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European Spine Journal
Erschienen in: European Spine Journal 4/2017

01.04.2017 | Original Article

Sagittal balance is correlated with Parkinson’s Disease clinical parameters: an overview of spinopelvic alignment on 175 consecutive cases

verfasst von: Luciano Bissolotti, Pedro Berjano, Paola Zuccher, Andrea Zenorini, Riccardo Buraschi, Jorge Hugo Villafañe, Stefano Negrini

Erschienen in: European Spine Journal | Sonderheft 4/2017

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Abstract

Purpose

The aim of this study was to describe the disease-related sagittal balance changes in relation to the sacro-pelvic morphology of Parkinson’s Disease patients with different duration of disease.

Methods

One hundred and seventy-five consecutive Parkinson’s Disease (PD) patients (102 males, 73 females; age: 55–83 years) participated in the cross-sectional study. The clinical assessment included: Hoehn Yahr (H&Y) score; Tinetti score; plumb line (PL) distance from the spinous process of C7, L3 and S1 and kyphosis apex. Lumbar lordosis (LL), thoracic kyphosis (TK), spinosacral (SSA) and spinopelvic (SPA) angles, spinal tilt, pelvic incidence (PI), sacral slope (SS) and pelvic tilt (PT) were radiographically assessed.

Results

Spinosacral and spinopelvic were correlated with the duration of disease and Tinetti score, but not with age. We found a positive correlation between LL and both SSA and SPA. TK was significantly correlated with LL but not with pelvic parameters, while PI with SS and LL.

Conclusions

Female gender, high PI and high LL together with a low PL-C7 distance can be considered as protective factors for spinal imbalance and fall risk; negative factors are represented by male gender, longer disease duration, higher H&Y Class, and low PL-L3 distance. Looking at the pelvis is revealing new important insights in spinal disease management, both surgical and rehabilitative.
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Metadaten
Titel
Sagittal balance is correlated with Parkinson’s Disease clinical parameters: an overview of spinopelvic alignment on 175 consecutive cases
verfasst von
Luciano Bissolotti
Pedro Berjano
Paola Zuccher
Andrea Zenorini
Riccardo Buraschi
Jorge Hugo Villafañe
Stefano Negrini
Publikationsdatum
01.04.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe Sonderheft 4/2017
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-017-5052-4

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