Objective To measure the sagittal configurations of the sacrum using computed tomography (CT), and to investigate the correlation between the sagittal configuration of the sacrum and pelvic incidence.
Methods The computed topographies of complete pelvic imaging between 2006 and 2018 was retrospectively studied. Measurements of pelvic and sacral morphological parameters were performed on the midsagittal plane of the 2D reconstruction images of computed tomography. Pelvic incidence (PI) (STA) were measured as previously described, and sacral table angle, sacral incidence (SI), sacral segmental vertebral angle (SSVA), sacral segmental kyphosis (SSK), central angle (SCA), arc length (SAL) as well as arc radius (SAR) were introduced to describe the segmental morphology of sacrum. Pearson Correlation Coefficient and Stepwise Regression Analysis were used to determine the relationship between PI and sacral morphological parameters.
Results A total of 304 subjects were finally included in this study. The average age of the patients were 46.22 ± 15.92 years, and the average PI was 45.24±8.68°. Most of the sacral morphological parameters were not different as affected by gender or age. The morphological parameters of S1: S1I, SSVA1 and STA were finally confirmed to be closely correlated with PI, while no significant correlation between sacral curvature (SCA) and PI was identified, and morphological parameters of other sacral segments were not correlated to PI either.
Conclusion The morphological parameters of S1 are more closely correlated with PI, and the sacral incidence of S1 might serve as a useful tool for the calculation of PI.

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Posted 01 Apr, 2020
Posted 01 Apr, 2020
Objective To measure the sagittal configurations of the sacrum using computed tomography (CT), and to investigate the correlation between the sagittal configuration of the sacrum and pelvic incidence.
Methods The computed topographies of complete pelvic imaging between 2006 and 2018 was retrospectively studied. Measurements of pelvic and sacral morphological parameters were performed on the midsagittal plane of the 2D reconstruction images of computed tomography. Pelvic incidence (PI) (STA) were measured as previously described, and sacral table angle, sacral incidence (SI), sacral segmental vertebral angle (SSVA), sacral segmental kyphosis (SSK), central angle (SCA), arc length (SAL) as well as arc radius (SAR) were introduced to describe the segmental morphology of sacrum. Pearson Correlation Coefficient and Stepwise Regression Analysis were used to determine the relationship between PI and sacral morphological parameters.
Results A total of 304 subjects were finally included in this study. The average age of the patients were 46.22 ± 15.92 years, and the average PI was 45.24±8.68°. Most of the sacral morphological parameters were not different as affected by gender or age. The morphological parameters of S1: S1I, SSVA1 and STA were finally confirmed to be closely correlated with PI, while no significant correlation between sacral curvature (SCA) and PI was identified, and morphological parameters of other sacral segments were not correlated to PI either.
Conclusion The morphological parameters of S1 are more closely correlated with PI, and the sacral incidence of S1 might serve as a useful tool for the calculation of PI.

Figure 1

Figure 2

Figure 3
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