Sagittal spinopelvic alignment in tethered cord syndrome and split cord malformation.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-01 Epub Date: 2022-02-08 DOI:10.1080/02688697.2022.2034741

Burak Karaaslan, Beste Gulsuna, Orçun Toktaş, Alp Ozgun Borcek

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引用次数: 0

Abstract

Purpose: Sagittal imbalance is common in degenerative and congenital spinal diseases. Some studies have examined spinal deformities in the spina bifida. However, sagittal spinopelvic parameters in tethered cord syndrome (TCS) and split cord malformation (SCM) have been poorly evaluated in the literature. In this study, we investigated sagittal spinopelvic differences in TCS due to fatty filum terminale and SCM patients.

Material and methods: A total of 78 patients with spina bifida occulta (30 SCM and 48 TCS due to fatty filum terminale) were included in the study. Radiological images of these patients were retrospectively evaluated. We evaluated the pelvic incidence, pelvic tilt, sacral slope, sagittal vertical axis (SVA), T1 pelvic angle, lumbar lordosis (LL), thoracic kyphosis, thoracolumbar alignment, and change in those parameters with age.

Results: Correlation coefficients between age and LL, T1 pelvic angle, and the SVA in patients with TCS due to fatty filum terminale were statistically significant. In addition, correlation coefficients between age and LL and the SVA in patients with SCM were statistically significant. Notably, LL was increased at a statistically significant level with age in patients with TCS and SCM.

Conclusion: Improved knowledge of spinal balance parameters in patients with TCS and SCM may be helpful in understanding the clinical course of these pathologies, and provide information regarding the success of surgery at the follow-up period.

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系索综合征和脊髓分裂畸形的矢状脊柱骨盆对齐。

目的：矢状不平衡是退行性和先天性脊柱疾病的常见症状。一些研究对脊柱裂患者的脊柱畸形进行了检查。然而，文献中对系索综合征（TCS）和脊髓分裂畸形（SCM）的矢状位脊柱骨盆参数评估较少。在这项研究中，我们调查了因脂肪丝末端导致的系索综合征和脊髓分裂畸形患者的矢状脊柱骨差异：本研究共纳入 78 名隐性脊柱裂患者（30 名单侧脊柱裂患者和 48 名因脂肪丝终末引起的 TCS 患者）。我们对这些患者的放射影像进行了回顾性评估。我们评估了骨盆内陷、骨盆倾斜、骶骨斜度、矢状垂直轴（SVA）、T1骨盆角、腰椎前凸（LL）、胸椎后凸、胸腰对齐度以及这些参数随年龄的变化：结果：在因脂肪丝终末引起的TCS患者中，年龄与LL、T1骨盆角和SVA之间的相关系数具有统计学意义。此外，单横纹肌溶解症患者的年龄与 LL 和 SVA 之间的相关系数也有统计学意义。值得注意的是，在 TCS 和 SCM 患者中，LL 随年龄的增长而增加，具有统计学意义：结论：进一步了解 TCS 和 SCM 患者的脊柱平衡参数有助于了解这些病症的临床过程，并为随访期间的手术成功率提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.