MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000400283 |
Resumo: | ABSTRACT Post-operative lumbar pain is related to alterations in the sagittal and spinopelvic parameters. A lumbar fusion that fails to maintain, or that worsens the physiological lordosis alters the sagittal balance. Objective: To analyze spinopelvic variation in different surgical positions. Methods: A prospective, analytical and comparative study of spinograms, lumbosacral radiographs in the surgical position over a 4-pole quadratus lumborum, and lumbosacral radiographs with quadratus lumborum and support in the knees. A sample of 129 patients, of both sexes, aged between 18 and 60 years, and presenting with lower back pain. Lumbar Lordosis (LL), Pelvic Tilt (PT), Pelvic Incidence (PI) and Sacral Slope (SS) were measured. Results: PI was the most stable parameter. With quadratus lumborum, a slight increase in PT, a decrease in SS and a significant reduction in LL were found. With quadratus lumborum and support in the knees, a decrease in PT and a slight increase in SS were found, while the LL value remained similar to that of the spinogram. Conclusion: The intraoperative position with hip flexion of between 40° and 45° over quadratus lumborum reduced LL to 10.52° in men and 16.21° in women, increased PT, and decreased SS. The intraoperative position with hip flexion of between 0° and 10° showed the same values as the reference spinogram. Level of Evidence II; Prospective comparative study. |
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MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIPPostural BalanceLordosisPatient PositioningABSTRACT Post-operative lumbar pain is related to alterations in the sagittal and spinopelvic parameters. A lumbar fusion that fails to maintain, or that worsens the physiological lordosis alters the sagittal balance. Objective: To analyze spinopelvic variation in different surgical positions. Methods: A prospective, analytical and comparative study of spinograms, lumbosacral radiographs in the surgical position over a 4-pole quadratus lumborum, and lumbosacral radiographs with quadratus lumborum and support in the knees. A sample of 129 patients, of both sexes, aged between 18 and 60 years, and presenting with lower back pain. Lumbar Lordosis (LL), Pelvic Tilt (PT), Pelvic Incidence (PI) and Sacral Slope (SS) were measured. Results: PI was the most stable parameter. With quadratus lumborum, a slight increase in PT, a decrease in SS and a significant reduction in LL were found. With quadratus lumborum and support in the knees, a decrease in PT and a slight increase in SS were found, while the LL value remained similar to that of the spinogram. Conclusion: The intraoperative position with hip flexion of between 40° and 45° over quadratus lumborum reduced LL to 10.52° in men and 16.21° in women, increased PT, and decreased SS. The intraoperative position with hip flexion of between 0° and 10° showed the same values as the reference spinogram. Level of Evidence II; Prospective comparative study.Sociedade Brasileira de Coluna2019-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000400283Coluna/Columna v.18 n.4 2019reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120191804222783info:eu-repo/semantics/openAccessDavid,OroscoNicolás,Ortiz PabloMauro,CristianiGerardo,AguirreCristian,RoblesJoint,Guimbardeng2019-11-12T00:00:00Zoai:scielo:S1808-18512019000400283Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2019-11-12T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP |
title |
MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP |
spellingShingle |
MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP David,Orosco Postural Balance Lordosis Patient Positioning |
title_short |
MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP |
title_full |
MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP |
title_fullStr |
MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP |
title_full_unstemmed |
MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP |
title_sort |
MODIFICATION OF THE SPINOPELVIC PARAMETERS WITH SURGICAL POSITIONING AND THE ROLE OF THE HIP |
author |
David,Orosco |
author_facet |
David,Orosco Nicolás,Ortiz Pablo Mauro,Cristiani Gerardo,Aguirre Cristian,Robles Joint,Guimbard |
author_role |
author |
author2 |
Nicolás,Ortiz Pablo Mauro,Cristiani Gerardo,Aguirre Cristian,Robles Joint,Guimbard |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
David,Orosco Nicolás,Ortiz Pablo Mauro,Cristiani Gerardo,Aguirre Cristian,Robles Joint,Guimbard |
dc.subject.por.fl_str_mv |
Postural Balance Lordosis Patient Positioning |
topic |
Postural Balance Lordosis Patient Positioning |
description |
ABSTRACT Post-operative lumbar pain is related to alterations in the sagittal and spinopelvic parameters. A lumbar fusion that fails to maintain, or that worsens the physiological lordosis alters the sagittal balance. Objective: To analyze spinopelvic variation in different surgical positions. Methods: A prospective, analytical and comparative study of spinograms, lumbosacral radiographs in the surgical position over a 4-pole quadratus lumborum, and lumbosacral radiographs with quadratus lumborum and support in the knees. A sample of 129 patients, of both sexes, aged between 18 and 60 years, and presenting with lower back pain. Lumbar Lordosis (LL), Pelvic Tilt (PT), Pelvic Incidence (PI) and Sacral Slope (SS) were measured. Results: PI was the most stable parameter. With quadratus lumborum, a slight increase in PT, a decrease in SS and a significant reduction in LL were found. With quadratus lumborum and support in the knees, a decrease in PT and a slight increase in SS were found, while the LL value remained similar to that of the spinogram. Conclusion: The intraoperative position with hip flexion of between 40° and 45° over quadratus lumborum reduced LL to 10.52° in men and 16.21° in women, increased PT, and decreased SS. The intraoperative position with hip flexion of between 0° and 10° showed the same values as the reference spinogram. Level of Evidence II; Prospective comparative study. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000400283 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000400283 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120191804222783 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.18 n.4 2019 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
_version_ |
1752126616059772928 |