[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.3340/jkns.2013.53.2.96

Difference of Sagittal Spinopelvic Alignments between Degenerative Spondylolisthesis and Isthmic Spondylolisthesis

Lim, Jae Kwan (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine)
Kim, Sung Min (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine)

Publication Information

Journal of Korean Neurosurgical Society / v.53, no.2, 2013 , pp. 96-101 More about this Journal

Abstract

Objective : The purpose of this study was to analyze the differences of spinopelvic parameters between degenerative spondylolisthesis (DSPL) and isthmic spondylolisthesis (ISPL) patients. Methods : Thirty-four patients with DSPL and 19 patients with ISPL were included in this study. Spinopelvic parameters were evaluated on whole spine X-rays in a standing position. The following spinopelvic parameters were measured : pelvic incidence (PI), sacral slope, pelvic tilt (PT), lumbar lordosis (LL), and sagittal vertical axis from C7 plumb line (SVA). The population of patients was compared with a control population of 30 normal and asymptomatic adults. Results : There were statistically significant differences in LL (p=0.004) and SVA (p=0.005) between the DSPL and ISPL group. The LL of DSPL ( $42{\pm}13^{\circ}$ ) was significantly lower than that of the control group ( $48{\pm}11^{\circ}$ ; p=0.029), but that of ISPL ( $55{\pm}6^{\circ}$ ) was significantly greater than a control group (p=0.004). The SVA of DSPL ( $55{\pm}49$ mm) was greater than that of a control group (<40 mm), but that of ISPL ( $21{\pm}22$ mm) was within 40 mm as that of a control group. The PT of DSPL ( $24{\pm}7^{\circ}$ ) and ISPL ( $21{\pm}7^{\circ}$ ) was significantly greater than that of a control group ( $11{\pm}6^{\circ}$ ; p=0.000). Conclusion : Both symptomatic DSPL and ISPL patients had a greater PI than that of the asymptomatic control group. In conclusion, DSPL populations are likely to have global sagittal imbalance (high SVA) compared with ISPL populations because of the difference of lumbar lordosis between two groups.

Keywords

Spinopelvic alignment; Pelvic incidence; Lumbar lordosis; Degenerative spondylolisthesis; Isthmic spondylolisthesis;

Citations & Related Records

Times Cited By KSCI : 1 (Citation Analysis)

Reference
Cited By KSCI

1	Legaye J, Duval-Beaupère G, Hecquet J, Marty C : Pelvic incidence : a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 7 : 99-103, 1998 DOI
2	Mehta VA, Amin A, Omeis I, Gokaslan ZL, Gottfried ON : Implications of spinopelvic alignment for the spine surgeon. Neurosurgery 70 : 707-721, 2012 DOI
3	Meyerding H : Spondylolisthesis. Surg Gynecol Obstet 54 : 371-377, 1932
4	Roussouly P, Gollogly S, Berthonnaud E, Dimnet J : Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976) 30 : 346-353, 2005 DOI
5	Oh SK, Chung SS, Lee CS : Correlation of pelvic parameters with isthmic spondylolisthesis. Asian Spine J 3 : 21-26, 2009 DOI
6	Rajnics P, Templier A, Skalli W, Lavaste F, Illés T : The association of sagittal spinal and pelvic parameters in asymptomatic persons and patients with isthmic spondylolisthesis. J Spinal Disord Tech 15 : 24-30, 2002 DOI
7	Rajnics P, Templier A, Skalli W, Lavaste F, Illes T : The importance of spinopelvic parameters in patients with lumbar disc lesions. Int Orthop 26 : 104-108, 2002 DOI
8	Stagnara P, De Mauroy JC, Dran G, Gonon GP, Costanzo G, Dimnet J, et al. : Reciprocal angulation of vertebral bodies in a sagittal plane : approach to references for the evaluation of kyphosis and lordosis. Spine (Phila Pa 1976) 7 : 335-342, 1982 DOI
9	Vaz G, Roussouly P, Berthonnaud E, Dimnet J : Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J 11 : 80-87, 2002 DOI
10	Vedantam R, Lenke LG, Keeney JA, Bridwell KH : Comparison of standing sagittal spinal alignment in asymptomatic adolescents and adults. Spine (Phila Pa 1976) 23 : 211-215, 1998 DOI
11	Duval-Beaupère G, Schmidt C, Cosson P : A Barycentremetric study of the sagittal shape of spine and pelvis : the conditions required for an economic standing position. Ann Biomed Eng 20 : 451-462, 1992 DOI
12	Barrey C, Jund J, Noseda O, Roussouly P : Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases. Eur Spine J 16 : 1459-1467, 2007 DOI
13	Barrey C, Jund J, Perrin G, Roussouly P : Spinopelvic alignment of patients with degenerative spondylolisthesis. Neurosurgery 61 : 981-986; discussion 986, 2007 DOI
14	During J, Goudfrooij H, Keessen W, Beeker TW, Crowe A : Toward standards for posture. Postural characteristics of the lower back system in normal and pathologic conditions. Spine (Phila Pa 1976) 10 : 83-87, 1985 DOI
15	Gelb DE, Lenke LG, Bridwell KH, Blanke K, McEnery KW : An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine (Phila Pa 1976) 20 : 1351-1358, 1995
16	Korovessis P, Dimas A, Iliopoulos P, Lambiris E : Correlative analysis of lateral vertebral radiographic variables and medical outcomes study short-form health survey : a comparative study in asymptomatic volunteers versus patients with low back pain. J Spinal Disord Tech 15 : 384-390, 2002 DOI
17	Hanson DS, Bridwell KH, Rhee JM, Lenke LG : Correlation of pelvic incidence with low- and high-grade isthmic spondylolisthesis. Spine (Phila Pa 1976) 27 : 2026-2029, 2002 DOI
18	Jackson RP, Kanemura T, Kawakami N, Hales C : Lumbopelvic lordosis and pelvic balance on repeated standing lateral radiographs of adult volunteers and untreated patients with constant low back pain. Spine (Phila Pa 1976) 25 : 575-586, 2000 DOI
19	Jackson RP, McManus AC : Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex, and size. A prospective controlled clinical study. Spine (Phila Pa 1976) 19 : 1611-1618, 1994 DOI
20	Labelle H, Roussouly P, Berthonnaud E, Transfeldt E, O'Brien M, Chopin D, et al. : Spondylolisthesis, pelvic incidence, and spinopelvic balance : a correlation study. Spine (Phila Pa 1976) 29 : 2049-2054, 2004 DOI

