The influencing factors on the spinal sagittal alignment and global balance status of degenerative thoracolumbar kyphosis

To explore the effect of degenerative thoracolumbar kyphosis (DTLK) on the sagittal alignment of the spine, as well as the impact on spinal parameters and imbalance secondary to thoracolumbar kyphosis. A case-control study. A total of 128 DTLK patients who aged over 50 years [thoracolumbar kyphosis...

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Veröffentlicht in:Zhong hua yi xue za zhi 2024-04, Vol.104 (13), p.1036-1042
Hauptverfasser: Ge, R L, Liang, Y, Xu, S
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creator Ge, R L
Liang, Y
Xu, S
description To explore the effect of degenerative thoracolumbar kyphosis (DTLK) on the sagittal alignment of the spine, as well as the impact on spinal parameters and imbalance secondary to thoracolumbar kyphosis. A case-control study. A total of 128 DTLK patients who aged over 50 years [thoracolumbar kyphosis (TLK)>15°] treated in Peking University People's Hospital from January 2018 to December 2021 (DTLK group) were retrospectively included in this study. Other 73 contemporaneous patients with lumbar spinal stenosis or disc herniation without thoracolumbar kyphosis (TLK=0°±15°) were enrolled into the control group. The following parameters were obtained on spine X-ray: TLK, thoracic kyphosis (TK), lumbar lordosis (LL) and sagittal vertical axis (SVA). In addition, the osteoporosis (OP) was evaluated by dual-emission X-ray absorptiometry (DXA), and the L /S disc signal grading (Pfirrmann grading) was evaluated on MRI. Based on the age, the Lafage formula SVA=2× (age-55)+25 was used to distinguish balance/imbalance, and
doi_str_mv 10.3760/cma.j.cn112137-20231027-00913
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Case-Control Studies
Humans
Kyphosis
Lordosis
Lumbar Vertebrae
Middle Aged
Osteoporosis - complications
Retrospective Studies
title The influencing factors on the spinal sagittal alignment and global balance status of degenerative thoracolumbar kyphosis
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