Skip to main content
Erschienen in: European Spine Journal 2/2018

02.11.2016 | Original Article

Invariance of head-pelvis alignment and compensatory mechanisms for asymptomatic adults older than 49 years

verfasst von: Celia Amabile, Jean-Charles Le Huec, Wafa Skalli

Erschienen in: European Spine Journal | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim was to quantify the postural alignment of asymptomatic elderly, in comparison to a reference population, searching for possible invariants and compensatory mechanisms.

Methods

41 volunteers (49–76 years old) underwent bi-planar X-rays with 3D reconstructions of the spine and pelvis. Alignment parameters were compared with those of a reference group of asymptomatic subjects younger than 40 years old, with a particular focus on center of acoustic meati (CAM) and odontoid (OD) with regard to hip axis (HA). Possible markers of compensation were also investigated.

Results

No significant difference among groups appeared for CAM-HA and OD-HA parameters. Twenty four percent of elders had an abnormally high SVA value and twenty seven percent had an abnormal global spine inclination. Increased pelvic tilt and cervical lordosis allowed maintaining the head above the pelvis.

Conclusions

CAM-HA and OD-HA appeared quasi-invariant even in asymptomatic elderly. Some subjects exhibited alteration of spine alignment, compensated at the pelvis and cervical regions.
Literatur
1.
Zurück zum Zitat Vital J-M, Senegas J (1986) Anatomical bases of the study of the constraints to which the cervical spine is subject in the sagittal plane. A study of the center of gravity of the head. Surg Radiol Anat 8:169–173. doi:10.1007/BF02427845 CrossRefPubMed Vital J-M, Senegas J (1986) Anatomical bases of the study of the constraints to which the cervical spine is subject in the sagittal plane. A study of the center of gravity of the head. Surg Radiol Anat 8:169–173. doi:10.​1007/​BF02427845 CrossRefPubMed
2.
Zurück zum Zitat Dubousset J (1994) Three-dimensional analysis of the scoliotic deformity. In: Weinstein SL (ed) Pediatr. spine Princ. Pract., Wein-stei. Raven Press ltd, pp 479–496 Dubousset J (1994) Three-dimensional analysis of the scoliotic deformity. In: Weinstein SL (ed) Pediatr. spine Princ. Pract., Wein-stei. Raven Press ltd, pp 479–496
3.
Zurück zum Zitat Dubousset J, Charpak G, Skalli W et al (2010) EOS: a new imaging system with low dose radiation in standing position for spine and bone & joint disorders. J Musculoskelet Res 13:1–12CrossRef Dubousset J, Charpak G, Skalli W et al (2010) EOS: a new imaging system with low dose radiation in standing position for spine and bone & joint disorders. J Musculoskelet Res 13:1–12CrossRef
4.
Zurück zum Zitat Amabile C, Pillet H, Lafage V et al (2016) A new invariant parameter characterizing the postural alignment of young healthy adults. Eur Spine J. doi:10.1007/s00586-016-4552-y Amabile C, Pillet H, Lafage V et al (2016) A new invariant parameter characterizing the postural alignment of young healthy adults. Eur Spine J. doi:10.​1007/​s00586-016-4552-y
6.
Zurück zum Zitat Duval-Beaupère G, Schmidt C, Cosson P (1992) A Barycentremetric study of the sagittal shape of spine and pelvis: the conditions required for an economic standing position. Ann Biomed Eng 20:451–462CrossRefPubMed Duval-Beaupère G, Schmidt C, Cosson P (1992) A Barycentremetric study of the sagittal shape of spine and pelvis: the conditions required for an economic standing position. Ann Biomed Eng 20:451–462CrossRefPubMed
7.
Zurück zum Zitat El Fegoun AB, Schwab F, Gamez L et al (2005) Center of gravity and radiographic posture analysis: a preliminary review of adult volunteers and adult patients affected by scoliosis. Spine (Phila Pa 1976) 30:1535–1540CrossRef El Fegoun AB, Schwab F, Gamez L et al (2005) Center of gravity and radiographic posture analysis: a preliminary review of adult volunteers and adult patients affected by scoliosis. Spine (Phila Pa 1976) 30:1535–1540CrossRef
10.
Zurück zum Zitat Lafage V, Schwab F, Skalli W et al (2008) Standing balance and sagittal plane spinal deformity: analysis of spinopelvic and gravity line parameters. Spine (Phila Pa 1976) 33:1572–1578CrossRef Lafage V, Schwab F, Skalli W et al (2008) Standing balance and sagittal plane spinal deformity: analysis of spinopelvic and gravity line parameters. Spine (Phila Pa 1976) 33:1572–1578CrossRef
12.
Zurück zum Zitat Gangnet N, Pomero V, Dumas R et al (2003) Variability of the spine and pelvis location with respect to the gravity line: a three-dimensional stereoradiographic study using a force platform. Surg Radiol Anat 25:424–433. doi:10.1007/s00276-003-0154-6 CrossRefPubMed Gangnet N, Pomero V, Dumas R et al (2003) Variability of the spine and pelvis location with respect to the gravity line: a three-dimensional stereoradiographic study using a force platform. Surg Radiol Anat 25:424–433. doi:10.​1007/​s00276-003-0154-6 CrossRefPubMed
13.
