Study of the Sagittal Anatomy of the Pelvis in Workers With Sacroiliac Pain
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Published:
Dec 16, 2020
Keywords:
Pelvic incidence, sacroiliac pain, sagittal anatomy
Main Article Content
Abstract
Introduction: the sacroiliac joint causes pain in 10 to 25% of patients with mechanical low back pain or symptoms radiating to the lower limbs. In the absence of trauma, metabolic disease, and collagen disease, its role in the pathophysiology of low back pain is not yet fully understood. The objective is to study the sagittal pelvic anatomy through the measurement of pelvic incidence (PI) in patients with sacroiliac pain in the workplace compared to asymptomatic patients.
Materials and Methods: a retrospective observational analytical study of adult patients with sacroiliac pain diagnosed with CT-guided block in an occupational pathology center during January 2015 and December 2018. The comparison group was a random sample of patients without pelvic or lumbosacral pathology studied with CT of the pelvis and spine during the same period.
Results: the mean PI in patients with sacroiliac pain was 52.57 (SD 9) and 46.52 (SD 9) in the group of healthy patients. The difference was statistically significant with the higher PI values in patients with sacroiliac pain (p 0.042).
Conclusion: patients with sacroiliac pain had a higher pelvic incidence than healthy patients, with a statistically significant difference in our study.
Materials and Methods: a retrospective observational analytical study of adult patients with sacroiliac pain diagnosed with CT-guided block in an occupational pathology center during January 2015 and December 2018. The comparison group was a random sample of patients without pelvic or lumbosacral pathology studied with CT of the pelvis and spine during the same period.
Results: the mean PI in patients with sacroiliac pain was 52.57 (SD 9) and 46.52 (SD 9) in the group of healthy patients. The difference was statistically significant with the higher PI values in patients with sacroiliac pain (p 0.042).
Conclusion: patients with sacroiliac pain had a higher pelvic incidence than healthy patients, with a statistically significant difference in our study.
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How to Cite
Ricciardi, G. A., Garfinkel, I. G., Carrioli, G. G., & Ricciardi, D. O. (2020). Study of the Sagittal Anatomy of the Pelvis in Workers With Sacroiliac Pain. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(6), 747-754. https://doi.org/10.15417/issn.1852-7434.2021.86.6.1127
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Clinical Research
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13. Peebles R, Jonas CE. Sacroiliac joint dysfunction in the athlete: diagnosis and management. Curr Sports Med Rep 2017;16(5):336-42. https://doi.org/10.1249/JSR.0000000000000410
14. Zelle BA, Gruen GS, Brown S, George S. Sacroiliac joint dysfunction: evaluation and management. Clin J Pain
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https://doi.org/10.3171/2014.12.SPINE14590
16. Yoshihara H. Sacroiliac joint pain after lumbar/lumbosacral fusion: current knowledge. Eur Spine J 2012;21(9):
1788-96. https://doi.org/10.1007/s00586-012-2350-8
17. Adhia DB, Milosavljevic S, Tumilty S, Bussey MD. Innominate movement patterns, rotation trends and range of motion in individuals with low back pain of sacroiliac joint origin. Man Ther 2016;21:100-8.
https://doi.org/10.1016/j.math.2015.06.004
18. Cho DY, Shin MH, Hur JW, Ryu KS, Park CK. Sagittal sacropelvic morphology and balance in patients with
sacroiliac joint pain following lumbar fusion surgery. J Korean Neurosurg Soc 2013;54(3):201-6.
https://doi.org/10.3340/jkns.2013.54.3.201
2005;101(5):1440-53. https://doi.org/10.1213/01.ANE.0000180831.60169.EA
2. Schmidt GL, Bhandutia AK, Altman DT. Management of sacroiliac joint pain. J Am Acad Orthop Surg
2018;26(17):610-6. https://doi.org/10.5435/JAAOS-D-15-00063
3. Thawrani DP, Agabegi SS, Asghar F. Diagnosing sacroiliac joint pain. J Am Acad Orthop Surg 2019;27(3):85-93.
https://doi.org/10.5435/JAAOS-D-17-00132
4. Duval-Beaupère G, Schmidt C, Cosson P. A barycentremetric study of the sagittal shape of spine and pelvis: the conditions required for an economic standing position. Ann Biomed Eng 1992;20(4):451-62.
