title: The association of sagittal spinal and pelvic parameters in asymptomatic persons and patients with isthmic spondylolisthesis.
abstract: Using a specialized orthopedic software package, the authors investigated the sagittal spinal shape and the position of the pelvis in the space in patients with isthmic spondylolisthesis and in persons with no such symptoms. Digitized lateral spinal radiographs of 30 healthy volunteers and 48 patients were evaluated. The absolute values and significant correlations between parameters were analyzed. The pelvic parameters correlated well with lordosis, which shows sagittal balance in the asymptomatic group. The hyperlordosis and the horizontally positioned sacrum in isthmic spondylolisthesis enlarge the tensile force component of gravity, which may cause the lysis. Finally, the authors developed a new balance between the pelvis and the spine after slipping of the vertebral body. The degree of slipping correlated well with the sacrofemoral anatomic constant (incidence), which is unique in each person.
authors.affiliation: Laboratory of Biomechanics of ENSAM, Paris, France. rajnicsp@hotmail.com
authors.forename: Péter
authors.initials: P
authors.lastname: Rajnics
authors.forename: Alexandre
authors.initials: A
authors.lastname: Templier
authors.forename: Wafa
authors.initials: W
authors.lastname: Skalli
authors.forename: Francois
authors.initials: F
authors.lastname: Lavaste
authors.forename: Tamás
authors.initials: T
authors.lastname: Illés
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016011:Normal Distribution; D010388:Pelvis / Q000000981:diagnostic imaging*; D011859:Radiography; D013131:Spine / Q000000981:diagnostic imaging*; D013168:Spondylolisthesis / Q000000981:diagnostic imaging*