The relationship between spinopelvic alignment and knee osteoarthritis in female patients: A cross-sectional study.

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Öykü Tomay Aksoy, Bülent Bütün
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引用次数: 0

Abstract

BackgroundThe spine, pelvis, and lower extremities move in the form of a kinematic chain.ObjectiveThis study aimed to evaluate the relationship between spinopelvic parameters and knee osteoarthritis.MethodsSixty-nine participants (50-70 years) were diagnosed with knee osteoarthritis: early-stage (n = 36) and late-stage (n = 33). Knee osteoarthritis severity was assessed using standing antero-posterior radiographs (Kellgren-Lawrence scores). A visual Analog Scale was used to evaluate knee and lumbar pain, the Western Ontario and McMaster Universities Osteoarthritis Index to evaluate knee joint function and disability, and the Oswestry Low Back Pain Disability Index to evaluate disability associated with lumbar pain. Lateral scoliosis radiographs were taken of all the study participants; pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, thoracic kyphosis, and sagittal vertical axis values were measured and recorded.ResultsMultivariate logistic regression analysis was performed to determine the independent risk factors associated with the clinical and radiological osteoarthritis severity as Body Mass Index, sagittal vertical axis and lumbopelvic mismatch increased. The sacral slope values were determined to be independently negatively correlated with the clinical osteoarthritis severity. However, no correlation was determined with the radiological severity.ConclusionIn this study, we determined that global sagittal imbalance and lumbopelvic mismatch are associated with advanced knee osteoarthritis. Although pelvic retroversion was not found to be correlated with the radiographic severity of osteoarthritis, it was found to be associated with poor functional results.

女性患者脊柱骨盆排列与膝骨关节炎的关系:一项横断面研究。
背景:脊柱、骨盆和下肢以运动链的形式运动。目的探讨脊柱骨盆参数与膝关节骨性关节炎的关系。方法69例确诊膝骨关节炎患者(50 ~ 70岁):早期(36例)和晚期(33例)。采用站立前后位x线片(Kellgren-Lawrence评分)评估膝关节骨关节炎的严重程度。使用视觉模拟量表评估膝关节和腰椎疼痛,使用西安大略省和麦克马斯特大学骨关节炎指数评估膝关节功能和残疾,使用Oswestry下腰痛残疾指数评估腰痛相关残疾。对所有研究参与者拍摄侧侧脊柱侧凸x线片;测量并记录骨盆发生率、骨盆倾斜、骶骨斜度、腰椎前凸、胸椎后凸和矢状垂直轴值。结果通过多因素logistic回归分析,确定体重指数、矢状垂直轴和腰骨盆失配增加与临床和影像学骨关节炎严重程度相关的独立危险因素。骶骨斜率值与临床骨关节炎严重程度独立负相关。然而,与放射学严重程度没有相关性。结论:在本研究中,我们确定了整体矢状面失衡和腰盂失配与晚期膝关节骨关节炎有关。虽然未发现骨盆后倾与骨关节炎的放射学严重程度相关,但发现它与不良的功能结果相关。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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