Abstract：
UNASSIGNED: During the last two decades, there has been a growing interest in spinal sagittal alignment. Most published studies have focused on the role of spinopelvic parameters in patients with adult spinal deformity or in those with previous spinal fusion.
UNASSIGNED: The aim of this study was to explore possible association between disability related to back pain and spinopelvic parameters in the absence of coronal deformity or previous spinal surgery.
UNASSIGNED: In the setting of a larger study involving patients with low back pain (LBP), those without previous surgery or spinal deformity in the coronal plane were selected. A total of 52 patients (mean age 59 years, range 21-86, 23 men and 29 women) were found. The visual analogic scale (VAS) and Oswestry Disability Index questionnaire (ODI) were recorded. Surgimap software was used to measure the sagittal vertical axis (SVA), pelvic tilt (PT), pelvic incidence (PI), sacral slope (SS), and lumbar lordosis (LL). Statistical analysis was performed with SPSS Statistics software. Pearson or Spearman correlation were the test of choice depending on the specific variables.
UNASSIGNED: A statistically significant association was found between SVA and ODI (r 0.59, p< 0.03). Increased pelvic tilt was also associated with more severe disability related to back pain (r 0.48, p< 0.03). PI-LL mismatch showed moderate association with disability and severity of back pain, although this association did not reach statistical significance (r 0.52, p< 0.08).
UNASSIGNED: Our findings suggest that sagittal misalignment may be related with more severe disability and back pain in patients with minor or null deformity in the coronal plane.
UNASSIGNED: The aim of this study was to explore possible association between disability related to back pain and spinopelvic parameters in the absence of coronal deformity or previous spinal surgery.
UNASSIGNED: In the setting of a larger study involving patients with low back pain (LBP), those without previous surgery or spinal deformity in the coronal plane were selected. A total of 52 patients (mean age 59 years, range 21-86, 23 men and 29 women) were found. The visual analogic scale (VAS) and Oswestry Disability Index questionnaire (ODI) were recorded. Surgimap software was used to measure the sagittal vertical axis (SVA), pelvic tilt (PT), pelvic incidence (PI), sacral slope (SS), and lumbar lordosis (LL). Statistical analysis was performed with SPSS Statistics software. Pearson or Spearman correlation were the test of choice depending on the specific variables.
UNASSIGNED: A statistically significant association was found between SVA and ODI (r 0.59, p< 0.03). Increased pelvic tilt was also associated with more severe disability related to back pain (r 0.48, p< 0.03). PI-LL mismatch showed moderate association with disability and severity of back pain, although this association did not reach statistical significance (r 0.52, p< 0.08).
UNASSIGNED: Our findings suggest that sagittal misalignment may be related with more severe disability and back pain in patients with minor or null deformity in the coronal plane.
摘要：
■在过去的二十年里，对脊柱矢状面对准越来越感兴趣.大多数已发表的研究都集中在脊柱骨盆参数在成人脊柱畸形患者或先前脊柱融合患者中的作用。
■这项研究的目的是探索在没有冠状畸形或以前进行脊柱手术的情况下，与背痛相关的残疾与脊柱骨盆参数之间的可能关联。
■在一项涉及下腰痛（LBP）患者的更大研究中，选择先前没有手术或冠状平面脊柱畸形的患者。共有52名患者(平均年龄59岁，范围21-86，23名男性和29名女性）被发现。记录视觉类比量表（VAS）和Oswestry残疾指数问卷（ODI）。Surgimap软件用于测量矢状垂直轴（SVA），骨盆倾斜(PT),骨盆发病率（PI），骶骨斜坡(SS),和腰椎前凸（LL）。采用SPSSStatistics软件进行统计分析。Pearson或Spearman相关性是根据特定变量进行选择的检验。
■在SVA和ODI之间发现了统计学上的显着关联（r0.59，p<0.03）。骨盆倾斜增加也与背痛相关的更严重的残疾相关(r0.48,p<0.03)。PI-LL不匹配显示与残疾和背痛严重程度的中度关联，尽管这种关联没有达到统计学意义(r0.52,p<0.08).
■我们的发现表明，矢状面错位可能与冠状平面轻度或零畸形患者的更严重的残疾和背痛有关。
■这项研究的目的是探索在没有冠状畸形或以前进行脊柱手术的情况下，与背痛相关的残疾与脊柱骨盆参数之间的可能关联。
■在一项涉及下腰痛（LBP）患者的更大研究中，选择先前没有手术或冠状平面脊柱畸形的患者。共有52名患者(平均年龄59岁，范围21-86，23名男性和29名女性）被发现。记录视觉类比量表（VAS）和Oswestry残疾指数问卷（ODI）。Surgimap软件用于测量矢状垂直轴（SVA），骨盆倾斜(PT),骨盆发病率（PI），骶骨斜坡(SS),和腰椎前凸（LL）。采用SPSSStatistics软件进行统计分析。Pearson或Spearman相关性是根据特定变量进行选择的检验。
■在SVA和ODI之间发现了统计学上的显着关联（r0.59，p<0.03）。骨盆倾斜增加也与背痛相关的更严重的残疾相关(r0.48,p<0.03)。PI-LL不匹配显示与残疾和背痛严重程度的中度关联，尽管这种关联没有达到统计学意义(r0.52,p<0.08).
■我们的发现表明，矢状面错位可能与冠状平面轻度或零畸形患者的更严重的残疾和背痛有关。
