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Spino-pelvic radiological parameters in normal Indian population
Roop Singh1, Sushil Kumar Yadav1, Sushma Sood2
1Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, Rohtak 124001, Haryana, India.
This study establishes normal spino-pelvic alignment values for the Indian population. Significant differences in parameters like pelvic incidence (PI) and lumbar lordosis angle (LLA) were observed between males and females.
Area of Science:
- Orthopedics
- Radiology
- Spinal Anatomy
Background:
- Sagittal spino-pelvic alignment is crucial for managing spinal disorders.
- Understanding physiological spino-pelvic parameters is essential for accurate interpretation.
- Variations in these parameters can impact spinal health and treatment outcomes.
Purpose of the Study:
- To determine physiological values of spino-pelvic radiographic parameters in a healthy Indian population.
- To analyze variations in these parameters based on epidemiological data (e.g., sex).
- To investigate the interrelationships among various spino-pelvic parameters.
Main Methods:
- A cross-sectional study involving 50 healthy volunteers (29 males, 21 females) with no history of back pain.
- Standing sagittal spino-pelvic radiographs were obtained for all participants.
- Radiographic parameters were measured using specialized software, followed by statistical analysis.
Main Results:
- Mean pelvic incidence (PI) was 48.52 ± 8.99 and lumbar lordosis angle (LLA) was 58.78 ± 9.51.
- Significant sex-based differences were found in LLA, lumbo-sacral angle (LSA), sacral horizontal angle (SHA), sacral inclination angle (SIA), sacropelvic angle (PRS1), pelvisacral angle (PSA), and PI, with females generally showing higher values.
- PI showed significant positive correlations with LLA, pelvic angle (PA), pelvic overhang (PO), pelvic tilt (PT), sacrofemoral distance (SFD), SHA, and sacropelvic translation (SPT). LLA correlated positively with SHA and SIA. Both PI and LLA negatively correlated with PSA, pelvic thickness (PTH), and PRS1.
Conclusions:
- This study provides normative spino-pelvic radiographic parameter values for the asymptomatic Indian population.
- Significant sex-based differences in several spino-pelvic parameters were identified.
- The obtained values are comparable to international literature, with no significant differences noted between Indian, Brazilian, and Korean populations for pelvic parameters.
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