Zurück zum Zitat Le Huec J-C, Demezon H, Aunoble S (2014) Sagittal parameters of global cervical balance using EOS imaging: normative values from a prospective cohort of asymptomatic volunteers. Eur Spine J 24:63–71. doi:10.1007/s00586-014-3632-0 CrossRefPubMed Le Huec J-C, Demezon H, Aunoble S (2014) Sagittal parameters of global cervical balance using EOS imaging: normative values from a prospective cohort of asymptomatic volunteers. Eur Spine J 24:63–71. doi:10.​1007/​s00586-014-3632-0 CrossRefPubMed
14.
Zurück zum Zitat Steffen J-S, Obeid I, Aurouer N et al (2010) 3D postural balance with regard to gravity line: an evaluation in the transversal plane on 93 patients and 23 asymptomatic volunteers. Eur Spine J 19:760–767. doi:10.1007/s00586-009-1249-5 CrossRefPubMed Steffen J-S, Obeid I, Aurouer N et al (2010) 3D postural balance with regard to gravity line: an evaluation in the transversal plane on 93 patients and 23 asymptomatic volunteers. Eur Spine J 19:760–767. doi:10.​1007/​s00586-009-1249-5 CrossRefPubMed
15.
Zurück zum Zitat Iyer S, Lenke LG, Nemani VM et al (2016) Variations in sagittal alignment parameters based on age: a prospective study of asymptomatic volunteers using full-body radiographs. Spine (Phila Pa 1976). doi:10.1097/BRS.0000000000001642 Iyer S, Lenke LG, Nemani VM et al (2016) Variations in sagittal alignment parameters based on age: a prospective study of asymptomatic volunteers using full-body radiographs. Spine (Phila Pa 1976). doi:10.​1097/​BRS.​0000000000001642​
16.
Zurück zum Zitat Fairbank JC, Couper J, Davies JB, O’Brien JP (1980) The Oswestry low back pain disability questionnaire. Physiotherapy 66:271–273PubMed Fairbank JC, Couper J, Davies JB, O’Brien JP (1980) The Oswestry low back pain disability questionnaire. Physiotherapy 66:271–273PubMed
17.
Zurück zum Zitat Million R, Hall R, Nilsen K, Baker R (1982) Assessment of the progress of the back-pain patient. Spine (Phila Pa 1976) 7:204–212CrossRef Million R, Hall R, Nilsen K, Baker R (1982) Assessment of the progress of the back-pain patient. Spine (Phila Pa 1976) 7:204–212CrossRef
19.
Zurück zum Zitat Chaibi Y, Cresson T, Aubert B et al (2012) Fast 3D reconstruction of the lower limb using a parametric model and statistical inferences and clinical measurements calculation from biplanar X-rays. Comput Methods Biomech Biomed Engin 15:457–466. doi:10.1080/10255842.2010.540758 CrossRefPubMed Chaibi Y, Cresson T, Aubert B et al (2012) Fast 3D reconstruction of the lower limb using a parametric model and statistical inferences and clinical measurements calculation from biplanar X-rays. Comput Methods Biomech Biomed Engin 15:457–466. doi:10.​1080/​10255842.​2010.​540758 CrossRefPubMed
20.
Zurück zum Zitat Mitton D, Deschênes S, Laporte S et al (2006) 3D reconstruction of the pelvis from biplanar radiography. Comput Methods Biomech Biomed Engin 9:1–5CrossRefPubMed Mitton D, Deschênes S, Laporte S et al (2006) 3D reconstruction of the pelvis from biplanar radiography. Comput Methods Biomech Biomed Engin 9:1–5CrossRefPubMed
21.
Zurück zum Zitat Humbert L, De Guise JA, Godbout B et al (2009) Fast 3D reconstruction of the spine from biplanar radiography: a diagnosis tool for routine scoliosis diagnosis and research in biomechanics. Comput Methods Biomech Biomed Engin 12:151–163. doi:10.1080/10255840903081222 CrossRef Humbert L, De Guise JA, Godbout B et al (2009) Fast 3D reconstruction of the spine from biplanar radiography: a diagnosis tool for routine scoliosis diagnosis and research in biomechanics. Comput Methods Biomech Biomed Engin 12:151–163. doi:10.​1080/​1025584090308122​2 CrossRef
23.
Zurück zum Zitat Lilliefors HW (1967) On the Kolmogorov–Smirnov test for normality with mean and variance. J Am Stat Assoc 62:399–402CrossRef Lilliefors HW (1967) On the Kolmogorov–Smirnov test for normality with mean and variance. J Am Stat Assoc 62:399–402CrossRef
24.
Zurück zum Zitat Roussouly P, Gollogly S, Berthonnaud E, Dimnet J (2005) Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976) 30:346–353CrossRef Roussouly P, Gollogly S, Berthonnaud E, Dimnet J (2005) Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976) 30:346–353CrossRef
26.
Zurück zum Zitat Diebo B, Ferrero E, Lafage R et al (2015) Recruitment of compensatory mechanisms in sagittal spinal malalignment is age and regional deformity dependent: a full-standing axis analysis of key radiographical parameters. Spine (Phila Pa 1976) 40:642–649. doi:10.1097/BRS.0000000000000844 CrossRef Diebo B, Ferrero E, Lafage R et al (2015) Recruitment of compensatory mechanisms in sagittal spinal malalignment is age and regional deformity dependent: a full-standing axis analysis of key radiographical parameters. Spine (Phila Pa 1976) 40:642–649. doi:10.​1097/​BRS.​0000000000000844​ CrossRef
Metadaten
Titel
Invariance of head-pelvis alignment and compensatory mechanisms for asymptomatic adults older than 49 years
verfasst von
Celia Amabile
Jean-Charles Le Huec
Wafa Skalli
Publikationsdatum
02.11.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe 2/2018
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-016-4830-8

Weitere Artikel der Ausgabe 2/2018

European Spine Journal 2/2018 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.