Is Pelvic Obliquity Related to Degenerative Scoliosis?
Objective The hypothesis of this study is that pelvic obliquity (PO) is associated with specific patterns of degenerative scoliosis. Methods This study was a retrospective case series of consecutive patients undergoing fusion for lumbar conditions (degenerative scoliosis or spondylolisthesis). The d...
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| Veröffentlicht in: | Orthopaedic surgery 2013-08, Vol.5 (3), p.171-176 |
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| creator | Radcliff, Kristen E Orozco, Fabio Molby, Nicholas Chen, Eric Sidhu, Gursukhman S Vaccaro, Alexander R Ong, Alvin |
| description | Objective
The hypothesis of this study is that pelvic obliquity (PO) is associated with specific patterns of degenerative scoliosis.
Methods
This study was a retrospective case series of consecutive patients undergoing fusion for lumbar conditions (degenerative scoliosis or spondylolisthesis). The discrepancy in the iliac crest height, coronal L1‐S1 endplate angles, distance from L1 coronal bisector to the sacral center, number of degenerative scoliosis curves, and individual curve angulations were measured.
Results
Limb length discrepancy was present in 87% of patients with a degenerative scoliosis. There were 116 patients with a single curve > 5° and PO > 2 cm. Of the patients with a single curve, the apex of scoliosis was opposite the high iliac crest side in 79% patients. There were 338 patients with a double curve. The apex of scoliosis was opposite the high iliac crest side in 48% of patients.
Conclusion
There were distinct patterns of limb length discrepancy corresponding to degenerative scoliotic curve morphology. In patients with single degenerative scoliotic curves, PO most commonly appeared to counteract the scoliotic curve and result in an overall decrease in trunk shift. This occurred because the high iliac crest was observed most commonly on the convex side of the scoliotic curve. This effect was not observed in double lumbar degenerative scoliotic curves. |
| doi_str_mv | 10.1111/os.12055 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_24P</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6583608</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3042058761</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4765-89694e4de688badbd8681d6a577e24adf9a2f7193f648338f572e33788aa99e23</originalsourceid><addsrcrecordid>eNp1kF1LwzAUhoMofoO_QAreeNPZNN83iqibgjhxiuJNyNrTmdk1Lumm-_d2bA698NzkQB6e8_IidICTFm7mxIUWThPG1tA2FkzEQnK8vtoZ2UI7IQyThCsixCbaSmmSpJKQbcRvQnQP5dRmUbdf2vHE1rPoAUpTQx7VLrqEAVTgTW2nEPUyV1oXbDjbQxuFKQPsL99d9NS-ery4jm-7nZuL89s4o4KzWCquKNAcuJR9k_dzySXOuWFCQEpNXiiTFgIrUnDaxJEFEykQIqQ0RilIyS46XXg_Jv0R5BlUtTel_vB2ZPxMO2P135_KvumBm2rOJOGJbARHS4F34wmEWg_dxFdNZo1pc5hSpebU8YLKvAvBQ7G6gBM9b1i7hp833KCHvxOtwJ9KGyBeAJ-2hNm_It3t_QiXvA01fK144981F0Qw_XzX0fS-_foiekwz8g1sspK9</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1419344998</pqid></control><display><type>article</type><title>Is Pelvic Obliquity Related to Degenerative Scoliosis?</title><source>Wiley Online Library Open Access</source><creator>Radcliff, Kristen E ; Orozco, Fabio ; Molby, Nicholas ; Chen, Eric ; Sidhu, Gursukhman S ; Vaccaro, Alexander R ; Ong, Alvin</creator><creatorcontrib>Radcliff, Kristen E ; Orozco, Fabio ; Molby, Nicholas ; Chen, Eric ; Sidhu, Gursukhman S ; Vaccaro, Alexander R ; Ong, Alvin</creatorcontrib><description>Objective
The hypothesis of this study is that pelvic obliquity (PO) is associated with specific patterns of degenerative scoliosis.
Methods
This study was a retrospective case series of consecutive patients undergoing fusion for lumbar conditions (degenerative scoliosis or spondylolisthesis). The discrepancy in the iliac crest height, coronal L1‐S1 endplate angles, distance from L1 coronal bisector to the sacral center, number of degenerative scoliosis curves, and individual curve angulations were measured.
Results
Limb length discrepancy was present in 87% of patients with a degenerative scoliosis. There were 116 patients with a single curve > 5° and PO > 2 cm. Of the patients with a single curve, the apex of scoliosis was opposite the high iliac crest side in 79% patients. There were 338 patients with a double curve. The apex of scoliosis was opposite the high iliac crest side in 48% of patients.
