Low pelvic incidence is associated with Andersson lesions in ankylosing spondylitis patients with kyphosis
Introduction/objectives This study was to investigate the role of pelvic incidence (PI) in the development of Andersson lesions (ALs) in ankylosing spondylitis (AS) patients with kyphosis and to evaluate the difference in sagittal spinopelvic parameters between inflammatory ALs and mechanical ALs. M...
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| Veröffentlicht in: | Clinical rheumatology 2020-05, Vol.39 (5), p.1505-1512 |
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| creator | Song, Di-yu Zheng, Guo-quan Wang, Tian-hao Qi, Deng-bin Wang, Yan |
| description | Introduction/objectives
This study was to investigate the role of pelvic incidence (PI) in the development of Andersson lesions (ALs) in ankylosing spondylitis (AS) patients with kyphosis and to evaluate the difference in sagittal spinopelvic parameters between inflammatory ALs and mechanical ALs.
Method
A total of 135 AS patients with kyphosis were reviewed. The patients were classified into AL group and non-AL group based on the presence or absence of ALs. Additionally, AS patients with ALs were also classified as either inflammatory or mechanical lesions depending on the radiological features of the lesions. The sagittal spinopelvic parameters of all these AS patients were measured and compared. Logistic regression analysis was performed to determine the powerful variables for predicting ALs in AS patients.
Results
ALs were detected in 34 patients (25.2%) of the total 135 AS patients. The mean PI of the AL group was 40.0°, which was significantly lower than that (48.3°) of the non-AL group (
P
|
| doi_str_mv | 10.1007/s10067-019-04907-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2333607592</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2473502947</sourcerecordid><originalsourceid>FETCH-LOGICAL-c403t-4005bc1c53e72b23de1290fcdd9a2f9a9205be0ff281cb55d0255b1e895a82963</originalsourceid><addsrcrecordid>eNp9kUFv1DAQhS0EotvCH-CALHHhEhjb8TpzrCqgSCtxgbPl2E7rbdYOmSzV_nsMKSBx6GVGmvneG8uPsVcC3gkA855q3ZoGBDbQIphGP2Eb0aq2QWzxKduAMdAogd0ZOyfaA4DsUDxnZ0p0aFDjhu135Z5PcfyRPE_ZpxCzjzwRd0TFJ7fEwO_Tcssvc4hznWU-RkolU8W5y3ensVDKN5ymksNpTEvVTm5JMS-0Ku9O021l6AV7NriR4suHfsG-ffzw9eq62X359Pnqctf4FtTStAC698JrFY3spQpRSITBh4BODuhQ1n2EYZCd8L3WAaTWvYgdatdJ3KoL9nb1neby_RhpsYdEPo6jy7EcyUql1BaMRlnRN_-h-3Kcc32dla1RGiTW9hilcAvY1e-vlFwpPxeiOQ52mtPBzScrwP7Ky6552ZqX_Z2X1VX0-sH62B9i-Cv5E1AF1ApQXeWbOP-7_YjtT4tHoPo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2396098049</pqid></control><display><type>article</type><title>Low pelvic incidence is associated with Andersson lesions in ankylosing spondylitis patients with kyphosis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Song, Di-yu ; Zheng, Guo-quan ; Wang, Tian-hao ; Qi, Deng-bin ; Wang, Yan</creator><creatorcontrib>Song, Di-yu ; Zheng, Guo-quan ; Wang, Tian-hao ; Qi, Deng-bin ; Wang, Yan</creatorcontrib><description>Introduction/objectives
This study was to investigate the role of pelvic incidence (PI) in the development of Andersson lesions (ALs) in ankylosing spondylitis (AS) patients with kyphosis and to evaluate the difference in sagittal spinopelvic parameters between inflammatory ALs and mechanical ALs.
Method
A total of 135 AS patients with kyphosis were reviewed. The patients were classified into AL group and non-AL group based on the presence or absence of ALs. Additionally, AS patients with ALs were also classified as either inflammatory or mechanical lesions depending on the radiological features of the lesions. The sagittal spinopelvic parameters of all these AS patients were measured and compared. Logistic regression analysis was performed to determine the powerful variables for predicting ALs in AS patients.
Results
ALs were detected in 34 patients (25.2%) of the total 135 AS patients. The mean PI of the AL group was 40.0°, which was significantly lower than that (48.3°) of the non-AL group (
P
< 0.001). No statistically significant difference was observed in PI (
P
= 0.350) between the inflammatory lesion group and the mechanical lesion group. Logistic regression analysis showed that only PI was a statistically significant risk factor for ALs (
P
< 0.001) and was negatively correlated with ALs (odds ratio = 0.76).
Conclusions
These data suggest that low PI is closely associated with ALs in AS patients with kyphosis and that it might be a possible risk factor for the development of ALs. Moreover, both inflammatory and mechanical ALs patients had similarly low PI.
Key Points
•
Low PI was closely associated with ALs in AS patients with kyphosis and might be a possible risk factor for development of ALs
.
