Purpose The aim of this study was to describe the disease-elated sagittal balance changes in relation to the sacropelvic morphology of Parkinson's Disease patients with different duration of disease. Methods One hundred and seventy-five consecutive Parkinson's Disease (PD) patients (102 males, 73 females; age: 55-83 years) participated in the cross-sectional study. The clinical assessment included: Hoehn Yahr (H&Y) score; Tinetti score; plumb line (PL) distance from the spinous process of C7, L3 and S1 and kyphosis apex. Lumbar lordosis (LL), thoracic kyphosis (TK), spinosacral (SSA) and spinopelvic (SPA) angles, spinal tilt, pelvic incidence (PI), sacral slope (SS) and pelvic tilt (PT) were radiographically assessed. Results Spinosacral and spinopelvic were correlated with the duration of disease and Tinetti score, but not with age. We found a positive correlation between LL and both SSA and SPA. TK was significantly correlated with LL but not with pelvic parameters, while PI with SS and LL. Conclusions Female gender, high PI and high LL together with a low PL-C7 distance can be considered as protective factors for spinal imbalance and fall risk; negative factors are represented by male gender, longer disease duration, higher H&Y Class, and low PL-L3 distance. Looking at the pelvis is revealing new important insights in spinal disease management, both surgical and rehabilitative.

Sagittal balance is correlated with Parkinson’s Disease clinical parameters: an overview of spinopelvic alignment on 175 consecutive cases / L. Bissolotti, P. Berjano, P. Zuccher, A. Zenorini, R. Buraschi, J.H. Villafañe, S. Negrini. - In: EUROPEAN SPINE JOURNAL. - ISSN 0940-6719. - 26:4(2017), pp. 471-478.

Sagittal balance is correlated with Parkinson’s Disease clinical parameters: an overview of spinopelvic alignment on 175 consecutive cases

S. Negrini
2017

Abstract

Purpose The aim of this study was to describe the disease-elated sagittal balance changes in relation to the sacropelvic morphology of Parkinson's Disease patients with different duration of disease. Methods One hundred and seventy-five consecutive Parkinson's Disease (PD) patients (102 males, 73 females; age: 55-83 years) participated in the cross-sectional study. The clinical assessment included: Hoehn Yahr (H&Y) score; Tinetti score; plumb line (PL) distance from the spinous process of C7, L3 and S1 and kyphosis apex. Lumbar lordosis (LL), thoracic kyphosis (TK), spinosacral (SSA) and spinopelvic (SPA) angles, spinal tilt, pelvic incidence (PI), sacral slope (SS) and pelvic tilt (PT) were radiographically assessed. Results Spinosacral and spinopelvic were correlated with the duration of disease and Tinetti score, but not with age. We found a positive correlation between LL and both SSA and SPA. TK was significantly correlated with LL but not with pelvic parameters, while PI with SS and LL. Conclusions Female gender, high PI and high LL together with a low PL-C7 distance can be considered as protective factors for spinal imbalance and fall risk; negative factors are represented by male gender, longer disease duration, higher H&Y Class, and low PL-L3 distance. Looking at the pelvis is revealing new important insights in spinal disease management, both surgical and rehabilitative.
Parkinson Disease; Spine; Sagittal balance; Pelvic; Lumbar
Settore MED/34 - Medicina Fisica e Riabilitativa
2017
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/721809
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