Skip to main content

Advertisement

SpringerLink
Log in

The impact of spino-pelvic parameters on pathogenesis of lumbar disc herniation

  • Original Article
  • Published:
MUSCULOSKELETAL SURGERY Aims and scope Submit manuscript

Abstract

Purpose

Controversies exist on the relative contribution of sagittal spino-pelvic alignment on pathogenesis of lumbar disc herniation.

Methods

Spinopelvic alignment parameters, pelvic incidence, pelvic tilt, sacral slope, pelvic radius-S1 end-plate ratio and pelvic radius-S1 angle, in 52 patients with lumbar disc herniation were compared with the same measurements in 43 healthy adult volunteers.

Results

Statistical analysis revealed significant difference in pelvic incidence and sacral slope between patients with lumbar disc herniation and normal population.

Conclusion

Patients with lumbar disc herniation have a more vertical sacrum compared to the normal population which may result in higher intradiscal pressure in these patients.

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

Fig. 1
Fig. 2
Fig. 3

Adapted from: [15]

Similar content being viewed by others

References

  1. 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 (Phila Pa 1976) 30:346–353

    Article  Google Scholar 

  2. 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 Jt Surg Am 87-A:260–267

    Article  Google Scholar 

  3. 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 20:451–462

    Article  Google Scholar 

  4. Legaye J, Duval-Beaupère G, Hecquet J, Marty C (1998) Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 7:99–103

    Article  CAS  Google Scholar 

  5. Jackson RP, Peterson MD, McManus AC, Hales C (1998) Compensatory spinopelvic balance over the hip axis and better reliability in measuring lateral radiographs of adult volunteers and patients. Spine 23:1750–1767

    Article  CAS  Google Scholar 

  6. Oh YM, Eun JP (2015) Clinical impact of sagittal spinopelvic parameters on disc degeneration in young adults. Medicine (Baltimore) 94:e1833. https://doi.org/10.1097/MD.0000000000001833

    Article  Google Scholar 

  7. Wei X, Gengwu L, Chao C, Yifan L, Shang S, Ruixi H, Yunhan J, Xiaodong Z, Zhikun L (2018) Correlations between the sagittal plane parameters of the spine and pelvis and lumbar disc degeneration. J Orthop Surg Res 13:137. https://doi.org/10.1186/s13018-018-0838-6

    Article  PubMed  PubMed Central  Google Scholar 

  8. Strube P, Pumberger M, Sonnow L, Zippelius T, Nowack D, Zahn RK, Putzier M (2018) Association between lumbar spinal degeneration and anatomic pelvic parameters. Clin Spine Surg 31:263–267. https://doi.org/10.1097/BSD.0000000000000660

    Article  PubMed  Google Scholar 

  9. Lv X, Liu Y, Zhou S, Wang Q, Gu H, Fu X, Ding Y, Zhang B, Dai M (2016) Correlations between the feature of sagittal spinopelvic alignment and facet joint degeneration: a retrospective study. BMC Musculoskelet Disord 17:341. https://doi.org/10.1186/s12891-016-1193-6

    Article  PubMed  PubMed Central  Google Scholar 

  10. Barrey C, Jund J, Noseda O, Roussouly P (2007) Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases. Eur Spine J 16:1459–1467. https://doi.org/10.1007/s00586-006-0294-6

    Article  PubMed  PubMed Central  Google Scholar 

  11. Rajnics P, Templier A, Skalli W, Lavaste F, Illes T (2002) The importance of spinopelvic parameters in patients with lumbar disc lesions. Int Orthop 26:104–108

    Article  CAS  Google Scholar 

  12. Yang X, Kong Q, Song Y, Liu L, Zeng J, Xing R (2014) The characteristics of spinopelvic sagittal alignment in patients with lumbar disc degenerative diseases. Eur Spine J 23:569–575. https://doi.org/10.1007/s00586-013-3067-z

    Article  PubMed  Google Scholar 

  13. Fei H, Li WS, Sun ZR, Ma QW, Chen ZQ (2017) Analysis of spino-pelvic sagittal alignment in young chinese patients with lumbar disc herniation. Orthop Surg 9:271–276. https://doi.org/10.1111/os.12340

    Article  PubMed  PubMed Central  Google Scholar 

  14. Endo K, Suzuki H, Tanaka H, Kang Y, Yamamoto K (2010) Sagittal spinal alignment in patients with lumbar disc herniation. Eur Spine J 19:435–438. https://doi.org/10.1007/s00586-009-1240-1

    Article  PubMed  Google Scholar 

  15. Roussouly P, Pinheiro-Franco JL (2011) Biomechanical analysis of the spino-pelvic organization and adaptation in pathology. Eur Spine J 20:609–618. https://doi.org/10.1007/s00586-011-1928-x

    Article  PubMed  PubMed Central  Google Scholar 

  16. Zhou Z, Hou C, Li D, Si J (2018) The pelvic radius technique in the assessment of spinopelvic sagittal alignment of degenerative spondylolisthesis and lumbar spinal stenosis. J Orthop Sci 23:902–907. https://doi.org/10.1016/j.jos.2018.06.021

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This article has been obtained from a thesis (Registered No. 93-01-01-8507) submitted to the Shiraz University of Medical Sciences in partial fulfillment of the requirement for the degree of specialty in orthopaedic surgery. The project is sponsored by Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences.

Funding

This work was supported financially by the Grant No. 93-01-01-8507 from Vice Chancellor for Research of Shiraz University of Medical Science.

Author information

Authors and Affiliations

  1. Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

    B. Pourabbas Tahvildari, Z. Masroori, M. A. Erfani, S. Solooki & A. R. Vosoughi

Authors
  1. B. Pourabbas Tahvildari
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Z. Masroori
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. A. Erfani
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Solooki
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. R. Vosoughi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. R. Vosoughi.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pourabbas Tahvildari, B., Masroori, Z., Erfani, M.A. et al. The impact of spino-pelvic parameters on pathogenesis of lumbar disc herniation. Musculoskelet Surg 106, 195–199 (2022). https://doi.org/10.1007/s12306-020-00693-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12306-020-00693-5

Keywords

Search

Navigation