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Predicting the Effect of Bilateral Pelvic Osteotomy on Sagittal Alignment Correction and Surrounding Muscles: A Mathematical Model
المؤلفون المشاركون
Zarei, Vahhab
Yson, Sharon C.
Bechtold, Joan E.
Sembrano, Jonathan N.
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-02-03
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Study Design.
Mathematical Model.
Objectives.
To investigate the relationship between pelvic osteotomy opening angle (OA) and its effect on spinopelvic sagittal parameters as well as the resting length of surrounding muscles.
Methods.
Predictive equations correlating OA with spinopelvic parameters were derived using geometric relationships.
A geometric model calculated spinopelvic parameters (SVA, pelvic incidence [PI], PT, and T1 pelvic angle [TPA]) produced by progressively increasing the OA.
These values were compared to optimal balance criteria in the literature.
Four muscles crossing the osteotomy site were evaluated: Gluteus Medius (GMED), Gluteus Maximus (GMAX), Piriformis (P), and Tensor Fascia Lata (TFL).
Insertion points were obtained from an OpenSim software model.
GMAX and GMED were subdivided into 3 (anterior, middle, and posterior).
Results.
OA correlated negatively with PI, TPA, and SVA and positively with PT.
From baseline SVA of 22 cm, OA 21° reduced SVA to 5cm.
OA 23° reduced TPA to 14°.
OA 30° increased PT to 20°.
OA 26° decreased PI-LL to 10°.
OA range of 26°-30° resulted in optimal sagittal deformity correction.
OA correlated with SR positively for TFL and anterior GMED and negatively for the rest of muscles.
For this OA, the SR approximately decreased 6%, 5%, 6%, 8%, and 5% for posterior GMED, anterior GMAX, middle GMAX, posterior GMAX, and P, respectively.
It increased 8% and 4% for anterior GMED and TFL, respectively.
Conclusion.
Predictive relationships between osteotomy OA and spinopelvic parameters were shown, providing proof of concept that sagittal balance may be achieved via pelvic osteotomy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Zarei, Vahhab& Yson, Sharon C.& Bechtold, Joan E.& Sembrano, Jonathan N.. 2019. Predicting the Effect of Bilateral Pelvic Osteotomy on Sagittal Alignment Correction and Surrounding Muscles: A Mathematical Model. Advances in Orthopedics،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1121572
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Zarei, Vahhab…[et al.]. Predicting the Effect of Bilateral Pelvic Osteotomy on Sagittal Alignment Correction and Surrounding Muscles: A Mathematical Model. Advances in Orthopedics No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1121572
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Zarei, Vahhab& Yson, Sharon C.& Bechtold, Joan E.& Sembrano, Jonathan N.. Predicting the Effect of Bilateral Pelvic Osteotomy on Sagittal Alignment Correction and Surrounding Muscles: A Mathematical Model. Advances in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1121572
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1121572
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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