Knebel Ashley, Daher Mohammad, Singh Manjot, Fisher Lauren, Daniels Alan H, Diebo Bassel G
Department of Orthopedics Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island, United States.
N Am Spine Soc J. 2024 Jul 6;19:100519. doi: 10.1016/j.xnsj.2024.100519. eCollection 2024 Sep.
Spinal alignment analysis play an important role in evaluating patients and planning surgical corrections for adult spinal deformity. The history of these parameters is relatively short with the first parameter, the Cobb angle, introduced in 1948 as part of an effort to improve scoliosis evaluation. New developments in the field were limited for nearly 30 years before better imaging technology encouraged new theories and later data about spinal alignment and the relationship between the spine and pelvis. These efforts would ultimately contribute to the creation of foundational spinal alignment parameters, including pelvic incidence, pelvic tilt, and sacral slope. By the 1990s, spinal alignment had become a sustained area of investigation for spinal surgeons and researchers. Novel alignment parameters have since been introduced as our knowledge has evolved and has allowed for valuable research that demonstrates the clinical and surgical value of alignment measurement. This manuscript will explore the history of spinal alignment analysis over the decades.
脊柱排列分析在评估成人脊柱畸形患者以及规划手术矫正方案中发挥着重要作用。这些参数的历史相对较短，第一个参数即 Cobb 角于 1948 年被引入，作为改善脊柱侧凸评估工作的一部分。在更好的成像技术催生有关脊柱排列以及脊柱与骨盆关系的新理论和后续数据之前，该领域近 30 年的发展都很有限。这些努力最终促成了基础脊柱排列参数的创建，包括骨盆入射角、骨盆倾斜度和骶骨坡度。到 20 世纪 90 年代，脊柱排列已成为脊柱外科医生和研究人员持续关注的研究领域。随着我们知识的不断发展，此后又引入了新的排列参数，这些参数使得有价值的研究得以开展，证明了排列测量的临床和手术价值。本手稿将探讨数十年来脊柱排列分析的历史。
