Anterior approach for determination of sagittal spinopelvic parameters using anterior pelvic plane and sternum plane: a case study on symptom-free subjects

• Autorzy: Radło Paweł , Danioł Mateusz , Boehler Lukas , Kozak Josef
• Języki publikacji: EN

Abstrakty

EN

Sagittal imbalance causes low back pain, hip impingement, and influences the whole skeleton and muscular system of our body. It is documented in the literature on spinal deformities that good long-term surgical results can only be achieved by restoring sagittal balance and spinopelvic harmony as part of surgical treatment. Currently, the state of the art in sagittal balance determination is based on conventional radiology or an EOS system both using X-ray radiation. These procedures are associated with radiation exposure for the patients. Therefore, a new anterior approach is shown in this work to measure sagittal balance with a navigated ultrasound system without any radiation exposure. The anterior pelvic plane and a newly defined sternum plane are considered to provide an assessment of the sagittal balance. This new approach was tested in a trial on 10 symptom-free subjects by using a smartphone navigated ultrasound system. The relationship between the rotation of the pelvis and the upper body inclination in young healthy people is examined in a standing position. The study with new determined landmarks (incisura jugularis, superior iliac spinas, and symphysis pubis) gives us significant different results between male and female test persons. A proposal for a classification of sagittal balance is achieved which defines a reasonable range for the Sternum Tilt of -0.1 ± 1.5° / 3.7 ± 2.5°. The significant advantage of this method is to evaluate the sagittal balance with a cost effective, smart system without any radiation exposure to the patient.

Słowa kluczowe

EN

smart navigated ultrasound; pelvic tilt in the anterior pelvic plane; hip-spine syndrome; range of motion; computer assisted orthopedic surgery; computer assisted robotic surgery

PL

USG nawigowane inteligentnie; przodopochylenie miednicy; staw biodrowy; zakres ruchu; chirurgia ortopedyczna wspomagana komputerowo; chirurgia robotyczna wspomagana komputerowo

• Wydawca: Międzynarodowe Stowarzyszenie na rzecz Robotyki Medycznej
• Czasopismo: Medical Robotics Reports
• Rocznik: 2019/2020
• Tom: vol. 8/9
• Strony: 20--26
• Opis fizyczny: Bibliogr. 26 poz., rys., wykr.

Twórcy

autor

Radło Paweł

• Ortopedicum, Krakow, Poland

autor

Danioł Mateusz

• AGH University of Science and Technology, Krakow, Poland

autor

Boehler Lukas

• AGH University of Science and Technology, Krakow, Poland

autor

Kozak Josef

• AGH University of Science and Technology, Krakow, Poland
• Aesculap AG, Tuttlingen, Germany

