The Relationship of Pelvic Incidence and the Final Surgery in the Degenerative Disease of the Spine

Oct 13, 2025 by windailys.com 134 views

The Relationship of Pelvic Incidence and the Final Surgery in the Degenerative Disease of the Spine

Introduction

Spinal degenerative diseases, including lower back pain and lumbar degenerative diseases, are a significant public health concern worldwide. The sagittal spinopelvic alignment plays a crucial role in the development of these diseases, and understanding its relationship with pelvic incidence (PI) is essential for developing effective treatment strategies. This study aims to assess the relationship between PI and the final surgery in patients with degenerative diseases of the spine.

Background

Sagittal spinopelvic alignment is a critical factor in the development of spinal degenerative diseases. The alignment of the spine and pelvis affects the distribution of forces and stresses on the spine, which can lead to pain, instability, and joint degeneration. Pelvic incidence, a measure of the angle between the pelvis and the spine, is an important factor in determining the sagittal spinopelvic alignment. Previous studies have shown that PI is associated with various spinal disorders, including scoliosis and spondylolisthesis.

Methodology

This study is a retrospective analysis of patients with degenerative diseases of the spine who underwent surgery. The data collected before surgery included age, gender, PI, visual analog scores (VAS) to assess the level of pain, and Oswestry disability index (ODI). The final surgery assessed was VAS and ODI at the last follow-up. The study involved 36 patients (13 men and 23 women) with an average age of 51.61 years. A total of 21 patients underwent laminectomy, and 15 patients underwent laminectomy with posterolateral fusion and instrumentation. The average follow-up period was 20.02 months.

Results

The average PI was 50.63, and it did not correlate with age, gender, or type of disease. The average VAS before surgery was 8.05, and ODI before surgery was 70.74%. After the operation, there were significant improvements in VAS (2.75) and ODI (38.40%). VAS and ODI values after surgery correlated with age, type of disease, and type of surgery. However, VAS and ODI did not correlate with PI before surgery.

Conclusion

This study shows that the pelvic incidence is not correlated with the final surgery in the degenerative disease of the spine. These findings indicate that other factors such as age, type of disease, and type of surgery may play a greater role in determining the final results of surgery.

Additional Analysis and Explanation

This study provides important information about the role of Pelvic Incidence in determining the final results of surgery in spinal degenerative diseases. Although this research shows that PI is not correlated with the final outcome, further research is needed to better understand the role of PI in a broader context.

Several important factors that may need to be considered in further research include:

*** PI Measurement Method: *** This study may use a different PI measurement method from other studies. This can affect the results and conclusions. *** Types of degenerative diseases of the spine: *** This study may only involve patients with certain types of degenerative spine. The results may not be generalized to other types of degenerative diseases. *** Surgical Type: *** This study may only involve a certain type of surgery. The results may not be generalized to other types of surgery.

The Importance of Sagital Spinopelvic Slashing

The optimal alignment of spinopelvic sagittal is very important to maintain the health of the spine and prevent the development of degenerative diseases. Poor alignment can cause excessive pressure in the spine, which can cause pain, instability, and joint degeneration.

Recommendation

Patients with degenerative degenerative diseases must undergo a comprehensive assessment to evaluate their spinopelvic status. If an abnormality is found in the spinopelvic alignment, treatment may be needed to improve balance and prevent worsening of the disease.

Conclusion

This research is the first step in understanding the role of PI in the final results of surgery in the degenerative disease of the spine. Further research is needed to understand the role of PI more thoroughly and to develop a more effective treatment strategy.

Limitations of the Study

This study has several limitations. The sample size is relatively small, and the study only involves patients with certain types of degenerative spine. The results may not be generalized to other types of degenerative diseases. Additionally, the study only involves a certain type of surgery, and the results may not be generalized to other types of surgery.

Future Research Directions

Further research is needed to understand the role of PI in the final results of surgery in the degenerative disease of the spine. This may involve larger sample sizes, more diverse patient populations, and a broader range of surgical procedures. Additionally, further research is needed to develop more effective treatment strategies for patients with degenerative diseases of the spine.

