{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T06:28:54Z","timestamp":1771655334067,"version":"3.50.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T00:00:00Z","timestamp":1626652800000},"content-version":"vor","delay-in-days":383,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian Journal of Radiology and Imaging"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background: Sacro-pelvic morphology and orientation are usually described in terms of pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS). Orientation and morphology of pelvis can affect degenerative changes in the lumbar spine. Thus, here we investigated the relationships between various sagittal spinopelvic parameters and the degree of disc degeneration in young adults. Material and Methods: A hospital-based cross-sectional study with a total of 60 cases was done. Patients presenting with back or leg pain having prolapsed disc on magnetic resonance imaging (MRI) were included in the study. A standing X-ray of LS spine from dorso-lumbar junction to mid-thigh was taken. Various spinopelvic parameters were assessed from the scannogram using the software. Results: The mean age was 39.27 years. L5S1 was the most common level. Mean SS, PT, PI, and LL were 37.78\u00b0, 13.52\u00b0, 51.33\u00b0, and 41.01\u00b0. Disc pathologies at L1L2, L2L3, and L4L5 level showed a positive correlation with PT, PI, and LL. Disc pathology at the L5S1 level shows a positive correlation with PT and LL. A statistically significant correlation between SS and degenerative spondylolisthesis at L4L5 was found from data with P = 0.023. Discussion: An increase in SS statistically significantly increases the chance of development of degenerative spondylolisthesis at L4L5. An increase in PT, PI, and LL will cause an increase in disc pathology at L1L2. An increase in SS, PT, PI, and LL will cause an increase in disc pathology at L2L3. An increase in SS, PT, PI, and LL will cause an increase in disc pathology at L4L5. An increase in PT and LL will cause an increase in disc pathology at L5S1. Conclusion: Standing lateral view radiograph from dorso-lumbar junction to the mid-thigh is as good as standing whole spine radiograph for measurement of spinopelvic parameters. Degenerative spondylolisthesis at L4L5 has a statistically significant correlation with an increase in SS.<\/jats:p>","DOI":"10.4103\/ijri.ijri_49_20","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T14:45:10Z","timestamp":1603464310000},"page":"253-262","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of spinopelvic parameters in lumbar prolapsed intervertebral disc"],"prefix":"10.1055","volume":"30","author":[{"given":"Apoorva","family":"Poonia","sequence":"additional","affiliation":[{"name":"Department of Radiology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sambhav","family":"Lodha","sequence":"additional","affiliation":[{"name":"Department of Radiology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N C","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Radiology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1097\/BRS.0b013e318191e792","article-title":"Influence of lumbar lordosis restoration on thoracic curve and sagittal position in lumbar degenerative kyphosis patients","volume":"34","author":"J S Jang","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.spinee.2011.02.010","article-title":"Association between computed tomography-evaluated lumbar lordosis and features of spinal degeneration, evaluated in supine position","volume":"11","author":"L Kalichman","year":"2011","journal-title":"Spine J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1097\/BRS.0b013e3181f4d212","article-title":"Effect of sagittal alignment on kinematic changes and degree of disc degeneration in the lumbar spine: An analysis using positional MRI","volume":"36","author":"G Keorochana","year":"2011","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1007\/BF02368136","article-title":"A barycentremetric study of the sagittal shape of spine and pelvis: The conditions required for an economic standing position","volume":"20","author":"G Duval-Beaup\u00e8re","year":"1992","journal-title":"Ann Biomed Eng"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1051\/sicotj\/2016003","article-title":"Spino-pelvic radiological parameters in normal Indian population","volume":"4","author":"R Singh","year":"2018","journal-title":"Sicot J"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1007\/s00586-005-0013-8","article-title":"Sagittal spinopelvic balance in normal children and adolescents","volume":"16","author":"J-M Mac-Thiong","year":"2007","journal-title":"Eur Spine J"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/01.bsd.0000117542.88865.77","article-title":"Analysis of the sagittal balance of