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BODY BALANCE DISORDERS IN SPINE DEFORMATIONS AND HIP JOINTS INSTABILITY
- Authors: Chelpachenko O.B.1, Zherdev K.V.1, Fisenko A.P.1, Yatsyk S.P.1, Dyakonova E.Y.1, Butenko A.C.1, Chelpachenko O.E.2
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Affiliations:
- National Medical Research Center for Children Health
- Institute of Cellular and Intracellular Symbiosis, Ural Branch of the Russian Academy of Sciences
- Issue: Vol 24, No 2 (2020)
- Pages: 89-95
- Section: ORIGINAL ARTICLES
- Submitted: 05.03.2021
- Published: 05.04.2020
- URL: https://jps-nmp.ru/jour/article/view/206
- DOI: https://doi.org/10.18821/1560-9510-2020-24-2-89-95
- ID: 206
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Abstract
Introduction. The balance of the torso is the result of the interaction of various systems of the body, which provides a stable vertical position in space, which includes such components as afferentation, integration, effectors, and the peripheral nervous system. Material and methods. A clinical and radiological study of the coronal and sagittal alignment was carried out: 220 patients with idiopathic and neurogenic deformities of the thoracic and lumbar spine (n = 98) and hip instability (n = 122), capable of walking. The reference group is represented by 60 relatively healthy children without scoliotic spinal deformities with stable hip joints. Radiological parameters were evaluated by orthostatic X-rays for the indicated groups of children when comparing the obtained data with reference values. Results. The features of changes in the pelvic incidence (PI) and other parameters of the spin alignment in patients with hip instability, significantly different from patients with spinal deformities and the reference group, were revealed. Conclusion. The obtained results of the study call us to pay more attention to the parameters of the coronal and sagittal alignment as a total. Assessment and preoperative planning of only local X-ray anatomical parameters in order to predict their postoperative changes does not take into account changes in the coronal and sagittal balance, which, according to most published data, determines the further quality of life of patients.
Keywords
About the authors
O. B. Chelpachenko
National Medical Research Center for Children Health
Author for correspondence.
Email: chelpachenko81@mail.ru
ORCID iD: 0000-0002-0333-3105
Россия
K. V. Zherdev
National Medical Research Center for Children Health
Email: noemail@neicon.ru
ORCID iD: 0000-0003-3698-6011
Россия
A. P. Fisenko
National Medical Research Center for Children Health
Email: noemail@neicon.ru
ORCID iD: 0000-0001-8586-7946
Россия
S. P. Yatsyk
National Medical Research Center for Children Health
Email: noemail@neicon.ru
ORCID iD: 0000-0001-6966-1040
Россия
E. Yu. Dyakonova
National Medical Research Center for Children Health
Email: noemail@neicon.ru
ORCID iD: 0000-0002-8563-6002
Россия
A. C. Butenko
National Medical Research Center for Children Health
Email: noemail@neicon.ru
Россия
O. E. Chelpachenko
Institute of Cellular and Intracellular Symbiosis, Ural Branch of the Russian Academy of Sciences
Email: noemail@neicon.ru
ORCID iD: 0000-0002-6719-5805
Россия
References
- Wilczynski J., Bieniek K., Habik N., Janecka S., Karolak P. Canonical Correlations between Body Postural Variables in the Sagittal Plane and Scoliotic Variables in School-Children. Modern Applied Science. 2018; 12(2): 109-15
- Дюбуссе Ж. Биомеханические и клинические аспекты переднего доступа при хирургическом лечении кифозов и кифосколиозов у детей и подростков . Хирургия позвоночника. 2010; (1): 018-28
- Diebo B.G., Challier V., Shah N.V., Kim D., Murray D.P., Kelly J.J., Lafage R., Paulino C.B., Passias P.G., Schwab F.J., Lafage V. The Dubousset Functional Test is a Novel Assessment of Physical Function and Balance. Clin Orthop Relat Res. 2019; 477(10): 2307-15. doi: 10.1097/CORR.0000000000000820
- Дюбуссе Ж. Позвоночник трехмерен, но не следует путать 3D-выстраивание и 3D-баланс. Хирургия позвоночника. 2016; 13(2): 77-85. DOI: http://dx.doi.org/10.14531/ss2016.2.77-85
- Bassani T., Galbusera F., Luca A., Lovi A., Gallazzi E., Brayda-Bruno M.Physiological variations in the sagittal spine alignment in an asymptomatic elderly population. Spine J. 2019; pii: S1529-9430(19)30898-8. doi: 10.1016/j.spinee.2019.07.016.
