Öz
Tuffier’s line (TL) is a horizontal line that connects the two superior iliac crests and is used to determine L4 and L5 vertebrae levels. Spinopelvic parameters have been gaining further importance in the diagnosis and treatment planning of spinal diseases. This study aims to reveal whether there is an interaction between TL and spinopelvic parameters. We examined the 113 patients who consulted our clinic for low back pains. TL levels were divided into five categories as L4 body, L4 inferior endplate, L4-5 disc space, L5 superior endplate, and L5 body. In the study group, 70 of the cases (61.9%) were female, 43 (38.1%) were male, and the average age was 50.8 (21–77). TL was determined to pass through L4 body in 38.9% of cases (n=44) regardless of gender. It was observed that sacral slope (SS) and lumbar lordosis (LL) were affected by the changes in TL level (P<0.05), whereas PI, PT and SVA were not affected (P>0.05). SS and LL being affected by changes in TL levels indicates that TL should be assessed together with the spinopelvic parameters. To conclude, TL is a potential spinal parameter that should be included in the spinopelvic parameters.
Anahtar Kelimeler
Kaynakça
- Asai Y, Tsutsui S, Oka H, Yoshimura N, Hashizume H, Yamada H, Akune T, Muraki S, Matsudaira K, Kawaguchi H, Nakamura K, Tanaka S, Yoshida M. 2017. Sagittal spino-pelvic alignment in adults: The Wakayama spine study. PLoS One, 12: e0178697.
- Chowdhury A, Sharma H. 2018. A review of 571 radiographs on Tuffier's inter-cristal line and its' application in lumbar spinal surgery. J Spine Surg, 4: 383-387.
- Cooperstein R, Truong F. 2017. Systematic review and meta-analyses of the difference between the spinal level of the palpated and imaged iliac crests. J Can Chiropr Assoc, 61: 106-120.
- Hasegawa K, Dubousset JF. 2022. Cone of Economy with the chain of balance-historical perspective and proof of concept. Spine Surg Relat Res, 6: 337-349.
- Horsanalı BÖ, Tekgül ZT, Özkalkanlı MY, Adıbelli ZH, Esen Ö, Duran FY. 2015. Radiological evaluation of the line between the crista iliaca (Tuffier's line) in elderly patients. Turk J Anaesthesiol Reanim, 43: 149-153.
- Kim JT, Bahk JH, Sung J. 2003. Influence of age and sex on the position of the conus medullaris and Tuffier's line in adults. Anesthesiol, 99: 1359-1363.
- Lafage R, Ferrero E, Henry JK, Challier V, Diebo B, Liabaud B, Lafage V, Schwab F. 2015. Validation of a new computer-assisted tool to measure spino-pelvic parameters. Spine J, 15: 2493-2502.
- Le Huec JC, Thompson W, Mohsinaly Y, Barrey C, Faundez A. 2019. Sagittal balance of the spine. Eur Spine J, 8:1889-1905.
- Legaye J, Duval-Beaupère G, Hecquet J, Marty C. 1998. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J, 7: 99-103.
- Malcok UA, Akar A. 2021. Effects of lumbar microdiscectomy on spinopelvic parameters. The J Turk Spinal Surg, 32: 32-38.
- Merrill RK, Kim JS, Leven DM, Kim JH, Meaike JJ, Bronheim RS, Suchman KI, Nowacki D, Gidumal SS, Cho SK. 2018. Differences in fundamental sagittal pelvic parameters based on age, sex, and race. Clin Spine Surg, 31: E109-E114.
- Noshchenko A, Hoffecker L, Cain CMJ, Patel VV, Burger EL. 2017. Spinopelvic parameters in asymptomatic subjects without spine disease and deformity: A Systematic review with meta-analysis. Clin Spine Surg, 30: 392-403.
- Roussouly P, Pinheiro-Franco JL. 2011. Biomechanical analysis of the spino-pelvic organization and adaptation in pathology. Eur Spine J, 20: 609-618.
- Schwab FJ, Blondel B, Bess S, Hostin R, Shaffrey CI, Smith JS, Boachie-Adjei O, Burton DC, Akbarnia BA, Mundis GM, Ames CP, Kebaish K, Hart RA, Farcy JP, Lafage V. 2013. International Spine Study Group (ISSG). Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine, 38: E803-812.
- Snider KT, Kribs JW, Snider EJ, Degenhardt BF, Bukowski A, Johnson JC. 2008. Reliability of Tuffier's line as an anatomic landmark. Spine, 33: E161-165.
- Surgimap®. 2008. a Nemaris Inc.™. URL: https://www.surgimap.com (accessed date: May 12, 2023).
- Tuffier T. 1920. The treatment of chronic empyema. Ann Surg, 72: 266.
- Vila-Casademunt A, Pellisé F, Acaroglu E, Pérez-Grueso FJ, Martín-Buitrago MP, Sanli T, Yakici S, de Frutos AG, Matamalas A, Sánchez-Márquez JM, Obeid I, Yaman O, Bagó J. 2015. ESSG, European Spine Study Group. The reliability of sagittal pelvic parameters: the effect of lumbosacral instrumentation and measurement experience. Spine, 40: E253-258.
- Zhang G, Yang Y, Hai Y, Li J, Xie X, Feng S. 2020. Analysis of Lumbar Sagittal Curvature in Spinal Decompression and Fusion for Lumbar Spinal Stenosis Patients under Roussouly Classification. Biomed Res Int, 2020: 8078641.
