar lordosis (LL) of 17%. Correlation analysis between variables showed Pearson coefficient of correlation of 0.053 and analysis of dispersion of R2 = <0.001. CONCLUSION: The method has shown satisfactory results with maintenance of kyphosis correction in patients with normal and hyper kyphotic deformities.

scholarly journals Assessment of the lower lumbar lordosis in different positions using a modular table system in patients undergoing spine surgery

2021 ◽  
Vol 1 ◽  
pp. 100166
Author(s):  
Soufiane Ghailane ◽  
Rachid Saddiki ◽  
Jean-Etienne Castelain ◽  
Vincent Challier
Keyword(s):  
Spine Surgery ◽  
Lumbar Lordosis ◽  
Lower Lumbar

Static postural differences between male and female equestrian riders on a riding simulator

2021 ◽  
pp. 1-8
Author(s):  
T.L. Bye ◽  
R. Martin
Keyword(s):  
Kinematic Analysis ◽  
Pelvic Tilt ◽  
Sagittal Plane ◽  
Frontal Plane ◽  
Exercise Programme ◽  
Pelvic Obliquity ◽  
Force Distribution ◽  
Two Dimensional ◽  
Postural Asymmetry ◽  
Male And Female

This study aimed to compare static posture of male and female riders on a riding simulator. Ten female and five male riders underwent a 5 min standardised exercise programme on the simulator, they were then videoed for 10 s from each the left, right, and rear views whilst stationary on the simulator. Two-dimensional kinematic analysis of the videos showed that male riders had a more neutrally positioned pelvis in the sagittal plane (median left: 6.47°, right: 5.24°) with females demonstrating a posterior pelvic tilt (L: 14.04°, R: 13.55°). Females showed significantly greater pelvic obliquity (median female: 1.99°, male: 0.73°), trunk lean (F: 1.60°, M: 0.43°), and shoulder tilt (F: 1.79°, M: 0.57°) in the frontal plane, demonstrating an overall greater postural asymmetry. Previous studies of elite riders have shown a more anteriorly rotated pelvis to be more desirable. Symmetry of riding position is favourable as it allows movements to be performed with ease and ensures even force distribution through the saddle to the horse. Male riders may therefore have a biomechanical advantage over females when it comes to maintaining a desirable riding position. This research should now be extended to study riders on the horse in motion.

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