Normative data for parameters of sagittal spinal alignment in healthy subjects: an analysis of gender specific differences and changes with aging in 626 asymptomatic individuals.

Purpose: This study aims to establish normative data for parameters of spino-pelvic and spinal sagittal alignment, gender related differences and age-related changes in asymptomatic subjects.Methods: A total of 626 asymptomatic volunteers from Japanese population were enrolled in this study, includi...

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Publicado en:European Spine Journal Vol. 27; no. 2; pp. 426 - 433
Autores principales: Yukawa, Yasutsugu, Kato, Fumihiko, Suda, Kota, Yamagata, Masatsune, Ueta, Takayoshi, Yoshida, Munehito
Formato: research Journal Article
Publicado: Springer Nature Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: European Spine Journal
      issn: 09406719
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      dt: Feb2018
      vid: 27
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      pub: Springer Nature
      place: New York, New York
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        128034825
        10.1007/s00586-016-4807-7
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        atl: Normative data for parameters of sagittal spinal alignment in healthy subjects: an analysis of gender specific differences and changes with aging in 626 asymptomatic individuals.
      aug:
        au:
          Yukawa, Yasutsugu
          Kato, Fumihiko
          Suda, Kota
          Yamagata, Masatsune
          Ueta, Takayoshi
          Yoshida, Munehito
        affil: Department of Orthopedic Surgery, Wakayama Medical University, 811-1 Kimiidera, 641-8509, Wakayama, Japan
      sug:
        subj:
          Spine Anatomy and Histology
          Aging
          Reproduction
          Cervical Vertebrae Anatomy and Histology
          Thoracic Vertebrae
          Kyphosis
          Cervical Vertebrae
          Spine
          Middle Age
          Aged
          Kyphosis Pathology
          Young Adult
          Adult
          Sacrum Anatomy and Histology
          Lordosis
          Lordosis Pathology
          Pelvic Bones
          Male
          Human
          Pelvic Bones Anatomy and Histology
          Reference Values
          Research Subjects
          Female
          Sacrum
          Radiography
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Arthritis Impact Measurement Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: This study aims to establish normative data for parameters of spino-pelvic and spinal sagittal alignment, gender related differences and age-related changes in asymptomatic subjects.Methods: A total of 626 asymptomatic volunteers from Japanese population were enrolled in this study, including 50 subjects at least for each gender and each decade from 3rd to 8th. Full length, free-standing spine radiographs were obtained. Cervical lordosis (CL; C3-7), thoracic kyphosis (TK; T1-12), lumbar lordosis (LL; T12-S1), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS) and sagittal vertical axis (SVA) were measured.Results: The average values (degrees) are 4.1 ± 11.7 for CL, 36.0 ± 10.1 for TK, 49.7 ± 11.2 for LL, 53.7 ± 10.9 for PI, 14.5 ± 8.4 for PT, and 39.4 ± 8.0 for SS. Mean SVA is 3.1 ± 12.6 mm. Advancing age caused an increase in CL, PT and SVA, and a decrease in LL and SS. There was a significant gender difference in CL, TK, LL, PI, PT and SVA. From 7th decade to 8th decade, remarkable decrease of LL & TK and increase of PT were seen. A large increase of SVA was also seen between 60' and 70'.Conclusion: Standard values of spino-pelvic sagittal alignment were established in each gender and each decade from 20' to 70'. A remarkable change of spino-pelvic sagittal alignment was seen from 7th decade to 8th decade in asymptomatic subjects.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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