AI Article Synopsis

  • The study aimed to identify age-specific normative values for whole-body sagittal alignment (WBSA) and global balance parameters in healthy adults, utilizing data from three international centers.
  • A total of 317 healthy subjects, aged 20-84, were examined using biplanar X-ray imaging, assessing various spinopelvic and alignment parameters to understand age-related changes and correlations.
  • Findings revealed significant age-related increases in local parameters like the C2-7 angle and knee flexion, while changes in global parameters linked to center of gravity were mild, indicating a compensatory mechanism within lower limbs was at play.

Article Abstract

Purpose: To investigate the age-specific normative values of whole-body sagittal alignment (WBSA) including global balance parameters in healthy adults and to clarify the correlations among parameters based on the data from three international multicenter.

Methods: Three hundred and seventeen healthy subjects (range: 20-84 y.o., mean: 43.8 ± 14.7 y.o.) were included and underwent whole-body biplanar X-ray imaging system. Spinopelvic parameters and knee flexion (KF), the center of acoustic meatus (CAM)-hip axis (HA), and C2 dentiform apophyse (OD)-HA, the cranial center (Cr)-HA were evaluated radiologically. Sub-analysis for correlation analysis between age and parameters and among parameters was performed to investigate age-specific change and compensatory mechanisms.

Results: For age-related change, C2-7 angle (r = .326 for male/.355 for female), KF (r = .427/.429), and SVA (r = .234/.507) increased with age in both male and female group. For global parameters related to the center of the gravity, correlations with age were not significant (r = .120/.161 for OD-HA, r = .163/.275 for Cr-HA, r = .149/.262 for CAM-HA). Knee flexion (KF) has correlation with global parameters (i.e., SVA, OD-HA, Cr-HA, CAM-HA) and does not have correlations with local spinopelvic alignment.

Conclusion: While several local alignment changes with age were found, changes in global parameters related to the center of gravity were kept relatively mild by the chain of compensation mechanisms including the lower limbs. We showed the normative values for a comprehensive WBSA in standing posture from large international healthy subjects' database.

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http://dx.doi.org/10.1007/s00586-022-07445-yDOI Listing

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