Skip to main content

Advertisement

SpringerLink
Log in

Sagittal Spinopelvic Parameters of Young Children With Scoliosis

  • Published:
Spine Deformity Aims and scope Submit manuscript

Abstract

Study Design

Retrospective, multicenter review of the spinopelvic parameters in young children with scoliosis.

Objectives

To describe sagittal alignment of the spine and pelvis in young children with scoliosis.

Summary of Background Data

The natural history of spinopelvic parameters has been defined for the first 10 years of life in normal children; however, they have not been described for children with scoliosis. Such information is important because these values can be used as a baseline for the assessment of radiographic outcomes after surgical intervention.

Methods

Seven measures of sagittal alignment were taken from standing lateral radiographs of 80 children with scoliosis (coronal Cobb angle greater than 50°) and compared with age-matched normal children described in the literature. Statistical analysis was performed using 2-tailed Student t tests (level of significance =.05) and Pearson correlation coefficient.

Results

Patients had a mean age of 4.8 years (range, 1 — 10 years) and a mean Cobb angle of 72.0° ± 16°. Mean sagittal spine parameters were sagittal balance (2.2 ± 4 cm), thoracic kyphosis (38.0° ± 20.8°), and lumbar lordosis (49.0° ± 16.6°). These values were similar to those of children without scoliosis. Mean sagittal pelvic parameters were: pelvic incidence (46.5° ± 15.8°), pelvic tilt (10.7° ± 13.6°), sacral slope (35.5° ± 12.1°), and pelvic radius (55.7° ± 21.3°). Pelvic incidence was not significantly different from that of age-matched

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Jackson RP, Hales C. Congruent spinopelvic alignment on standing lateral radiographs of adult volunteers. Spine (Phila Pa 1976) 2000;25:2808–15.

    Article  CAS  Google Scholar 

  2. Legaye J, Hecquet J, Marty C, et al. Sagittal equilibration of the spine: relationship between pelvis and sagittal spinal curves in the standing position [in French]. Rachis 1993;5:215–26.

    Google Scholar 

  3. Legaye J, Duval-Beaupere G, Hecquet J, et al. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 1998;7:99–103.

    Article  CAS  Google Scholar 

  4. Marty C, Boisaubert B, Descamps H, et al. The sagittal anatomy of the sacrum among young adults, infants, and spondylolisthesis patients. Eur Spine J 2002;11:119–25.

    Article  CAS  Google Scholar 

  5. Rajnics P, Pomero V, Templier A, et al. Computer-assisted assessment of spinal sagittal plane radiographs. J Spinal Disord 2001;14:135–42.

    Article  CAS  Google Scholar 

  6. Lafage V, Schwab F, Patel A, et al. Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine (Phila Pa 1976) 2009;34:E599–606.

    Article  Google Scholar 

  7. Mac-Thiong JM, Berthonnaud IE, Dimar JR, et al. Sagittal alignment of the spine and pelvis during growth. Spine (Phila Pa 1976) 2004;29:1642–7.

    Article  Google Scholar 

  8. Vaz G, Roussouly P, Berthonnaud E, Dimnet J. Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J 2002;11:80–7.

    Article  CAS  Google Scholar 

  9. Labelle H, Roussouly P, Berthonnaud E, et al. Spondylolisthesis, pelvic incidence, and spinopelvic balance: a correlational study. Spine (Phila Pa 1976) 2004;18:2049–54.

    Article  Google Scholar 

  10. Cil A, Yazici M, Uzumcugil A, et al. The evolution of sagittal segmental alignment of the spine during childhood. Spine (Phila Pa 1976) 2005;30:93–100.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. IWK Health Centre, 5850 University Avenue, P.O. Box 9700, Halifax, Nova Scotia, B3K-6R8, Canada

    Ron El-Hawary MD, MSc, FRCS(C) & Jason J. Howard MD

  2. Crawford Spine Center, Pediatric Orthopaedic Surgery, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave. MLC 2017, Cincinnati, OH, 45239, USA

    Peter F. Sturm MD

  3. Orthopedic Surgery, Shriners Hospital Philadelphia, Shriners Hospital Outpatnt Clinic, 3551 N Broad St Suite 4, Philadelphia, PA, 19140, USA

