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Correlations between Radiographic Spinopelvic Parameters and Health-related Quality of Life: A prospective evaluation of 37 patients with Facioscapulohumeral Muscular Dystrophy
Clinical Neurology and Neurosurgery ( IF 1.9 ) Pub Date : 2020-11-01 , DOI: 10.1016/j.clineuro.2020.106137
Serkan Bayram 1 , Alper Şükrü Kendirci 1 , Şahin Karalar 1 , Hacer Durmuş Tekçe 2 , Fatma Yeşim Parman 2 , Turgut Akgül 1 , Hayati Durmaz 1
Affiliation  

OBJECTIVE The purpose of this study was to evaluate the relationship between spinopelvic parameters and health-related quality of life. METHODS Patients with Facioscapulohumeral muscular dystrophy (FSHD) were asked to volunteer to participate in this study from April 2018 to December 2019. Patient data, including age, sex, body mass index (BMI), and duration of the diagnosis of FSHD were obtained. Short Form (SF-36) questionnaire was completed for all patients. All patients underwent lateral radiography of the whole spine. The radiographic parameters examined were pelvic tilt (PT), pelvic incidence (PI), sacral slope (SS), lumbar lordosis (LL), cervical lordosis (CL), T1 spinopelvic inclination (T1 SPI), thoracic kyphosis (TK), Pelvic incidence- lumbar lordosis (PI-LL) and sagittal vertical axis (SVA). RESULTS Thirty-seven patients (16 females and 21 males) were included in the study, with a mean age of 39.1 years. The mean duration of diagnosis was 13.5 ± 11.4 years and mean BMI was 24.2 kg/m2. Physical composite score (PCS) was 38.7 and mental composite score (MCS) 60.8 detected. Radiographic analyses included the following: the mean PT was 9.1°, PI 52.1°, SS 43.5°, LL 67.9°, CL 9.8°, T1 SPI -2.5°, TK 23.1°, SVA 37.6 mm. PI-LL was -13.1°. We identified 31 patients with match (left) PI-LL and six patients with mismatch (right) PI-LL. CONCLUSION Hyperlordosis inlumbar spine, hypolordosis in cervical spine and negative sagittal balance were the most common spinal misalignments in patients with FSHD. These patients have lower composite PCS than composite MCS. There was a significantly negative correlation between LL, PI-LL and PCS. LEVEL OF EVIDENCE Level IV Cross-sectional study.

中文翻译:

放射学脊柱骨盆参数与健康相关生活质量之间的相关性:对 37 例面肩肱型肌营养不良症患者的前瞻性评估

目的 本研究的目的是评估脊柱骨盆参数与健康相关生活质量之间的关系。方法 2018 年 4 月至 2019 年 12 月,要求面肩肱型肌营养不良症 (FSHD) 患者自愿参加本研究,获取患者数据,包括年龄、性别、体重指数 (BMI) 和 FSHD 诊断持续时间。所有患者都完成了简表 (SF-36) 问卷。所有患者均接受了整个脊柱的侧位 X 光检查。检查的影像学参数为骨盆倾斜度 (PT)、骨盆入射角 (PI)、骶骨倾斜度 (SS)、腰椎前凸 (LL)、颈椎前凸 (CL)、T1 脊柱骨盆倾斜度 (T1 SPI)、胸椎后凸 (TK)、骨盆发生率 - 腰椎前凸 (PI-LL) 和矢状纵轴 (SVA)。结果 本研究共纳入 37 名患者(16 名女性和 21 名男性),平均年龄为 39.1 岁。平均诊断持续时间为 13.5 ± 11.4 年,平均 BMI 为 24.2 kg/m2。身体综合评分 (PCS) 为 38.7,心理综合评分 (MCS) 为 60.8。放射学分析包括以下内容:平均 PT 为 9.1°,PI 52.1°,SS 43.5°,LL 67.9°,CL 9.8°,T1 SPI -2.5°,TK 23.1°,SVA 37.6 mm。PI-LL 为-13.1°。我们确定了 31 名匹配(左)PI-LL 的患者和 6 名不匹配(右)PI-LL 的患者。结论腰椎前凸过度、颈椎前凸不足和矢状位负平衡是FSHD患者最常见的脊柱错位。这些患者的复合 PCS 低于复合 MCS。LL、PI-LL 和 PCS 之间存在显着负相关。
更新日期:2020-11-01
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