Pelvic incidence: A fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves

被引：1152

作者：

Legaye J. ^{[1
,2
]}

Duval-Beaupère G. ^{[2
]}

Hecquet J. ^{[2
]}

Marty C. ^{[2
]}

机构：

[1] Orthopaedic Surgery Department, University Hospital Mont-Godinne

[2] Unity INSERM 215, Hop. Raymond Poincaré, Garches

来源：

European Spine Journal | 1998年 / 7卷 / 2期

关键词：

Lordosis; Pelvis; Posture; Sagittal shape; Scoliosis; Spinal balance;

D O I：

10.1007/s005860050038

中图分类号：

学科分类号：

摘要：

This paper proposes an anatomical parameter, the pelvic incidence, as the key factor for managing the spinal balance. Pelvic and spinal sagittal parameters were investigated for normal and scoliotic adult subjects. The relation between pelvic orientation, and spinal sagittal balance was examined by statistical analysis. A close relationship was observed, for both normal and scoliotic subjects, between the anatomical parameter of pelvic incidence and the sacral slope, which strongly determines lumbar lordosis. Taking into account the Cobb angle and the apical vertebral rotation confers a three- dimensional aspect to this chain of relations between pelvis and spine. A predictive equation of lordosis is postulated. The pelvic incidence appears to be the main axis of the sagittal balance of the spine. It controls spinal curves in accordance with the adaptability of the other parameters.

引用

页码：99 / 103

页数：4

共 23 条

[1]

Beck A., Killus J., Normal posture of spine determined by mathematical and statistical methods, Aerospace Med, 12, pp. 1277-1281, (1973)

[2]

Cosson P.H., Desmoineaux P., Robain G., Duval-Beaupere G., Valeurs inertielles des segments corporels supportés par les vertèbres, J Biophys Biomec, 11, 1 SUPPL., pp. 52-53, (1987)

[3]

De Mauroy J.C., Gonon G.P., Stagnara P., Courbures sagittales, types morphologiques. Essai de classification. Critères cliniques et radiologiques dans les cyphoses régulières, Proceedings of the Annual Meeting of the Groupe d'Etude de la Scoliose, pp. 11-16, (1978)

[4]

During J., Goudfrooij H., Keesen W., Beeker W., Crowe A., Toward standards for posture. Postural characteristics of the lower back system in normal and pathologic conditions, Spine, 10, pp. 83-87, (1985)

[5]

Duval-Beaupere G., Hecquet J., Dubousset J., Graf H., Tabuteau P., Roche P., Centre of mass supported by each vertebra on a 3D-image of the spine, Ninth Annual Conference of the Engineering in Medicine and Biology Society, pp. 844-845, (1987)

[6]

Duval-Beaupere G., Robain G., Les rapports anatomiques du point d'application de la masse du segment corporel supporté par chaque étage vertébral, Ann Kinesither, 16, pp. 1-7, (1989)

[7]

Duval-Beaupere G., Robain G., Visualization on full spine radiographs of the anatomical connections of the centres of the segmental body mass supported by each vertebra and measured in vivo, Int Orthop (SICOT), 11, pp. 261-269, (1987)

[8]

Duval-Beaupere G., Schmidt C., Cosson P., Sagittal shape of the spine and pelvis. The conditions for an economic standing position. Barycentremetric study, Proceedings of the Scoliosis Research Society (24th Annual Meeting) Combined with the European Spinal Deformity Society, (1989)

[9]

Duval-Beaupere G., Schmidt C., Cosson P.H., A barycentremetric study of the sagittal shape of spine and pelvis, Ann Biomed Eng, 20, pp. 451-462, (1992)

[10]

Duval-Beaupere G., The sagittal shape of the spine and pelvis required for an economic standing position, Proceedings of the Congress of Societé Internationale de Recherche en Orthopedie et Traumatologie, (1990)

← 1 2 3 →