Todd Carl, Kovac Peter, Swärd Anna, Agnvall Cecilia, Swärd Leif, Karlsson Jon, Baranto Adad
Department of Orthopaedics, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
The Carl Todd Clinic, 5 Pickwick Park, Park Lane, Corsham, SN13 0HN, UK.
J Orthop Surg Res. 2015 Oct 17;10:162. doi: 10.1186/s13018-015-0305-6.
The purpose of the present study is to compare the radiological parameters of the spino-pelvic sagittal alignment in young elite skiers and non-athletes of a similar age.
The sample group (n = 102) consisted of elite Alpine and Mogul skiers (n = 75) and a non-athletic population (n = 27), mean age for both groups was 17.7 (±1.4) years (skiers mean age 18.3 SD 1.1 and controls 16.4 SD 0.6). Radiological measurements of the spino-pelvic sagittal alignment were examined from plain radiographs taken in the long-standing position.
There were no significant differences reported in the pelvic parameters between both groups. A difference was reported in the sagittal vertebral axis between skiers (8.0 cm SD 46.0) and the control group (-2.0 cm SD 39.0), which may be of clinical significance, in spite of being statistically non-significant. Type I spinal curves according to Roussouly were shown to be more prevalent in the skiers (18.2%) compared with the control group (0.0%) and were statistically significant (p = 0.03).
Elite young skiers are shown to have a more prevalent type I spine and a different spino-pelvic sagittal alignment compared to a healthy non-sporting population of a similar age.
本研究的目的是比较年轻优秀滑雪运动员与年龄相仿的非运动员的脊柱-骨盆矢状位对线的影像学参数。
样本组(n = 102)由优秀高山滑雪和自由式滑雪运动员(n = 75)以及非运动员人群(n = 27)组成,两组的平均年龄均为17.7(±1.4)岁(滑雪运动员平均年龄18.3,标准差1.1;对照组平均年龄16.4,标准差0.6)。通过站立位平片检查脊柱-骨盆矢状位对线的影像学测量结果。
两组之间的骨盆参数未见显著差异。滑雪运动员(矢状位脊柱轴8.0 cm,标准差46.0)与对照组(矢状位脊柱轴-2.0 cm,标准差39.0)的矢状位脊柱轴存在差异,尽管在统计学上无显著意义,但可能具有临床意义。与对照组(0.0%)相比,根据鲁苏利分类法的I型脊柱曲线在滑雪运动员中更为常见(18.2%),且具有统计学意义(p = 0.03)。
与年龄相仿的健康非运动人群相比,年轻优秀滑雪运动员的I型脊柱更为常见,且脊柱-骨盆矢状位对线不同。