Knee Extension Is Related to the Posteriorly Deviated Gravity Line to the Pelvis in Young Adults: Radiographic Analysis Using Low-Dose Biplanar X-ray
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Purpose: We sought to compare the radiographic parameters concerning the sagittal alignment of the standing whole-body skel etons between the knee extension group and control group using the low-dose biplanar X-ray system in a young adult population without knee pain, and to investigate the associated variables for the sagittal knee angle (sagKA) among the radiographic param eters of global sagittal alignment. Materials and Methods: We reviewed whole-body standing sagittal radiographs of 124 young adults taken from December 2018 to May 2020 in a single institution. We compared the radiographic parameters concerning the lower extremity sagittal alignment and global sagittal alignment between the knee extension group and control group. The factors correlated with sagKA were evalu ated using multiple linear regression analysis. Results: The sagittal vertical axis (SVA), the horizontal offset between the gravity line (GL) and the posterior edge of S1 endplate (GL-S), and the horizontal offset between the GL and the hip center (GL-H) were -11.6±21.3 mm, 5.1±23.8 mm, and -25.1±27.1 mm in the knee extension group, respectively, which were significantly smaller than those in the control group. The C7 plumb line (C7PL) and GL were deviated posterior to the sacrum and the hip center in the knee extension group, with the mean sagKA of -5.6° in young adults. Conclusion: The GL-H using GL, not the SVA using C7PL, was a significant radiographic factor associated with the sagKA.
Abstract
Purpose: We sought to compare the radiographic parameters concerning the sagittal alignment of the standing whole-body skel etons between the knee extension group and control group using the low-dose biplanar X-ray system in a young adult population without knee pain, and to investigate the associated variables for the sagittal knee angle (sagKA) among the radiographic param eters of global sagittal alignment. Materials and Methods: We reviewed whole-body standing sagittal radiographs of 124 young adults taken from December 2018 to May 2020 in a single institution. We compared the radiographic parameters concerning the lower extremity sagittal alignment and global sagittal alignment between the knee extension group and control group. The factors correlated with sagKA were evalu ated using multiple linear regression analysis. Results: The sagittal vertical axis (SVA), the horizontal offset between the gravity line (GL) and the posterior edge of S1 endplate (GL-S), and the horizontal offset between the GL and the hip center (GL-H) were -11.6±21.3 mm, 5.1±23.8 mm, and -25.1±27.1 mm in the knee extension group, respectively, which were significantly smaller than those in the control group. The C7 plumb line (C7PL) and GL were deviated posterior to the sacrum and the hip center in the knee extension group, with the mean sagKA of -5.6° in young adults. Conclusion: The GL-H using GL, not the SVA using C7PL, was a significant radiographic factor associated with the sagKA.
참고문헌 (30)
- Le Huec JC, "Sagittal balance of the spine", Eur Spine J, 28, pp.1889~1905 (2019)
- Ivanenko Y, "Human postural control", Front Neurosci, 12, pp.171~ (2018)
- Steffen JS, "3D postural balance with regard to gravity line : an evaluation in the transversal plane on 93 patients and 23 asymptomatic volunteers", Eur Spine J, 19, pp.760~767 (2010)
- Hasegawa K, "Normative values of spino-pelvic sagittal alignment, balance, age, and health-related quality of life in a cohort of healthy adult subjects", Eur Spine J, 25, pp.3675~3686 (2016)
- Hasegawa K, "Standing sagittal alignment of the whole axial skeleton with reference to the gravity line in humans", J Anat, 230, pp.619~630 (2017)
- Hey HWD, "Characterization of sagittal spine alignment with reference to the gravity line and vertebral slopes : an analysis of different roussouly curves", Spine(Phila Pa 1976), 45, pp.E481~E488 (2020)
- Yagi M, "Discordance of gravity line and C7PL in patient with adult spinal deformity--factors affecting the occiput-trunk sagittal discordance", Spine J, 15, pp.213~221 (2015)
- Kim YC, "The cranial sagittal vertical axis(CrSVA)is a better radiographic measure to predict clinical outcomes in adult spinal deformity surgery than the C7 SVA : a monocentric study", Eur Spine J, 26, pp.2167~2175 (2017)
- Di Giulio I, "Attainment of quiet standing in humans : are the lower limb joints controlled relative to a misaligned postural reference?", Front Physiol, 10, pp.625~ (2019)
- Dean RS, "Treatment for symptomatic genu recurvatum : a systematic review", Orthop J Sports Med, 8, pp.2325967120944113~ (2020)
- Mortazavi SMJ, "Late-onset de novo genu recurvatum after primary total knee arthroplasty : a potential indication for isolated polyethylene exchange", Arthroplast Today, 6, pp.492~495 (2020)
- Jalai CM, "Full-body analysis of age-adjusted alignment in adult spinal deformity patients and lower-limb compensation", Spine(Phila Pa 1976), 42, pp.653~661 (2017)
- Brattström H, "Patella alta in non-dislocating knee joints", Acta Orthop Scand, 41, pp.578~588 (1970)
- Chung BJ, "Differences between sagittal femoral mechanical and distal reference axes should be considered in navigated TKA", Clin Orthop Relat Res, 467, pp.2403~2413 (2009)
- Han HS, "Evaluation of anatomic references for tibial sagittal alignment in total knee arthroplasty", Knee Surg Sports Traumatol Arthrosc, 16, pp.373~377 (2008)
- Legaye J, "Pelvic incidence : a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves", Eur Spine J, 7, pp.99~103 (1998)
- Garbossa D, "Pelvic parameters and global spine balance for spine degenerative disease : the importance of containing for the well being of content", Eur Spine J, 23(Suppl 6), pp.616~627 (2014)
- Roussouly P, "Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position", Spine(Phila Pa 1976), 30, pp.346~353 (2005)
- Schwab FJ, "Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity : a prospective multicenter analysis", Spine(Phila Pa 1976), 38, pp.E803~12 (2013)
- Faul F, "Statistical power analyses using G*Power 3. 1 : tests for correlation and regression analyses", Behav Res Methods, 41, pp.1149~1160 (2009)
- Pizones J, "Pelvic motion the key to understanding spine-hip interaction", EFORT Open Rev, 5, pp.522~533 (2020)
- Barrey C, "Compensatory mechanisms contributing to keep the sagittal balance of the spine", Eur Spine J, 22(Suppl 6), pp.S834~S841 (2013)
- Daubs MD, "Does correction of preoperative coronal imbalance make a difference in outcomes of adult patients with deformity", Spine (Phila Pa 1976), 38, pp.476~483 (2013)
- Murata Y, "The knee-spine syndrome. Association between lumbar lordosis and extension of the knee", J Bone Joint Surg Br, 85, pp.95~99 (2003)
- Meding JB, "Genu recurvatum in total knee replacement", Clin Orthop Relat Res, 416, pp.64~67 (2003)
- Prasad A, "Outcome of total knee arthroplasty in patients with poliomyelitis : a systematic review", EFORT Open Rev, 3, pp.358~362 (2018)
- Seo SS, "Outcomes of total knee arthroplasty in degenerative osteoarthritic knee with genu recurvatum", Knee, 25, pp.167~176 (2018)
- Erceg M, "Genu recurvatum as a complication after total knee arthroplasty", Acta Clin Croat, 51, pp.265~268 (2012)
- Wade R, "A systematic review of the clinical effectiveness of EOS 2D", 3D Xray imaging system, 2013, pp.22, 296~304
- Hey HWD, "Normal variation in sagittal spinal alignment parameters in adult patients : an EOS study using serial imaging", Eur Spine J, 27, pp.578~584 (2018)