• Spine · Nov 2014

    Randomized Controlled Trial

    Can pelvic tilt be predicated by the sacrofemoral-pubic angel in patients with thoracolumbar kyphosis secondary to ankylosing spondylitis?

    • Jun Hu, Ming-liang Ji, Bang-ping Qian, Yong Qiu, Bin Wang, Yang Yu, Ze-Zhang Zhu, and Jun Jiang.
    • From the Department of Spine Surgery, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
    • Spine. 2014 Nov 1;39(23):E1347-52.

    Study DesignA retrospective radiographical study.ObjectiveTo construct a predictive model for pelvic tilt (PT) based on the sacrofemoral-pubic (SFP) angle in patients with thoracolumbar kyphosis secondary to ankylosing spondylitis (or AS).Summary Of Background DataPT is a key pelvic parameter in the regulation of spine sagittal alignment that can be used to plan the appropriate osteotomy angle in patients with AS with thoracolumbar kyphosis. However, it could be difficult to measure PT in patients with femoral heads poorly visualized on lateral radiographs. Previous studies showed that the SFP angle could be used to evaluate PT in adult patients with scoliosis. However, this method has not been validated in patients with AS.MethodsA total of 115 patients with AS with thoracolumbar kyphosis were included. Full-length anteroposterior and lateral spine radiographs were all available, with spinal and pelvic anatomical landmarks clearly identified. PT, SFP angle, and global kyphosis were measured. The patients were randomly divided into group A (n=65) and group B (n=50). In group A, the predictive model for PT was constructed by the results of the linear regression analysis. In group B, the predictive ability and accuracy of the predictive model were investigated.ResultsIn group A, the Pearson correlation analysis revealed a strong correlation between the SFP angle and PT (r=0.852; P<0.001). The predictive model for PT was constructed as PT=72.3-0.82×(SFP angle). In group B, PT was predicted by the model with a mean error of 4.6° (SD=4.5°) with a predictive value of 78%.ConclusionPT can be accurately predicted by the SFP angle using the current model: PT=72.3-0.82×(SFP angle), when the femur heads are poorly visualized on lateral radiographs in patients with AS with thoracolumbar kyphosis.Level Of Evidence4.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…