Skip to main content
Erschienen in: European Spine Journal 5/2011

01.09.2011 | Review Article

Standardized way for imaging of the sagittal spinal balance

verfasst von: Gérard Morvan, Philippe Mathieu, Valérie Vuillemin, Henri Guerini, Philippe Bossard, Frédéric Zeitoun, Marc Wybier

Erschienen in: European Spine Journal | Sonderheft 5/2011

Einloggen, um Zugang zu erhalten

Abstract

Nowadays, conventional or digitalized teleradiography remains the most commonly used tool for the study of the sagittal balance, sometimes with secondary digitalization. The irradiation given by this technique is important and the photographic results are often poor. Some radiographic tables allow the realization of digitalized spinal radiographs by simultaneous translation of X-ray tube and receptor. EOS system is a new, very low dose system which gives good quality images, permits a simultaneous acquisition of upright frontal and sagittal views, is able to cover in the same time the spine and the lower limbs and study the axial plane on 3D envelope reconstructions. In the future, this low dose system should take a great place in the study of the pelvispinal balance. On the lateral view, several pelvic (incidence, pelvic tilt, sacral slope) and spinal (lumbar lordosis, thoracic kyphosis, Th9 sagittal offset, C7 plumb line) parameters are drawn to define the pelvispinal balance. All are interdependent. Pelvic incidence is an individual anatomic characteristic that corresponds to the “thickness” of the pelvis and governs the spinal balance. Pelvis and spine, in a harmonious whole, can be compared to an accordion, more or less compressed or stretched.
Literatur
1.
Zurück zum Zitat Legaye J, Saunier P, Dumas R, Vallee C (2009) Correction for patients sway in radiographic biplanar imaging for three-dimensional reconstruction of the spine: in vitro study of a new method. Acta Radiol 50(7):781–790PubMedCrossRef Legaye J, Saunier P, Dumas R, Vallee C (2009) Correction for patients sway in radiographic biplanar imaging for three-dimensional reconstruction of the spine: in vitro study of a new method. Acta Radiol 50(7):781–790PubMedCrossRef
2.
Zurück zum Zitat Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P (2005) Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Joint Surg Am 87-A:260–267CrossRef Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P (2005) Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Joint Surg Am 87-A:260–267CrossRef
3.
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 30:346–353PubMedCrossRef 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 30:346–353PubMedCrossRef
4.
Zurück zum Zitat Rajnics P, Pomero V, Templier A, Lavaste F, Illes T (2001) Computer-assisted assessment of spinal sagittal plane radiographs. J Spinal Disord 14:135–142PubMedCrossRef Rajnics P, Pomero V, Templier A, Lavaste F, Illes T (2001) Computer-assisted assessment of spinal sagittal plane radiographs. J Spinal Disord 14:135–142PubMedCrossRef
5.
Zurück zum Zitat Dubousset J, Charpak G, Dorion I et al (2005) A new 2D and 3D imaging approach to musculoskeletal physiology and pathology with low-dose radiation and the standing position: the EOS system. Bull Acad Natl Med 189(2):287–297PubMed Dubousset J, Charpak G, Dorion I et al (2005) A new 2D and 3D imaging approach to musculoskeletal physiology and pathology with low-dose radiation and the standing position: the EOS system. Bull Acad Natl Med 189(2):287–297PubMed
6.
Zurück zum Zitat Dubousset J, Charpak G, Skalli W, Kalifa G, Lazennec JY (2007) EOS stereo-radiography system: whole-body simultaneous anteroposterior and lateral radiographs with very low radiation dose. Rev Chir Orthop Reparatrice Appar Mot 93:141–143PubMed Dubousset J, Charpak G, Skalli W, Kalifa G, Lazennec JY (2007) EOS stereo-radiography system: whole-body simultaneous anteroposterior and lateral radiographs with very low radiation dose. Rev Chir Orthop Reparatrice Appar Mot 93:141–143PubMed
7.
Zurück zum Zitat Deschênes S, Charron G, Beaudoin G, Labelle H, Dubois J, Miron MC, Parent S (2010) Diagnostic imaging of spinal deformities: reducing patients radiation dose with a new slot-scanning X-ray imager. Spine 35(9):989–994PubMedCrossRef Deschênes S, Charron G, Beaudoin G, Labelle H, Dubois J, Miron MC, Parent S (2010) Diagnostic imaging of spinal deformities: reducing patients radiation dose with a new slot-scanning X-ray imager. Spine 35(9):989–994PubMedCrossRef
8.
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(4):451–462PubMedCrossRef 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(4):451–462PubMedCrossRef
9.
Zurück zum Zitat Jackson RP, McManus AC (2004) Pelvic lordosis and pelvic incidence: the relationship of pelvic parameters to sagittal spinal profile. Curr Opin Orthop 15:150–153CrossRef Jackson RP, McManus AC (2004) Pelvic lordosis and pelvic incidence: the relationship of pelvic parameters to sagittal spinal profile. Curr Opin Orthop 15:150–153CrossRef
10.
Zurück zum Zitat Schwab F, Lafage V, Boyce R, Skalli W, Farcy JP (2006) Gravity line analysis in adult volunteers. Age-related correlation with spinal parameters, pelvic parameters and foot position. Spine 31:E959–E967PubMedCrossRef Schwab F, Lafage V, Boyce R, Skalli W, Farcy JP (2006) Gravity line analysis in adult volunteers. Age-related correlation with spinal parameters, pelvic parameters and foot position. Spine 31:E959–E967PubMedCrossRef
11.
Zurück zum Zitat Putto E, Tallroth K (1990) Extension-flexion radiographies for motion studies of the lumbar spine a comparison of two methods. Spine 115:107–110CrossRef Putto E, Tallroth K (1990) Extension-flexion radiographies for motion studies of the lumbar spine a comparison of two methods. Spine 115:107–110CrossRef
12.
Zurück zum Zitat Farfan HJ (1973) Mechanical disorders of the low back. Lea and Febiger, Philadelphia Farfan HJ (1973) Mechanical disorders of the low back. Lea and Febiger, Philadelphia
13.
Zurück zum Zitat Morgan FP, Kingt T (1957) Primary instability of lumbar vertebra as common cause of low back pain. J Bone Joint Surg Br 39:6–22PubMed Morgan FP, Kingt T (1957) Primary instability of lumbar vertebra as common cause of low back pain. J Bone Joint Surg Br 39:6–22PubMed
14.
Zurück zum Zitat Froning EC, Frohman B (1968) Motion of the lumbosacral spine after laminectomy and spine fusion. Correlation of motion with the result. J Bone Joint Surg Am 50(5):897–917PubMed Froning EC, Frohman B (1968) Motion of the lumbosacral spine after laminectomy and spine fusion. Correlation of motion with the result. J Bone Joint Surg Am 50(5):897–917PubMed
Metadaten
Titel
Standardized way for imaging of the sagittal spinal balance
verfasst von
Gérard Morvan
Philippe Mathieu
Valérie Vuillemin
Henri Guerini
Philippe Bossard
Frédéric Zeitoun
Marc Wybier
Publikationsdatum
01.09.2011
Verlag
Springer-Verlag
Erschienen in
European Spine Journal / Ausgabe Sonderheft 5/2011
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-011-1927-y

Weitere Artikel der Sonderheft 5/2011

European Spine Journal 5/2011 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.