Changes in pelvic measurements and lumbar lordosis with age in children and adolescents
European Spine Journal, cilt.34, sa.10, ss.4344-4352, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 10
- Basım Tarihi: 2025
- Doi Numarası: 10.1007/s00586-025-09219-8
- Dergi Adı: European Spine Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
- Sayfa Sayıları: ss.4344-4352
- Kırklareli Üniversitesi Adresli: Evet
Özet
Purpose: To investigate the changes in pelvic measurements and lumbar lordosis with age in children and adolescents and to find a relationship between pelvic parameters and lumbar lordosis to estimate appropriate lordosis in the adolescent idiopathic scoliosis surgery. Methods: A retrospective analysis of 382 abdominal-pelvic CT scans was conducted, with pelvic incidence, sacral slope, pelvic tilt, supine lumbar lordosis, and a derived parameter L1 slope measurements performed. Participants were divided into three age groups: 3–10, 11–15, and 16–18 years. Statistical correlations are performed among parameters and between age groups. Results: Showed that pelvic incidence, sacral slope, pelvic tilt and supine lumbar lordosis increased significantly with age, with pelvic incidence rising by 7.2° from childhood to late adolescence. Notably, L1 slope remained constant across age groups, suggesting its potential as a stable parameter during growth. Strong correlations were observed between sacral slope and supine lumbar lordosis (R = 0.904). Mathematical formulas for estimating supine lumbar lordosis from pelvic incidence (SLL = 0.714xPI + 12.297) and sacral slope (SLL = 1.19xSS + 2.22) were derived. Conclusion: L1 slope as a stable parameter during the growth period is a potentially overlooked but critical parameter in pediatric spinal assessments. Derived mathematical formulas may offer clinical utility for surgical planning in adolescent idiopathic scoliosis.