Clinical Implications

The findings of this study have several clinical implications. Patients with degenerative degenerative diseases must undergo a comprehensive assessment to evaluate their spinopelvic status. If an abnormality is found in the spinopelvic alignment, treatment may be needed to improve balance and prevent worsening of the disease. Additionally, surgeons and clinicians must consider the type of surgery and the patient's age, gender, and type of disease when determining the final results of surgery.

Conclusion

In conclusion, this study shows that the pelvic incidence is not correlated with the final surgery in the degenerative disease of the spine. These findings indicate that other factors such as age, type of disease, and type of surgery may play a greater role in determining the final results of surgery. Further research is needed to understand the role of PI in a broader context and to develop more effective treatment strategies for patients with degenerative diseases of the spine.
Frequently Asked Questions (FAQs) about the Relationship of Pelvic Incidence and the Final Surgery in the Degenerative Disease of the Spine

Q: What is pelvic incidence (PI) and how is it related to spinal degenerative diseases?

A: Pelvic incidence is a measure of the angle between the pelvis and the spine. It is an important factor in determining the sagittal spinopelvic alignment, which plays a crucial role in the development of spinal degenerative diseases.

Q: What are the main findings of this study?

A: The study found that the pelvic incidence is not correlated with the final surgery in the degenerative disease of the spine. The results showed that other factors such as age, type of disease, and type of surgery may play a greater role in determining the final results of surgery.

Q: What are the limitations of this study?

A: The study has several limitations, including a relatively small sample size and a limited range of surgical procedures. The results may not be generalized to other types of degenerative diseases or surgical procedures.

Q: What are the clinical implications of this study?

A: The findings of this study have several clinical implications. Patients with degenerative degenerative diseases must undergo a comprehensive assessment to evaluate their spinopelvic status. If an abnormality is found in the spinopelvic alignment, treatment may be needed to improve balance and prevent worsening of the disease.

Q: What further research is needed to understand the role of PI in the final results of surgery in the degenerative disease of the spine?

A: Further research is needed to understand the role of PI in a broader context and to develop more effective treatment strategies for patients with degenerative diseases of the spine. This may involve larger sample sizes, more diverse patient populations, and a broader range of surgical procedures.

Q: How can patients with degenerative degenerative diseases improve their spinopelvic alignment and prevent worsening of the disease?

A: Patients with degenerative degenerative diseases can improve their spinopelvic alignment and prevent worsening of the disease by undergoing a comprehensive assessment to evaluate their spinopelvic status. If an abnormality is found in the spinopelvic alignment, treatment may be needed to improve balance and prevent worsening of the disease.

Q: What are the potential risks and complications of spinal surgery?

A: Spinal surgery carries several potential risks and complications, including infection, bleeding, nerve damage, and spinal instability. Patients should discuss the potential risks and complications with their surgeon before undergoing surgery.

Q: How can patients with degenerative degenerative diseases manage their symptoms and prevent worsening of the disease?

A: Patients with degenerative degenerative diseases can manage their symptoms and prevent worsening of the disease by maintaining a healthy weight, exercising regularly, and avoiding heavy lifting and bending. They should also follow their treatment plan and attend regular follow-up appointments with their healthcare provider.

Q: What is the prognosis for patients with degenerative degenerative diseases?

A: The prognosis for patients with degenerative degenerative diseases varies depending on the severity of the disease and the effectiveness of treatment. Some patients may experience significant improvement in their symptoms, while others may experience worsening of the disease.

Q: How can patients with degenerative degenerative diseases find a qualified healthcare provider?

A: Patients with degenerative degenerative diseases can find a qualified healthcare provider by asking for referrals from their primary care physician or other healthcare professionals. They can also check with their insurance provider to see if the provider is covered under their plan.

Q: What are the costs associated with spinal surgery?

A: The costs associated with spinal surgery vary depending on the type of surgery, the location, and the healthcare provider. Patients should discuss the costs with their surgeon before undergoing surgery.

Q: How can patients with degenerative degenerative diseases prepare for spinal surgery?

A: Patients with degenerative degenerative diseases can prepare for spinal surgery by following their treatment plan, attending regular follow-up appointments with their healthcare provider, and maintaining a healthy weight and exercising regularly. They should also discuss any concerns or questions they have with their surgeon before undergoing surgery.