•
Either inflammatory or mechanical ALs patients had similar low PI
.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-019-04907-5</identifier><identifier>PMID: 31897959</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Ankylosing spondylitis ; China - epidemiology ; Female ; Humans ; Inflammation ; Kyphosis ; Kyphosis - diagnostic imaging ; Kyphosis - epidemiology ; Kyphosis - etiology ; Lesions ; Logistic Models ; Lumbar Vertebrae - diagnostic imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pelvic Bones - abnormalities ; Pelvic Bones - diagnostic imaging ; Radiography ; Regression analysis ; Retrospective Studies ; Rheumatology ; Risk factors ; Spondylitis, Ankylosing - complications ; Statistical analysis ; Thoracic Vertebrae - diagnostic imaging</subject><ispartof>Clinical rheumatology, 2020-05, Vol.39 (5), p.1505-1512</ispartof><rights>International League of Associations for Rheumatology (ILAR) 2020</rights><rights>International League of Associations for Rheumatology (ILAR) 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-4005bc1c53e72b23de1290fcdd9a2f9a9205be0ff281cb55d0255b1e895a82963</citedby><cites>FETCH-LOGICAL-c403t-4005bc1c53e72b23de1290fcdd9a2f9a9205be0ff281cb55d0255b1e895a82963</cites><orcidid>0000-0002-6732-8321 ; 0000-0002-6680-8198</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10067-019-04907-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10067-019-04907-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31897959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Song, Di-yu</creatorcontrib><creatorcontrib>Zheng, Guo-quan</creatorcontrib><creatorcontrib>Wang, Tian-hao</creatorcontrib><creatorcontrib>Qi, Deng-bin</creatorcontrib><creatorcontrib>Wang, Yan</creatorcontrib><title>Low pelvic incidence is associated with Andersson lesions in ankylosing spondylitis patients with kyphosis</title><title>Clinical rheumatology</title><addtitle>Clin Rheumatol</addtitle><addtitle>Clin Rheumatol</addtitle><description>Introduction/objectives
This study was to investigate the role of pelvic incidence (PI) in the development of Andersson lesions (ALs) in ankylosing spondylitis (AS) patients with kyphosis and to evaluate the difference in sagittal spinopelvic parameters between inflammatory ALs and mechanical ALs.
Method
A total of 135 AS patients with kyphosis were reviewed. The patients were classified into AL group and non-AL group based on the presence or absence of ALs. Additionally, AS patients with ALs were also classified as either inflammatory or mechanical lesions depending on the radiological features of the lesions. The sagittal spinopelvic parameters of all these AS patients were measured and compared. Logistic regression analysis was performed to determine the powerful variables for predicting ALs in AS patients.
Results
ALs were detected in 34 patients (25.2%) of the total 135 AS patients. The mean PI of the AL group was 40.0°, which was significantly lower than that (48.3°) of the non-AL group (
P
< 0.001). No statistically significant difference was observed in PI (
P
= 0.350) between the inflammatory lesion group and the mechanical lesion group. Logistic regression analysis showed that only PI was a statistically significant risk factor for ALs (
P
< 0.001) and was negatively correlated with ALs (odds ratio = 0.76).
Conclusions
These data suggest that low PI is closely associated with ALs in AS patients with kyphosis and that it might be a possible risk factor for the development of ALs. Moreover, both inflammatory and mechanical ALs patients had similarly low PI.
Key Points
•
Low PI was closely associated with ALs in AS patients with kyphosis and might be a possible risk factor for development of ALs
.
•
Either inflammatory or mechanical ALs patients had similar low PI
.</description><subject>Adult</subject><subject>Ankylosing spondylitis</subject><subject>China - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Kyphosis</subject><subject>Kyphosis - diagnostic imaging</subject><subject>Kyphosis - epidemiology</subject><subject>Kyphosis - etiology</subject><subject>Lesions</subject><subject>Logistic Models</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pelvic Bones - abnormalities</subject><subject>Pelvic Bones - diagnostic imaging</subject><subject>Radiography</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Rheumatology</subject><subject>Risk factors</subject><subject>Spondylitis, Ankylosing - complications</subject><subject>Statistical analysis</subject><subject>Thoracic Vertebrae - diagnostic imaging</subject><issn>0770-3198</issn><issn>1434-9949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUFv1DAQhS0EotvCH-CALHHhEhjb8TpzrCqgSCtxgbPl2E7rbdYOmSzV_nsMKSBx6GVGmvneG8uPsVcC3gkA855q3ZoGBDbQIphGP2Eb0aq2QWzxKduAMdAogd0ZOyfaA4DsUDxnZ0p0aFDjhu135Z5PcfyRPE_ZpxCzjzwRd0TFJ7fEwO_Tcssvc4hznWU-RkolU8W5y3ensVDKN5ymksNpTEvVTm5JMS-0Ku9O021l6AV7NriR4suHfsG-ffzw9eq62X359Pnqctf4FtTStAC698JrFY3spQpRSITBh4BODuhQ1n2EYZCd8L3WAaTWvYgdatdJ3KoL9nb1neby_RhpsYdEPo6jy7EcyUql1BaMRlnRN_-h-3Kcc32dla1RGiTW9hilcAvY1e-vlFwpPxeiOQ52mtPBzScrwP7Ky6552ZqX_Z2X1VX0-sH62B9i-Cv5E1AF1ApQXeWbOP-7_YjtT4tHoPo</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Song, Di-yu</creator><creator>Zheng, Guo-quan</creator><creator>Wang, Tian-hao</creator><creator>Qi, Deng-bin</creator><creator>Wang, Yan</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6732-8321</orcidid><orcidid>https://orcid.org/0000-0002-6680-8198</orcidid></search><sort><creationdate>20200501</creationdate><title>Low