the spine and pelvis using shape and orientation parameters","volume":"18","author":"\u00c9 Berthonnaud","year":"2005","journal-title":"J Spinal Disord Tech"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"2316","DOI":"10.1097\/BRS.0b013e318186b236","article-title":"Postural model of sagittal spino-pelvic alignment and its relevance for lumbosacral developmental spondylolisthesis","volume":"33","author":"J-M Mac-Thiong","year":"2008","journal-title":"Spine"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1007\/s00586-006-0294-6","article-title":"Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases","volume":"16","author":"C Barrey","year":"2007","journal-title":"Eur Spine J"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1097\/00007632-198207000-00003","article-title":"Reciprocal angulation of vertebral bodies in a sagittal plane: Approach to references for the evaluation of kyphosis and lordosis","volume":"7","author":"P Stagnara","year":"1982","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.rhum.2003.09.018","article-title":"Composante sagittale de la statique rachidienne","volume":"71","author":"G Duval-Beaup\u00e8re","year":"2004","journal-title":"Rev Rhum"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s00586-005-0984-5","article-title":"Sagittal alignment of spine and pelvis regulated by pelvic incidence: Standard values and prediction of lordosis","volume":"15","author":"C Boulay","year":"2006","journal-title":"Eur Spine J"},{"key":"ref13","first-page":"632","article-title":"Geometrical and mechanical analysis of lumbar lordosis in an asymptomatic population: Proposed classification","volume":"89","author":"P Roussouly","year":"2003","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1007\/s00586-009-1240-1","article-title":"Sagittal spinal alignment in patients with lumbar disc herniation","volume":"19","author":"K Endo","year":"2010","journal-title":"Eur Spine J"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1007\/s00264-001-0317-1","article-title":"The importance of spinopelvic parameters in patients with lumbar disc lesions","volume":"26","author":"P Rajnics","year":"2002","journal-title":"International Orthopaedics"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"e5417","DOI":"10.1097\/MD.0000000000005417","article-title":"Sagittal spinopelvic parameters in 2-level lumbar degenerative spondylolisthesis: A retrospective study","volume":"95","author":"T Wang","year":"2016","journal-title":"Medicine"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1007\/s00586-015-3778-4","article-title":"Sagittal spinopelvic alignment in 654 degenerative spondylolisthesis","volume":"24","author":"E Ferrero","year":"2015","journal-title":"Eur Spine J"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1186\/s12891-018-2073-z","article-title":"Correlation between the sagittal spinopelvic alignment and degenerative lumbar spondylolisthesis: A retrospective study","volume":"19","author":"Q Lai","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1111\/os.12340","article-title":"Analysis of spino-pelvic sagittal alignment in Young Chinese patients with lumbar disc herniation","volume":"9","author":"H Fei","year":"2017","journal-title":"Orthop Surg"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"759","DOI":"10.3233\/BMR-150393","article-title":"Three-dimensional analysis of spino-pelvic alignment in individuals with acutely herniated lumbar intervertebral disc","volume":"30","author":"M E Khallaf","year":"2017","journal-title":"BMR"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"e1833","DOI":"10.1097\/MD.0000000000001833","article-title":"Clinical impact of sagittal spinopelvic parameters on disc degeneration in young adults","volume":"94","author":"Y-M Oh","year":"2015","journal-title":"Medicine"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"E119","DOI":"10.1097\/BSD.0000000000000448","article-title":"Measurement of spinopelvic parameters on standing lateral lumbar radiographs: Validity and reliability","volume":"30","author":"N-S Chung","year":"2017","journal-title":"Clin Spine Surg"}],"container-title":["Indian Journal of Radiology and Imaging"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/ijri.IJRI_49_20.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T23:49:10Z","timestamp":1626738550000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/ijri.IJRI_49_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":22,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2021,7,19]]},"published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.4103\/ijri.ijri_49_20","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0971-3026","1998-3808"],"issn-type":[{"value":"0971-3026","type":"print"},{"value":"1998-3808","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}