Conclusion
There were distinct patterns of limb length discrepancy corresponding to degenerative scoliotic curve morphology. In patients with single degenerative scoliotic curves, PO most commonly appeared to counteract the scoliotic curve and result in an overall decrease in trunk shift. This occurred because the high iliac crest was observed most commonly on the convex side of the scoliotic curve. This effect was not observed in double lumbar degenerative scoliotic curves.</description><identifier>ISSN: 1757-7853</identifier><identifier>EISSN: 1757-7861</identifier><identifier>DOI: 10.1111/os.12055</identifier><identifier>PMID: 24002833</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Clinical ; Female ; Hip spine syndrome ; Humans ; Ilium - pathology ; Leg Length Inequality - complications ; Leg Length Inequality - pathology ; Lumbar deformity ; Lumbar Vertebrae - pathology ; Lumbar Vertebrae - surgery ; Male ; Middle Aged ; Pelvic Bones - pathology ; Pelvic obliquity ; Retrospective Studies ; Scoliosis ; Scoliosis - etiology ; Scoliosis - pathology ; Scoliosis - surgery ; Spinal Fusion ; Spondylolisthesis - etiology ; Spondylolisthesis - pathology ; Spondylolisthesis - surgery</subject><ispartof>Orthopaedic surgery, 2013-08, Vol.5 (3), p.171-176</ispartof><rights>2013 Chinese Orthopaedic Association and Wiley Publishing Asia Pty Ltd</rights><rights>2013 Chinese Orthopaedic Association and Wiley Publishing Asia Pty Ltd.</rights><rights>Copyright © 2013 Chinese Orthopaedic Association and Wiley Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4765-89694e4de688badbd8681d6a577e24adf9a2f7193f648338f572e33788aa99e23</citedby><cites>FETCH-LOGICAL-c4765-89694e4de688badbd8681d6a577e24adf9a2f7193f648338f572e33788aa99e23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6583608/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6583608/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,11542,27903,27904,45553,45554,46030,46454,53769,53771</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fos.12055$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24002833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Radcliff, Kristen E</creatorcontrib><creatorcontrib>Orozco, Fabio</creatorcontrib><creatorcontrib>Molby, Nicholas</creatorcontrib><creatorcontrib>Chen, Eric</creatorcontrib><creatorcontrib>Sidhu, Gursukhman S</creatorcontrib><creatorcontrib>Vaccaro, Alexander R</creatorcontrib><creatorcontrib>Ong, Alvin</creatorcontrib><title>Is Pelvic Obliquity Related to Degenerative Scoliosis?</title><title>Orthopaedic surgery</title><addtitle>Orthopaedic Surgery</addtitle><description>Objective
The hypothesis of this study is that pelvic obliquity (PO) is associated with specific patterns of degenerative scoliosis.
Methods
This study was a retrospective case series of consecutive patients undergoing fusion for lumbar conditions (degenerative scoliosis or spondylolisthesis). The discrepancy in the iliac crest height, coronal L1‐S1 endplate angles, distance from L1 coronal bisector to the sacral center, number of degenerative scoliosis curves, and individual curve angulations were measured.
Results
Limb length discrepancy was present in 87% of patients with a degenerative scoliosis. There were 116 patients with a single curve > 5° and PO > 2 cm. Of the patients with a single curve, the apex of scoliosis was opposite the high iliac crest side in 79% patients. There were 338 patients with a double curve. The apex of scoliosis was opposite the high iliac crest side in 48% of patients.
Conclusion
There were distinct patterns of limb length discrepancy corresponding to degenerative scoliotic curve morphology. In patients with single degenerative scoliotic curves, PO most commonly appeared to counteract the scoliotic curve and result in an overall decrease in trunk shift. This occurred because the high iliac crest was observed most commonly on the convex side of the scoliotic curve. This effect was not observed in double lumbar degenerative scoliotic curves.</description><subject>Adult</subject><subject>Aged</subject><subject>Clinical</subject><subject>Female</subject><subject>Hip spine syndrome</subject><subject>Humans</subject><subject>Ilium - pathology</subject><subject>Leg Length Inequality - complications</subject><subject>Leg Length Inequality - pathology</subject><subject>Lumbar deformity</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pelvic Bones - pathology</subject><subject>Pelvic obliquity</subject><subject>Retrospective Studies</subject><subject>Scoliosis</subject><subject>Scoliosis - etiology</subject><subject>Scoliosis - pathology</subject><subject>Scoliosis - surgery</subject><subject>Spinal Fusion</subject><subject>Spondylolisthesis - etiology</subject><subject>Spondylolisthesis - pathology</subject><subject>Spondylolisthesis - surgery</subject><issn>1757-7853</issn><issn>1757-7861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kF1LwzAUhoMofoO_QAreeNPZNN83iqibgjhxiuJNyNrTmdk1Lumm-_d2bA698NzkQB6e8_IidICTFm7mxIUWThPG1tA2FkzEQnK8vtoZ2UI7IQyThCsixCbaSmmSpJKQbcRvQnQP5dRmUbdf2vHE1rPoAUpTQx7VLrqEAVTgTW2nEPUyV1oXbDjbQxuFKQPsL99d9NS-ery4jm-7nZuL89s4o4KzWCquKNAcuJR9k_dzySXOuWFCQEpNXiiTFgIrUnDaxJEFEykQIqQ0RilIyS46XXg_Jv0R5BlUtTel_vB2ZPxMO2P135_KvumBm2rOJOGJbARHS4F34wmEWg_dxFdNZo1pc5hSpebU8YLKvAvBQ7G6gBM9b1i7hp833KCHvxOtwJ9KGyBeAJ-2hNm_It3t_QiXvA01fK144981F0Qw_XzX0fS-_foiekwz8g1sspK9</recordid><startdate>201308</startdate><enddate>201308</enddate><creator>Radcliff, Kristen E</creator><creator>Orozco, Fabio</creator><creator>Molby, Nicholas</creator><creator>Chen, Eric</creator><creator>Sidhu, Gursukhman S</creator><creator>Vaccaro, Alexander R</creator><creator>Ong, Alvin</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>BSCLL</scope><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>K9.