Lomber subkutan yağ doku kalınlığının spinopelvik parametrelerle ilişkisi

Amaç: Lomber subkutan yağ doku kalınlığı ile spinopelvik parametreler arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: Retrospektif tipte planlanan çalışmaya Ekim 2019 ve Aralık 2019 tarihleri arasında Tokat Devlet Hastanesi'ne başvuran Lomber MR ve 2-yönlü lumbosakral grafileri çekilmiş olan 92 birey dahil edildi. Lomber subkutan yağ doku kalınlığı, pelvik insidans, pelvik tilt, sakral slop, lomber lordoz ve spinopelvik uyumsuzluk (pelvik insidans minus lomber lordoz) değerleri ölçüldü ve ölçümler arasındaki korelasyon değerlendirildi. Bulgular: L1 vertebra düzeyinde subkutan yağ doku kalınlığı 20.50±12.34 mm tespit edilirken L5 vertebra düzeyinde subkutan yağ doku kalınlığı 29.79±15.68 mm olarak ölçüldü. L1 düzeyi subkutan yağ doku kalınlığı ile VKI ve L5 vertebra düzeyi subkutan yağ doku kalınlığı arasında kuvvetli korelasyon, pelvik tilt ve spinal dizilim bozukluğu arasında zayıf korelasyon tespit edildi (p

Relationship between lumbar subcutaneous adipose tissue thickness and spinopelvic parameters

Purpose: The aim of this study was too reveal the relationship between lumbar subcutaneous adipose tissue thickness and spinopelvic parameters. Materials and Methods: This retrospective study included a total of 92 individuals who had lumbosacral radiographs and lumbar magnetic resonance imaging among the people who applied to Tokat State Hospital in October-December 2019 period. Lumbar subcutaneous adipose tissue thickness, pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis and spinopelvic mismatch (Pelvic incidence minus lumbar lordosis) were determined, and correlations between these measurements were evaluated. Results: Subcutaneous adipose tissue thickness was 20.50±12.34 mm at L1 vertebra level and 29.79±15.68 mm at L5 vertebra level. Subcutaneous adipose tissue thickness at L1 vertebra level was strongly correlated with body mass index and adipose tissue thickness at L5 vertebra level, but weakly correlated with pelvic tilt and spinal misalignments. Conclusion: Subcutaneous adipose tissue thickness and body mass index increase was positively correlated. In addition, lumbar subcutaneous adipose tissue thickness and body mass index increase have effects on pelvis and spinal alignment. Lumbar subcutaneous adipose tissue thickness could be used to evaluate the effect of body composition on spinopelvic parameters.

Keywords:

Lumbar subcutaneous adipose tissue thickness Spinopelvic parameter, adipose tissue,

