Predicting the Effect of Bilateral Pelvic Osteotomy on Sagittal Alignment Correction and Surrounding Muscles: A Mathematical Model
Joint Authors
Zarei, Vahhab
Yson, Sharon C.
Bechtold, Joan E.
Sembrano, Jonathan N.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-03
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1121572