pelvic incidence is associated with Andersson lesions in ankylosing spondylitis patients with kyphosis</title><author>Song, Di-yu ; Zheng, Guo-quan ; Wang, Tian-hao ; Qi, Deng-bin ; Wang, Yan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-4005bc1c53e72b23de1290fcdd9a2f9a9205be0ff281cb55d0255b1e895a82963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Ankylosing spondylitis</topic><topic>China - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Kyphosis</topic><topic>Kyphosis - diagnostic imaging</topic><topic>Kyphosis - epidemiology</topic><topic>Kyphosis - etiology</topic><topic>Lesions</topic><topic>Logistic Models</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pelvic Bones - abnormalities</topic><topic>Pelvic Bones - diagnostic imaging</topic><topic>Radiography</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Rheumatology</topic><topic>Risk factors</topic><topic>Spondylitis, Ankylosing - complications</topic><topic>Statistical analysis</topic><topic>Thoracic Vertebrae - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Song, Di-yu</creatorcontrib><creatorcontrib>Zheng, Guo-quan</creatorcontrib><creatorcontrib>Wang, Tian-hao</creatorcontrib><creatorcontrib>Qi, Deng-bin</creatorcontrib><creatorcontrib>Wang, Yan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Song, Di-yu</au><au>Zheng, Guo-quan</au><au>Wang, Tian-hao</au><au>Qi, Deng-bin</au><au>Wang, Yan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low pelvic incidence is associated with Andersson lesions in ankylosing spondylitis patients with kyphosis</atitle><jtitle>Clinical rheumatology</jtitle><stitle>Clin Rheumatol</stitle><addtitle>Clin Rheumatol</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>39</volume><issue>5</issue><spage>1505</spage><epage>1512</epage><pages>1505-1512</pages><issn>0770-3198</issn><eissn>1434-9949</eissn><abstract>Introduction/objectives
This study was to investigate the role of pelvic incidence (PI) in the development of Andersson lesions (ALs) in ankylosing spondylitis (AS) patients with kyphosis and to evaluate the difference in sagittal spinopelvic parameters between inflammatory ALs and mechanical ALs.
Method
A total of 135 AS patients with kyphosis were reviewed. The patients were classified into AL group and non-AL group based on the presence or absence of ALs. Additionally, AS patients with ALs were also classified as either inflammatory or mechanical lesions depending on the radiological features of the lesions. The sagittal spinopelvic parameters of all these AS patients were measured and compared. Logistic regression analysis was performed to determine the powerful variables for predicting ALs in AS patients.
Results
ALs were detected in 34 patients (25.2%) of the total 135 AS patients. The mean PI of the AL group was 40.0°, which was significantly lower than that (48.3°) of the non-AL group (
P
< 0.001). No statistically significant difference was observed in PI (
P
= 0.350) between the inflammatory lesion group and the mechanical lesion group. Logistic regression analysis showed that only PI was a statistically significant risk factor for ALs (
P
< 0.001) and was negatively correlated with ALs (odds ratio = 0.76).
Conclusions
These data suggest that low PI is closely associated with ALs in AS patients with kyphosis and that it might be a possible risk factor for the development of ALs. Moreover, both inflammatory and mechanical ALs patients had similarly low PI.
Key Points
•
Low PI was closely associated with ALs in AS patients with kyphosis and might be a possible risk factor for development of ALs
.
•
Either inflammatory or mechanical ALs patients had similar low PI
.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31897959</pmid><doi>10.1007/s10067-019-04907-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6732-8321</orcidid><orcidid>https://orcid.org/0000-0002-6680-8198</orcidid></addata></record> |
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| ispartof | Clinical rheumatology, 2020-05, Vol.39 (5), p.1505-1512 |
| issn | 0770-3198 1434-9949 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Ankylosing spondylitis China - epidemiology Female Humans Inflammation Kyphosis Kyphosis - diagnostic imaging Kyphosis - epidemiology Kyphosis - etiology Lesions Logistic Models Lumbar Vertebrae - diagnostic imaging Male Medicine Medicine & Public Health Middle Aged Original Article Pelvic Bones - abnormalities Pelvic Bones - diagnostic imaging Radiography Regression analysis Retrospective Studies Rheumatology Risk factors Spondylitis, Ankylosing - complications Statistical analysis Thoracic Vertebrae - diagnostic imaging |
| title | Low pelvic incidence is associated with Andersson lesions in ankylosing spondylitis patients with kyphosis |
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