    Patrick J. Cahill MD & Amer F. Samdani MD

  4. Clinical Orthopaedic Surgery, Columbia University, 116th Street and Broadway, New York, NY, 10027, USA

    Michael G. Vitale MD

  5. Orthopaedic Surgery, A. I. duPont Institute, 1600 Rockland Rd, Wilmington, DE, 19803, USA

    Peter G. Gabos MD

  6. Orthopedic Surgery, Orthopedic and Neurosurgical Specialists, LLC807 N Haddon Ave Suite 1, Haddonfield, NJ, 08033, USA

    Nathan D. Bodin MD

  7. Children Orthpaedics, Shriners Hospital Portland, 3101 SW Sam Jackson Park Rd, Portland, OR, 97239, USA

    Charles R. d’Amato MD

  8. Orthopaedic Surgery, University of Medicine and Dentistry of New Jersey, USA, 2005-2009

    Colin Harris MD

  9. IWK Health Centre & Dalhousie University Division of Neurosurgery, Halifax, Nova Scotia, B3K 6R8, Canada

    Susan H. Morris PhD

  10. Pediatric Orthopaedics, Primary Children’s Hospital, 100 N Mario Capecchi Drive, Suite 4550, Salt Lake City, UT, 84113, USA

    John T. Smith MD

Authors
  1. Ron El-Hawary MD, MSc, FRCS(C)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Peter F. Sturm MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Patrick J. Cahill MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Amer F. Samdani MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Michael G. Vitale MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Peter G. Gabos MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Nathan D. Bodin MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Charles R. d’Amato MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Colin Harris MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Jason J. Howard MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Susan H. Morris PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. John T. Smith MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ron El-Hawary MD, MSc, FRCS(C).

Additional information

Author disclosures: RE (support for travel to meetings for the study or other purposes from the Chest Wall and Spine Deformity Study Group; consultancy for DePuy Spine; grants from Synthes Spine, DePuy Spine, Medtronic Canada, Atlantic Innovation Fund/Atlantic Canada Opportunities Agency, Canadian Institute of Health Research, Pediatric Orthopaedic Society of North America, Tecterra); PFS (consultancy for DePuy Spine; grants from DePuy Spine; stock/stock options from Pioneer Surgical); PJC (consultancy for DePuy Synthes Spine; payment for manuscript preparation from DePuy Synthes Spine; editorial board member for Orthopedics [unpaid]); AFS (consultancy for DePuy Synthes Spine, Zimmer Spine, SpineGuard, Stryker; payment for manuscript preparation for DePuy Synthes Spine); MGV (board membership with Chest Wall and Spine Deformity Study Group, AAP Section on Orthopedics, POSNA; consultancy for Stryker, Biomet, Chest Wall and Spine Deformity Study Group; grants from Scoliosis Research Society; grants from Chest Wall and Spine Deformity Research Foundation, POSNA, OREF, OMeGA, AOSpine, Medtronic; royalties from Biomet; travel/accommodations/meeting expenses from Chest Wall and Spine Deformity Study Group, Fox PSDSG, Broadwater [funded by Biomet, Synthes, Stryker, Medtronic, K2]); PGG (consultancy for DePuy Spine; payment for lectures including service on speakers bureaus from DePuy Spine); NDB (grants from Synthes to author’s institution); CRD (support for travel to meetings for the study or other purposes from Chest Wall and Spine Deformity Study Group); CH (none); JJH (grants from Atlantic Innovation Fund and Tecterra); SHM (grants from Globus Medical Quality, Safety, Value Spinal Deformity Research Grant); JTS (board membership with Chest Wall and Spine Deformity Study Group; consultancy for DePuy-Synthes Spine; royalties from VEPTR 2 Device).

Rights and permissions

Reprints and permissions

About this article

Cite this article

El-Hawary, R., Sturm, P.F., Cahill, P.J. et al. Sagittal Spinopelvic Parameters of Young Children With Scoliosis. Spine Deform 1, 343–347 (2013). https://doi.org/10.1016/j.jspd.2013.07.001

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1016/j.jspd.2013.07.001

Keywords

Search

Navigation