Öz
Tuffier’s line (TL) is a horizontal line that connects the two superior iliac crests and is used to determine L4 and L5 vertebrae levels. Spinopelvic parameters have been gaining further importance in the diagnosis and treatment planning of spinal diseases. This study aims to reveal whether there is an interaction between TL and spinopelvic parameters. We examined the 113 patients who consulted our clinic for low back pains. TL levels were divided into five categories as L4 body, L4 inferior endplate, L4-5 disc space, L5 superior endplate, and L5 body. In the study group, 70 of the cases (61.9%) were female, 43 (38.1%) were male, and the average age was 50.8 (21–77). TL was determined to pass through L4 body in 38.9% of cases (n=44) regardless of gender. It was observed that sacral slope (SS) and lumbar lordosis (LL) were affected by the changes in TL level (P<0.05), whereas PI, PT and SVA were not affected (P>0.05). SS and LL being affected by changes in TL levels indicates that TL should be assessed together with the spinopelvic parameters. To conclude, TL is a potential spinal parameter that should be included in the spinopelvic parameters.
Anahtar Kelimeler
Kaynakça
- Asai Y, Tsutsui S, Oka H, Yoshimura N, Hashizume H, Yamada H, Akune T, Muraki S, Matsudaira K, Kawaguchi H, Nakamura K, Tanaka S, Yoshida M. 2017. Sagittal spino-pelvic alignment in adults: The Wakayama spine study. PLoS One, 12: e0178697.
- Chowdhury A, Sharma H. 2018. A review of 571 radiographs on Tuffier's inter-cristal line and its' application in lumbar spinal surgery. J Spine Surg, 4: 383-387.
- Cooperstein R, Truong F. 2017. Systematic review and meta-analyses of the difference between the spinal level of the palpated and imaged iliac crests. J Can Chiropr Assoc, 61: 106-120.
- Hasegawa K, Dubousset JF. 2022. Cone of Economy with the chain of balance-historical perspective and proof of concept. Spine Surg Relat Res, 6: 337-349.
- Horsanalı BÖ, Tekgül ZT, Özkalkanlı MY, Adıbelli ZH, Esen Ö, Duran FY. 2015. Radiological evaluation of the line between the crista iliaca (Tuffier's line) in elderly patients. Turk J Anaesthesiol Reanim, 43: 149-153.
- Kim JT, Bahk JH, Sung J. 2003. Influence of age and sex on the position of the conus medullaris and Tuffier's line in adults. Anesthesiol, 99: 1359-1363.
- Lafage R, Ferrero E, Henry JK, Challier V, Diebo B, Liabaud B, Lafage V, Schwab F. 2015. Validation of a new computer-assisted tool to measure spino-pelvic parameters. Spine J, 15: 2493-2502.
- Le Huec JC, Thompson W, Mohsinaly Y, Barrey C, Faundez A. 2019. Sagittal balance of the spine. Eur Spine J, 8:1889-1905.
- Legaye J, Duval-Beaupère G, Hecquet J, Marty C. 1998. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J, 7: 99-103.
- Malcok UA, Akar A. 2021. Effects of lumbar microdiscectomy on spinopelvic parameters. The J Turk Spinal Surg, 32: 32-38.
- Merrill RK, Kim JS, Leven DM, Kim JH, Meaike JJ, Bronheim RS, Suchman KI, Nowacki D, Gidumal SS, Cho SK. 2018. Differences in fundamental sagittal pelvic parameters based on age, sex, and race. Clin Spine Surg, 31: E109-E114.
- Noshchenko A, Hoffecker L, Cain CMJ, Patel VV, Burger EL. 2017. Spinopelvic parameters in asymptomatic subjects without spine disease and deformity: A Systematic review with meta-analysis. Clin Spine Surg, 30: 392-403.
- Roussouly P, Pinheiro-Franco JL. 2011. Biomechanical analysis of the spino-pelvic organization and adaptation in pathology. Eur Spine J, 20: 609-618.
- Schwab FJ, Blondel B, Bess S, Hostin R, Shaffrey CI, Smith JS, Boachie-Adjei O, Burton DC, Akbarnia BA, Mundis GM, Ames CP, Kebaish K, Hart RA, Farcy JP, Lafage V. 2013. International Spine Study Group (ISSG). Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine, 38: E803-812.
- Snider KT, Kribs JW, Snider EJ, Degenhardt BF, Bukowski A, Johnson JC. 2008. Reliability of Tuffier's line as an anatomic landmark. Spine, 33: E161-165.
- Surgimap®. 2008. a Nemaris Inc.™. URL: https://www.surgimap.com (accessed date: May 12, 2023).
- Tuffier T. 1920. The treatment of chronic empyema. Ann Surg, 72: 266.
- Vila-Casademunt A, Pellisé F, Acaroglu E, Pérez-Grueso FJ, Martín-Buitrago MP, Sanli T, Yakici S, de Frutos AG, Matamalas A, Sánchez-Márquez JM, Obeid I, Yaman O, Bagó J. 2015. ESSG, European Spine Study Group. The reliability of sagittal pelvic parameters: the effect of lumbosacral instrumentation and measurement experience. Spine, 40: E253-258.
- Zhang G, Yang Y, Hai Y, Li J, Xie X, Feng S. 2020. Analysis of Lumbar Sagittal Curvature in Spinal Decompression and Fusion for Lumbar Spinal Stenosis Patients under Roussouly Classification. Biomed Res Int, 2020: 8078641.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Beyin ve Sinir Cerrahisi (Nöroşirurji) |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 8 Eylül 2023 |
| Yayımlanma Tarihi | 15 Ekim 2023 |
| Gönderilme Tarihi | 15 Haziran 2023 |
| Kabul Tarihi | 16 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 6 Sayı: 4 |