PDF

___

1. Blair SN. Physical inactivity: the biggest public health problem of the 21st century. Br J Sports Med. 2009;43:1-2.
2. Onyemaechi NO, Anyanwu GE, Obikili EN, Onwuasoigwe O, Nwankwo OE. Impact of overweight and obesity on the musculoskeletal system using lumbosacral angles. Patient Prefer Adherence. 2016;10:291.
3. Funao H, Tsuji T, Hosogane N, Watanabe K, Ishii K, Nakamura M et al. Comparative study of spinopelvic sagittal alignment between patients with and without degenerative spondylolisthesis. Eur Spine J. 2012;21:2181-7.
4. Barry C, Jund J, Noseda O, Roussouly P. Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases. Eur Spine J. 2007;16:1459–67.
5. Sheng B, Feng C, Zhang D, Spitler H, Shi L. Associations between obesity and spinal diseases: a medical expenditure panel study analysis. Int J Environ Res Public Health. 2017;14:183.
6. Klare C, Johnson N, Chapman T, Darden B, Davidson D, Milam A. Comparison of subcutaneous fat thickness in the lumbar spine related to bmi between males and females. J Neurosurg Spine. 2019;30:45.
7. Takatalo J, Karppinen J, Taimela S, Niinimäki J, Laitinen J, Sequeiros RB et al. Association of abdominal obesity with lumbar disc degeneration--a magnetic resonance imaging study. PLoS One. 2013;8:e56244.
8. Schwab F, Patel A, Ungar B, Farcy J, Lafage V. Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery. Spine (Phila Pa 1976). 2010;35:2224-31.
9. Vaz G, Roussouly P, Berthonnaud E, Dimnet J. Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J. 2002;11:80–7.
10. Diebo BG, Ferrero E, Lafage R, Challier V, Liabaud B, Liu S et al. Recruitment of compensatory mechanisms in sagittal spinal malalignment is age and regional deformity dependent: a full-standing axis analysis of key radiographical parameters. Spine (Phila Pa 1976). 2015;40:642–9.
11. Glassman SD, Bridwell K, Dimar JR, Horton W, Berven S, Schwab F. The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976). 2005;30:2024–9.
12. O’Sullivan PB, Dankaerts W, Burnett AF, Farrell GT, Jefford E, Naylor CS. Effect of different upright sitting postures on spinal-pelvic curvature and trunk muscle activation in a pain-free population. Spine. 2006;31:E707-E712.
13. Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P. Radio.graphic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Jt Surg Am. 2005;87:260–7.
14. West W, Brady-West D, West KP. A comparison of statistical associations between oedema in the lumbar fat on MRI, BMI and back fat thickness (BFT). Heliyon. 2018;4(1):e00500.
15. Romero-Vargas S, Zárate-Kalfópulos B, OteroCámara E, Rosales-Olivarez L, Alpízar-Aguirre A, Morales-Hernández E, et al. The impact of body mass index and central obesity on the spino-pelvic parameters: a correlation study. Eur Spine J. 2013;22:878-82.
16. Berthonnaud E, Labelle H, Roussouly P, Grimard G, Vaz G, Dimnet,J. A variability study of computerized sagittal spinopelvic radiologic measurements of trunk balance. Clin Spine Surg. 2005;18:66-71.
17. Schwab FJ, Bess S, Blondel B, Hostin R, Shaffrey C, Smith JS et al. combined assessment of pelvic tilt, pelvic incidence/lumbar lordosis mismatch and sagittal vertical axis predicts disability in adult spinal deformity: a prospective analysis. Spine J Meeting Abstracts. 2011:65.
18. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesthesia Analgesia. 2018;126:1763- 8.
19. Haslam D, James W. Obesity. Lancet. 2005;366:1197– 1209.
20. Wallner-Liebmann SJ, Kruschitz R, Hübler K, Hamlin MJ, Schnedl WJ, Moser M et al. A measure of obesity: BMI versus subcutaneous fat patterns in young athletes and nonathletes. Coll Antropol. 2013;37:351– 7.
21. Chang E, Varghese M, Singer K. Gender and sex differences in adipose tissue. Current diabetes reports. 2018;18:69.
22. Wang T, Wang H, Liu F, Yang D, Ma L, Ding W. The characteristics of spino-pelvic sagittal parameters and obesity factors for adolescents with lumbar disc herniation. Int J Clin Exp Med. 2016;9:14321-8.
23. Schuller S, Charles YP, Steib JP. Sagittal spinopelvic alignment and body mass index in patients with degenerative spondylolisthesis. Eur Spine J. 2011;20:713-9.
24. Zawojska K, Wnuk-Scardaccione A, Bilski J, Nitecka E. Correlation of body mass index with pelvis and lumbar spine alignment in sagittal plane in hemophilia patients. Medicina. 2019;55:627.
25. Song MY, Chung WS, Kim SS, Shin HD. Correlation between obesity and lumbar lordosis in obese premenupausal Korean females. J Korean Orient Med. 2004;25:43-50.
26. Noshchenko A, Hoffecker L, Cain CM, Patel VV, Burger EL. Spinopelvic parameters in asymptomatic subjects without spine disease and deformity. Clin Spine Surg. 2017;30:392-403.
27. Kim PK. Case Presentation of Sagittal Balance. Spine (Phila Pa 1976). 2016;41:S20.
28. Aono K, Kobayashi T, Jimbo S, Atsuta Y, Matsuno T. Radiographic analysis of newly developed degenerative spondylolisthesis in a mean twelve-year prospective study. Spine (Phila Pa 1976). 2010;35:887- 91.
29. Roussouly P, Gollogly S, Berthonnaud E, Dimnet J. Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976). 2005;30:346- 53.
30. Horn SR, Bortz CA, Ramachandran S, Poorman GW, Segreto F, Siow M. Suboptimal age-adjusted lumbopelvic mismatch predicts negative cervical-thoracic compensation in obese patients. Int J Spine Surg. 2019;13:252-61.
31. Park P, Wang MY, Nguyen S, Mundis GM Jr, La Marca F, Uribe JS et al. Comparison of complications and clinical and radiographic outcomes between nonobese and obese patients with adult spinal deformity undergoing minimally invasive surgery. World Neurosurg. 2016;87:55-60