• Thomas Caffard, Hassan Awan Malik, Bernd Lutz, Oliver Dobrindt, Daniel Dornacher, Martin Faschingbauer, Patrick Strube, Heiko Reichel, Michael Fuchs, and Timo Zippelius.
• Department of Orthopedic Surgery, University of Ulm, Oberer Eselsberg 45, 89081, Ulm, Germany. thomas.caffard@rku.de.
• Eur Spine J. 2023 Oct 1; 32 (10): 361636233616-3623.

PurposeOnly a few publications considered the influence of the spinopelvic parameters on below-hip anatomy. There is a lack of evidence about the relationship between the anatomic spinopelvic parameters and the posterior tibial slope (PTS). Therefore, the aim of this study was to analyze the association between fixed anatomic spinopelvic parameters and PTS.MethodsAdult patients presenting with lumbar, thoracic, or cervical complaints together with knee pain at a single hospital between 2017 to 2022 with available standing full-spine lateral radiograph and lateral knee radiograph were retrospectively reviewed. The measured parameters included the pelvic incidence (PI), the sacral kyphosis (SK), the pelvisacral angle, the sacral anatomic orientation (SAO), the sacral table angle, the sacropelvic angle and the PTS. Pearson's correlations and linear regression analyses were conducted.ResultsA total of 80 patients (44 women), median age 63 years were analyzed. A strong positive correlation was identified between PI and PTS (r = 0.70, p < 0.001). A strong negative correlation was observed between PI and SAO (r = - 0.74, p < 0.001). A strong positive correlation was observed between PI and SK (r = 0.81, p < 0.001). A univariable linear regression analysis showed that PTS can be deduced from PI according to the following formula: PTS = 0.174 × PI - 1.138.ConclusionThis study is the first to support a positive correlation between the PI and the PTS. We demonstrate that knee anatomy is individually correlated to pelvic shape and therefore influences spinal posture.© 2023. The Author(s).

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