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Comparative study of spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis
European Spine Journal, 05/31/2012
Funao H et al. – Greater pelvic incidence (PI) may lead to the development and the progression of vertebral slip. Different compensatory mechanisms may contribute to the maintenance of spinopelvic sagittal alignment in degenerative spondylolisthesis (DS) and non–DS patients.
Methods- A total of 100 patients with or without DS who underwent surgery for lumbar spinal canal stenosis were assessed in this study.
- Fifty patients with DS (DS group) and 50 age- and gender-matched patients without DS (non-DS group) were enrolled.
- Spinopelvic parameters including pelvic incidence (PI), sacral slope (SS), pelvic tilt (PT), L4 slope, L5 slope, thoracic kyphosis (TK), lumbar lordosis (LL) and sagittal balance were compared between the two groups.
- In the DS group, the percentage of vertebral slip (% slip) was also measured.
- Several spinopelvic parameters, PI, SS, L4 slope, L5 slope, TK and LL, in the DS group were significantly greater than those in the non-DS group, and PI had positive correlation with % slip (r = 0.35, p < 0.05).
- Degrees of correlations among spinopelvic parameters differed between the two groups.
- In the DS group, PI was more strongly correlated with SS (r = 0.82, p < 0.001) than with PT (r = 0.41, p < 0.01).
- In the non-DS group, PI was more strongly correlated with PT (r = 0.73, p < 0.001) than with SS (r = 0.38, p < 0.01).