Bissolotti Luciano, Donzelli Sabrina, Gobbo Massimiliano, Zaina Fabio, Villafañe Jorge Hugo, Negrini Stefano
From the Casa di Cura Domus Salutis, Brescia, Italy (LB); LARIN: Neuromuscular and Adapted Physical Activity Laboratory, Brescia, Italy (LB, MG); ISICO (Italian Scientific Spine Institute), Milan, Italy (SD, FZ); Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy (MG, SN); and IRCCS Don Gnocchi Foundation, Milan, Italy (JHV, SN).
Am J Phys Med Rehabil. 2016 Jan;95(1):39-46. doi: 10.1097/PHM.0000000000000328.
The aim of this study was to describe the association between scoliosis and sagittal balance parameters in Parkinson disease patients.
This is a cross-sectional study.
Fifty percent of the cohort presented a scoliosis larger than 11 degrees; 84% of the patients with scoliosis presented a thoracolumbar curve, 10% presented a thoracic one, and 6% presented a lumbar one. The group with scoliosis curves presented a lower spinosacral angle (111.6 [21.9] degrees vs. 121.7 [9.8] degrees, P < 0.05), whereas thoracic kyphosis, lumbar lordosis, and spinopelvic angle were similar. Pelvic incidence, pelvic tilt, and sacral slope were not statistically different. In the scoliosis group, the authors found negative correlations for lumbar lordosis/spinopelvic angle, sacral slope/spinosacral angle, and lumbar lordosis/pelvic tilt. Moreover, the sacral slope/pelvic tilt correlation was positive in patients without scoliosis and negative in others. The two groups did not present differences regarding age, years of disease, Hoehn-Yahr score, and Unified Parkinson Disease Rating Scale-motor section.
Pelvic parameters were similar in the two groups, whereas spinosacral angle was lower in patients with scoliosis. The prevalence of scoliosis in Parkinson disease was higher than what was previously described and the thoracolumbar spine was the mostly affected.
本研究旨在描述帕金森病患者脊柱侧弯与矢状面平衡参数之间的关联。
这是一项横断面研究。
该队列中有50%的患者脊柱侧弯大于11度；脊柱侧弯患者中84%为胸腰段侧弯，10%为胸段侧弯，6%为腰段侧弯。脊柱侧弯组的脊柱骶骨角较低（111.6 [21.9]度对121.7 [9.8]度，P < 0.05），而胸椎后凸、腰椎前凸和脊柱骨盆角相似。骨盆入射角、骨盆倾斜度和骶骨斜率无统计学差异。在脊柱侧弯组中，作者发现腰椎前凸/脊柱骨盆角、骶骨斜率/脊柱骶骨角和腰椎前凸/骨盆倾斜度之间呈负相关。此外，骶骨斜率/骨盆倾斜度的相关性在无脊柱侧弯的患者中为正，在其他患者中为负。两组在年龄、患病年限、 Hoehn-Yahr评分和统一帕金森病评定量表运动部分方面无差异。
两组的骨盆参数相似，而脊柱侧弯患者的脊柱骶骨角较低。帕金森病中脊柱侧弯的患病率高于先前描述的，且胸腰段脊柱受影响最为严重。