- Le Huec J.C., Hasegawa K. Normative values for the spine shape parameters using 3D standing analysis from a database of 268 asymptomatic Caucasian and Japanese subjects. Eur Spine J. 2016; 25, 3630-7. doi: https://doi.org/10.1007/s00586-016-4485-5
- Михайловский М. В. Текущие размышления о хирургии сколиоза. Хирургия позвоночника. 2012; (1): 31-6
- Okamoto, M., Jabour, F., Sakai, K. et al. Sagittal balance measures are more reproducible when measured in 3D vs in 2D using full-body EOS® images. European Radiology. 2018; 28(11): 4570-7. doi: 10.1007/s00330-018-5485-0
- Yamato Y., Sato Y., Togawa D., Hasegawa T., Yoshida G., Yasuda T., Banno T., Arima H., Oe S., Mihara Y., Ushirozako H., Yamada T., Matsuyama Y. Differences in the geometrical spinal shape in the sagittal plane according to age and magnitude of pelvic incidence in healthy elderly individuals. J Orthop Sci. 2019; pii: S0949-2658(19)30207-6. doi: 10.1016/j.jos.2019.07.005
- Okuzu Y., Goto K., Okutani Y., Kuroda Y., Kawai T., Matsuda Sh. Hip-Spine Syndrome: Acetabular Anteversion Angle Is Associated with Anterior Pelvic Tilt and Lumbar Hyperlordosis in Patients with Acetabular Dysplasia. A Retrospective Study. JB JS Open Access. 2019; 4(1): e0025. doi: 10.2106/JBJS.OA.18.00025
- Бортулёв П.И., Виссарионов С.В., Басков В.Е., Овечкина А.В., Барсуков Д.Б., Поздникин И.Ю. Клинико-рентгенологические показатели позвоночно-тазовых соотношений у детей с диспластическим подвывихом бедра. Травматология и ортопедия России. 2018; 24(3): 74-82. doi: 10.21823/2311-2905-2018-24-3-74-82
- Roussouly P., Pinheiro-Franco J.L. Biomechanical analysis of the spino-pelvic organization and adaptation in pathology. Eur Spine J. 2011; 20 Suppl 5: 609-18. doi: 10.1007/s00586-011-1928-x
- Грязева Е.Д., Желтков В.И., Портненко И.А. Кинематическая модель движения человека и идентификация ее параметров. Известия Тульского государственного университета. Естественные науки. 2013;(2-2):107-11
- Tournemine S., Angelliaume A., Simon A.L., Ilharreborde B. Are postoperative standing radiographs relevant before hospital discharge in adolescent idiopathic scoliosis? Eur Spine J. 2019; 28(6): 1363-70. doi: 10.1007/s00586-019-05971-w. Epub 2019 Apr 10
- Singh V., Rustagi T., Hart R. Extended L5 pedicle subtraction osteotomy for neglected sacropelvic dissociation injury: case report. J Neurosurg Spine. 2019; 29:1-5. doi: 10.3171/2019.1.SPINE181271
- Ozer A.F. Kaner T., Bozdogan C. Sagittal Balance in the Spine. Turkish Neurosurgery. 2014; 24(1): 13-9.