6	(2013) Journal of Korean Neurosurgical Society Comparison of Sagittal Spinopelvic Alignment between Lumbar Degenerative Spondylolisthesis and Degenerative Spinal Stenosis / 55 (6) , 331
18	(2013) Spine Radiographic Spinopelvic Parameters in Skeletally Mature Patients With Scheuermann Disease / 39 (18) , E1080
21	(2014) Spine Influence of Pelvic Rotation on Pelvic Incidence, Pelvic Tilt, and Sacral Slope / 39 (21) , E1276
6	(2013) European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Comparison of radiographic sagittal spinopelvic alignment between skeletally immature and skeletally mature individuals with Scheuermann’s disease / 24 (6) , 1237
3	(2013) Journal of neurosurgery. Spine Progressive restoration of spinal sagittal balance after surgical correction of lumbosacral spondylolisthesis before skeletal maturity / 22 (3) , 294
3	(2013) Journal of Korean Neurosurgical Society Retrolisthesis as a Compensatory Mechanism in Degenerative Lumbar Spine / 57 (3) , 178
2	(2013) Korean journal of spine A Comparative Radiographic Analysis of Fusion Rate between L4-5 and L5-S1 in a Single Level Posterior Lumbar Interbody Fusion / 12 (2) , 60
6	(2013) Journal of neurosurgery. Spine The role of sacral slope in lumbosacral fusion: a biomechanical study / 23 (6) , 754
46	(2016) Medicine Characterization of radiographic features of consecutive lumbar spondylolisthesis / 95 (46) , e5323
50	(2013) Medicine Sagittal spinopelvic parameters in 2-level lumbar degenerative spondylolisthesis : A retrospective study / 95 (50) , e5417
3	(2016) Journal of Korean Neurosurgical Society Sagittal Pelvic Radius in Low-Grade Isthmic Lumbar Spondylolisthesis of Chinese Population / 59 (3) , 292
10	(2013) Chinese medical journal : CMJ Differences of Sagittal Lumbosacral Parameters between Patients with Lumbar Spondylolysis and Normal Adults / 129 (10) , 1166
2	(2013) Asian spine journal : Official Journal of Korean Society of Spine Surgery Prognostic Importance of Spinopelvic Parameters in the Assessment of Conservative Treatment in Patients with Spondylolisthesis / 12 (2) , 277
None	(2013) Scientific reports Difference of Sagittal Alignment between Adolescents with Symptomatic Lumbar Isthmic Spondylolisthesis and the General Population / 8 (None) , 10956
None	(2013) BMC musculoskeletal disorders Correlation between the sagittal spinopelvic alignment and degenerative lumbar spondylolisthesis: a retrospective study / 19 (None) , 151
1	(2013) British journal of neurosurgery Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis / 33 (1) , 84
None	(2019) World neurosurgery Characteristics of Spinopelvic Sagittal Alignment in Lumbar Degenerative Disease / 126 (None) , e417
None	(2019) World neurosurgery Characteristics of Spinopelvic Sagittal Alignment in Lumbar Degenerative Disease / 126 (None) , e417
8	(2013) European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society What is the difference in pedicle morphology of the fifth lumbar vertebra between isthmic and degenerative L5-S1 spondylolisthesis? An anatomic study of 328 patients via multi-slice spiral computed to / 30 (8) , 2301