</scope><scope>5PM</scope></search><sort><creationdate>201308</creationdate><title>Is Pelvic Obliquity Related to Degenerative Scoliosis?</title><author>Radcliff, Kristen E ; Orozco, Fabio ; Molby, Nicholas ; Chen, Eric ; Sidhu, Gursukhman S ; Vaccaro, Alexander R ; Ong, Alvin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4765-89694e4de688badbd8681d6a577e24adf9a2f7193f648338f572e33788aa99e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Clinical</topic><topic>Female</topic><topic>Hip spine syndrome</topic><topic>Humans</topic><topic>Ilium - pathology</topic><topic>Leg Length Inequality - complications</topic><topic>Leg Length Inequality - pathology</topic><topic>Lumbar deformity</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pelvic Bones - pathology</topic><topic>Pelvic obliquity</topic><topic>Retrospective Studies</topic><topic>Scoliosis</topic><topic>Scoliosis - etiology</topic><topic>Scoliosis - pathology</topic><topic>Scoliosis - surgery</topic><topic>Spinal Fusion</topic><topic>Spondylolisthesis - etiology</topic><topic>Spondylolisthesis - pathology</topic><topic>Spondylolisthesis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Radcliff, Kristen E</creatorcontrib><creatorcontrib>Orozco, Fabio</creatorcontrib><creatorcontrib>Molby, Nicholas</creatorcontrib><creatorcontrib>Chen, Eric</creatorcontrib><creatorcontrib>Sidhu, Gursukhman S</creatorcontrib><creatorcontrib>Vaccaro, Alexander R</creatorcontrib><creatorcontrib>Ong, Alvin</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Radcliff, Kristen E</au><au>Orozco, Fabio</au><au>Molby, Nicholas</au><au>Chen, Eric</au><au>Sidhu, Gursukhman S</au><au>Vaccaro, Alexander R</au><au>Ong, Alvin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is Pelvic Obliquity Related to Degenerative Scoliosis?</atitle><jtitle>Orthopaedic surgery</jtitle><addtitle>Orthopaedic Surgery</addtitle><date>2013-08</date><risdate>2013</risdate><volume>5</volume><issue>3</issue><spage>171</spage><epage>176</epage><pages>171-176</pages><issn>1757-7853</issn><eissn>1757-7861</eissn><abstract>Objective
The hypothesis of this study is that pelvic obliquity (PO) is associated with specific patterns of degenerative scoliosis.
Methods
This study was a retrospective case series of consecutive patients undergoing fusion for lumbar conditions (degenerative scoliosis or spondylolisthesis). The discrepancy in the iliac crest height, coronal L1‐S1 endplate angles, distance from L1 coronal bisector to the sacral center, number of degenerative scoliosis curves, and individual curve angulations were measured.
Results
Limb length discrepancy was present in 87% of patients with a degenerative scoliosis. There were 116 patients with a single curve > 5° and PO > 2 cm. Of the patients with a single curve, the apex of scoliosis was opposite the high iliac crest side in 79% patients. There were 338 patients with a double curve. The apex of scoliosis was opposite the high iliac crest side in 48% of patients.
Conclusion
There were distinct patterns of limb length discrepancy corresponding to degenerative scoliotic curve morphology. In patients with single degenerative scoliotic curves, PO most commonly appeared to counteract the scoliotic curve and result in an overall decrease in trunk shift. This occurred because the high iliac crest was observed most commonly on the convex side of the scoliotic curve. This effect was not observed in double lumbar degenerative scoliotic curves.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>24002833</pmid><doi>10.1111/os.12055</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Orthopaedic surgery, 2013-08, Vol.5 (3), p.171-176 |
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| source | Wiley Online Library Open Access |
| subjects | Adult Aged Clinical Female Hip spine syndrome Humans Ilium - pathology Leg Length Inequality - complications Leg Length Inequality - pathology Lumbar deformity Lumbar Vertebrae - pathology Lumbar Vertebrae - surgery Male Middle Aged Pelvic Bones - pathology Pelvic obliquity Retrospective Studies Scoliosis Scoliosis - etiology Scoliosis - pathology Scoliosis - surgery Spinal Fusion Spondylolisthesis - etiology Spondylolisthesis - pathology Spondylolisthesis - surgery |
| title | Is Pelvic Obliquity Related to Degenerative Scoliosis? |
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