- Burns S.A., Burshteyn M., Mintken P.E. Sign of the buttock following total hip arthroplasty. J Orthop Sports Phys Ther. 2010; 40(6): 377. doi: 10.2519/jospt.2010.0410
- Zheng X., Chaudhari R., Wu C., Mehbod A.A., Transfeldt E.E., Winter R.D. Repeatability test of c7 plumb line and gravity line on asymptomatic volunteers using an optical measurement technique. Spine. 2010; 35(18): e889-4. doi: 10.1097/brs.0b013e3181db7432
- Duval-Beaupere C., Schmidt C., Cosson P. (1992) Duval-Beaupere G., Schmidt C and Cosson P: A Barycentremetic Study of the Sagittal Shape of Spine and Pelvis: The Conditions Required for an Economic Standing Position. Ann Biomed Eng. 1992; 20: 451-62.
- Mac-Thiong J.M., Labelle H., Roussouly P. Pediatric sagittal alignment. Eur Spine J. 2011; 20(Suppl 5): 586-90. doi: 10.1007/s00586-011-1925-0
- Li W.S., Li G., Chen Z.Q., Wood K.B. Sagittal plane analysis of the spine and pelvis in adult idiopathic scoliosis. Chin Med J. 2010; 123(21): 2978-82.
- Kuntz C., 4th, Shaffrey C.I., Ondra S.L., Durrani A.A., Mummaneni P.V., Levin L.S. et al. Spinal deformity: a new classification derived from neutral upright spinal alignment measurements in asymptomatic juvenile, adolescent, adult, and geriatric individuals. Neurosurgery. 2008; 63(3 Suppl): 25-39. doi: 10.1227/01.NEU.0000313120.81565.D7
- Voutsinas S.A., MacEwen G.D. Sagittal profiles of the spine. Clin Orthop Relat Res. 1986; (210): 235-42.
- Mac-Thiong J.M., Labelle H., Berthonnaud E., Betz R.R., Roussouly P. Sagittal spinopelvic balance in normal children and adolescents. Eur Spine J. 2007; 16(2): 227-34. doi: 10.1007/s00586-005-0013-8
- Legaye J., Duval-Beaupere G., Hecquet J., Marty C. Pelvic incidence : a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J. 1998; 7: 99-103.
- Duval-Beaupere C., Schmidt C., Cosson P. Duval-Beaupere G., Schmidt C. and Cosson P. A Barycentremetic Study of the Sagittal Shape of Spine and Pelvis: The Conditions Required for an Economic Standing Position. Ann Biomed Eng. 1992. 20: 451-62.
- Weinberg D.S., Morris W.Z., Gebhart J.J., Liu R.W. Pelvic incidence: an anatomic investigation of 880 cadaveric specimens. Eur Spine J. 2016; 25(11): 3589-95. doi: 10.1007/s00586-015-4317-z
- Бортулёв П.И., Виссарионов С.В., Басков В.Е., Овечкина А.В., Барсуков Д.Б., Поздникин И.Ю. Клинико-рентгенологические показатели позвоночно-тазовых соотношений у детей с диспластическим подвывихом бедра. Травматология и ортопедия России. 2018; 24 (3): 74-82
- Ma Q., Wang L., Zhao L. et al. Coronal Balance vs. Sagittal Profile in Adolescent Idiopathic Scoliosis, Are They Correlated?. Front Pediatr. 2020; 7: 523. doi: 10.3389/fped.2019.00523
- Devin C.J., McCullough K.A., Morris B.J., Yates A.J., Kang J.D. Hip-spine syndrome. J Am Acad Orthop Surg. 2012; 20(7): 434-42. doi: 10.5435/JAAOS-20-07-434;
- Prather H., van Dillen L. Links between the Hip and the Lumbar Spine (Hip Spine Syndrome) as they Relate to Clinical Decision Making for Patients with Lumbopelvic Pain. PM R. 2019;11 Suppl 1: 64-72. doi: 10.1002/pmrj.12187
- Okuzu Y., Goto K., Okutani Y., Kuroda Y., Kawai T., Matsuda S. Hip-Spine Syndrome: Acetabular Anteversion Angle Is Associated with Anterior Pelvic Tilt and Lumbar Hyperlordosis in Patients with Acetabular Dysplasia: A Retrospective Study. JB JS Open Access. 2019; 4(1): e0025. doi: 10.2106/JBJS.OA.18.00025
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