Bibliografia

• [1] Vaz G, et al., Sagittal morphology and equilibrium of pelvis and spine, Eur Spine J. 2002 Feb; 11(1): 80–87.
• [2] Schenk S, Die sagittale Balace der Wirbelsäule und ihre Bedeutung in der Chirurgie. Orthopädie & Traumatologie 2013.
• [3] Miles JD, The pelvis, an intercalary bone. 1522 ed. Monograph of GES. 1522.
• [4] Lazennec JY, et al., Lumbar-pelvic-femoral Balance on Sitting and Standing Lateral Radiographs, Orthop Traumatol Surg Res. 2013 Feb; 99(1 Suppl):S87-103.
• [5] Mehta VA, et al., Implications of spinopelvic alignment for the spine surgeon. Neurosurgery, 2012. 70: p. 07-21.
• [6] Le Huec JC, et al., Equilibrium of the human body and the gravity line: the basics, Eur Spine J. 2011 Sep; 20(Suppl 5): 558–563.
• [7] Dubousset J, et al., A New 2D and 3D Imaging Approach to Musculoskeletal Physiology and Pathology with Low-Dose Radiation and the Standing Position: The EOS System. Bull Acad Natl Med. 2005 Feb; 189(2):287-97; discussion 297-300.
• [8] J.Y. Lazennec, et al., Pelvis and total hip arthroplasty acetabular component orientations in sitting and standing positions: Measurements reproductibility with EOS imaging system versus conventional radiographies. Orthopaedics&Traumatology: Surgery&Research, 2011: p. 373-380.
• [9] Daniol M, Master Thesis, Development, calibration, validation and comparison of mobile medical localizers based on smartphones Apple iPhone 5s and Samsung Galaxy S4. Przegląd Elektrotechniczny: p. 53-56.
• [10] Martin T, et al., A smart device based measuring system for Pelvic Tilt computation in hip arthroplasty. Przegląd Elektrotechniczny, 2016. 92(3): p. 26-29.
• [11] Buckland A, et al., Sagittal Pelvic Orientation a Comparison of Two Methods of Measurement, Bull Hosp Jt Dis (2013) 2017 Dec; 75(4):234-240.
• [12] Suzuki H, et al., Correlation of Tilt of the Anterior Pelvic Plane Angle with Anatomical Pelvic Tilt and Morphological Configuration of the Acetabulum in Patients with Developmental Dysplasia of the Hip: A Cross-Sectional Study, J Orthop Surg Res. 2019 Oct 17; 14(1):323.
• [13] Ferraris L, et al., Hempfing, Die Bedeutung der sagittalen Balance in der Wirbelsäulenchirurgie. Deutscher Ärzte-Verlag, 2012.
• [14] Legaye J., Analysis of the Dynamic Sagittal Balance of the Lumbo-Pelvi-Femoral Complex, in Biomechanics in Applications. 2011.
• [15] Vaz G, et al., Sagittal morphology and equilibrium of pelvis and spine, Eur Spine J. 2002 Feb; 11(1): 80–87.
• [16] Legaye J, et al., Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves, Eur Spine J. 1998; 7(2):99-103.
• [17] Le Huec JC, et al., Pelvic Parameters: Origin and Significance’. European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, European Section of the Cervical Spine Research Society 20 (August 2011): 564–71. doi:10.1007/s00586-011-1940-1
• [18] Głowacki M, et al., Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery - Illustrative Case Presentation. Pol J Radiol. 2017; 82: 287–292.
• [19] Marques, CJ, et al., Intra‐and Inter‐rater Reliability of Navigated Ultrasound in the Assessment of Pelvic Tilt in Symptom‐Free Young Adults. Journal of Ultrasound in Medicine 2018.
• [20] Marques CJ, et al., The Effects of Body Position on Pelvic Tilt Angles Measured with a Smartphone-Based Navigated Ultrasound System in Symptom-Free Young Adults. Journal of Functional Morphology and Kinesiology, 3(1), 2018.
• [21] Marques CJ, et al., Intra‐and Inter‐rater Reliability of Navigated Ultrasound in the Assessment of Pelvic Tilt in Symptom‐Free Young Adults. Journal of Ultrasound in Medicine.
• [22] Kochman A, et al., Preoperative Ultrasonographic Assessment of the Anterior Pelvic Plane for Personalized Total Hip Replacement. Ultrasound Med, 2017. 00.
• [23] Smith A, et al., Classification of Sagittal Thoraco-Lumbo-Pelvic Alignment of the Adolescent Spine in Standing and Its Relationship to Low Back Pain. SPINE 2008. 33(19).
• [24] Michiel MA, et al., Differences in Male and Female Spino-Pelvic Alignment in Asymptomatic Young Adults. SPINE, 2009. 34: p. E826-E832.
• [25] Kennedy D, et al., Comparison of Gender and Group Differences in Self-Report and Physical Performance Measures in Total Hip and Knee Arthroplasty Candidates. The Journal of Arthroplasty 2002. 17: p. 70-77
• [26] Gagey PM, et al., Two mechanical models for postural stabilization: the Tactics of the Center of Gravity and the Tactics of the Center of Pressure.

Uwagi

PL

Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2021).