https://doi.org/10.1007/BF02368136
5. Legaye J, Duval-Beaupère G, Hecquet J, Marty C. Pelvic incidence: a fundamental pelvic parameter for threedimensional regulation of spinal sagittal curves. Eur Spine J 1998;7(2):99-103. https://doi.org/10.1007/s005860050038
6. Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P. Radiographic analysis of the sagittal alignment
and balance of the spine in asymptomatic subjects. J Bone Joint Surg Am 2005;87(2):260-7.
https://doi.org/10.2106/JBJS.D.02043
7. Le Huec JC, Aunoble S, Philippe L, Nicolas P. Pelvic parameters: origin and significance. Eur Spine J 2011;20
Suppl 5(Suppl 5):564-71. https://doi.org/10.1007/s00586-011-1940-1
8. Schwab F, Lafage V, Boyce R, Skalli W, Farcy JP. Gravity line analysis in adult volunteers: age-related correlation
with spinal parameters, pelvic parameters, and foot position. Spine (Phila Pa 1976) 2006;31(25):E959-67.
https://doi.org/10.1097/01.brs.0000248126.96737.0f
9. Schwab F, Lafage V, Patel A, Farcy JP. Sagittal plane considerations and the pelvis in the adult patient. Spine (Phila Pa 1976) 2009;34(17):1828-33. https://doi.org/10.1097/BRS.0b013e3181a13c08
10. Mitchell B, McPhail T, Vivian D, Verrills P, Barnard A. Diagnostic sacroiliac joint injections: Is a control block
necessary? J Sci Med Sport 2010;12:e5-e6. https://doi.org/10.1016/j.jsams.2009.10.012
11. Van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 1984;27(4):361-8. https://doi.org/10.1002/art.1780270401
12. Lafage R, Ferrero E, Henry JK, Challier V, Diebo B, Liabaud B, et al. Validation of a new computer-assisted tool to measure spino-pelvic parameters. Spine J 2015;15(12):2493-502. https://doi.org/10.1016/j.spinee.2015.08.067
13. Peebles R, Jonas CE. Sacroiliac joint dysfunction in the athlete: diagnosis and management. Curr Sports Med Rep 2017;16(5):336-42. https://doi.org/10.1249/JSR.0000000000000410
14. Zelle BA, Gruen GS, Brown S, George S. Sacroiliac joint dysfunction: evaluation and management. Clin J Pain
2005;21(5):446-55. https://doi.org/10.1097/01.ajp.0000131413.07468.8e
15. Nagamoto Y, Iwasaki M, Sakaura H, Sugiura T, Fujimori T, Matsuo Y, et al. Sacroiliac joint motion in patients with degenerative lumbar spine disorders. J Neurosurg Spine 2015;23(2):209-16.
https://doi.org/10.3171/2014.12.SPINE14590
16. Yoshihara H. Sacroiliac joint pain after lumbar/lumbosacral fusion: current knowledge. Eur Spine J 2012;21(9):
1788-96. https://doi.org/10.1007/s00586-012-2350-8
17. Adhia DB, Milosavljevic S, Tumilty S, Bussey MD. Innominate movement patterns, rotation trends and range of motion in individuals with low back pain of sacroiliac joint origin. Man Ther 2016;21:100-8.
https://doi.org/10.1016/j.math.2015.06.004
18. Cho DY, Shin MH, Hur JW, Ryu KS, Park CK. Sagittal sacropelvic morphology and balance in patients with
sacroiliac joint pain following lumbar fusion surgery. J Korean Neurosurg Soc 2013;54(3):201-6.
https://doi.org/10.3340/jkns.2013.54.3.201