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Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion

Pain originating in the sacroiliac joint (SIJ) is a contributor to chronic lower back pain. Studies on minimally invasive SIJ fusion for chronic pain have been performed in Western populations. Given the shorter stature of Asian populations compared with Western populations, questions can be raised...

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Autores principales: Wu, Christopher, Liu, Yu-Cheng, Koga, Hiroaki, Lee, Ching-Yu, Wang, Po-Yao, Cher, Daniel, Reckling, W. Carlton, Huang, Tsung-Jen, Wu, Meng-Huang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001108/
https://www.ncbi.nlm.nih.gov/pubmed/36900027
http://dx.doi.org/10.3390/diagnostics13050883
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author Wu, Christopher
Liu, Yu-Cheng
Koga, Hiroaki
Lee, Ching-Yu
Wang, Po-Yao
Cher, Daniel
Reckling, W. Carlton
Huang, Tsung-Jen
Wu, Meng-Huang
author_facet Wu, Christopher
Liu, Yu-Cheng
Koga, Hiroaki
Lee, Ching-Yu
Wang, Po-Yao
Cher, Daniel
Reckling, W. Carlton
Huang, Tsung-Jen
Wu, Meng-Huang
author_sort Wu, Christopher
collection PubMed
description Pain originating in the sacroiliac joint (SIJ) is a contributor to chronic lower back pain. Studies on minimally invasive SIJ fusion for chronic pain have been performed in Western populations. Given the shorter stature of Asian populations compared with Western populations, questions can be raised regarding the suitability of the procedure in Asian patients. This study investigated the differences in 12 measurements of sacral and SIJ anatomy between two ethnic populations by analyzing computed tomography scans of 86 patients with SIJ pain. Univariate linear regression was performed to evaluate the correlations of body height with sacral and SIJ measurements. Multivariate regression analysis was used to evaluate systematic differences across populations. Most sacral and SIJ measurements were moderately correlated with body height. The anterior–posterior thickness of the sacral ala at the level of the S1 body was significantly smaller in the Asian patients compared with the Western patients. Most measurements were above standard surgical thresholds for safe transiliac placement of devices (1026 of 1032, 99.4%); all the measurements below these surgical thresholds were found in the anterior–posterior distance of the sacral ala at the S2 foramen level. Overall, safe placement of implants was allowed in 84 of 86 (97.7%) patients. Sacral and SIJ anatomy relevant to transiliac device placement is variable and correlates moderately with body height, and the cross-ethnic variations are not significant. Our findings raise a few concerns regarding sacral and SIJ anatomy variation that would prevent safe placement of fusion implants in Asian patients. However, considering the observed S2-related anatomic variation that could affect placement strategy, sacral and SIJ anatomy should still be preoperatively evaluated.
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spelling pubmed-100011082023-03-11 Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion Wu, Christopher Liu, Yu-Cheng Koga, Hiroaki Lee, Ching-Yu Wang, Po-Yao Cher, Daniel Reckling, W. Carlton Huang, Tsung-Jen Wu, Meng-Huang Diagnostics (Basel) Article Pain originating in the sacroiliac joint (SIJ) is a contributor to chronic lower back pain. Studies on minimally invasive SIJ fusion for chronic pain have been performed in Western populations. Given the shorter stature of Asian populations compared with Western populations, questions can be raised regarding the suitability of the procedure in Asian patients. This study investigated the differences in 12 measurements of sacral and SIJ anatomy between two ethnic populations by analyzing computed tomography scans of 86 patients with SIJ pain. Univariate linear regression was performed to evaluate the correlations of body height with sacral and SIJ measurements. Multivariate regression analysis was used to evaluate systematic differences across populations. Most sacral and SIJ measurements were moderately correlated with body height. The anterior–posterior thickness of the sacral ala at the level of the S1 body was significantly smaller in the Asian patients compared with the Western patients. Most measurements were above standard surgical thresholds for safe transiliac placement of devices (1026 of 1032, 99.4%); all the measurements below these surgical thresholds were found in the anterior–posterior distance of the sacral ala at the S2 foramen level. Overall, safe placement of implants was allowed in 84 of 86 (97.7%) patients. Sacral and SIJ anatomy relevant to transiliac device placement is variable and correlates moderately with body height, and the cross-ethnic variations are not significant. Our findings raise a few concerns regarding sacral and SIJ anatomy variation that would prevent safe placement of fusion implants in Asian patients. However, considering the observed S2-related anatomic variation that could affect placement strategy, sacral and SIJ anatomy should still be preoperatively evaluated. MDPI 2023-02-25 /pmc/articles/PMC10001108/ /pubmed/36900027 http://dx.doi.org/10.3390/diagnostics13050883 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wu, Christopher
Liu, Yu-Cheng
Koga, Hiroaki
Lee, Ching-Yu
Wang, Po-Yao
Cher, Daniel
Reckling, W. Carlton
Huang, Tsung-Jen
Wu, Meng-Huang
Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion
title Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion
title_full Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion
title_fullStr Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion
title_full_unstemmed Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion
title_short Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion
title_sort ethnic differences in western and asian sacroiliac joint anatomy for surgical planning of minimally invasive sacroiliac joint fusion
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001108/
https://www.ncbi.nlm.nih.gov/pubmed/36900027
http://dx.doi.org/10.3390/diagnostics13050883
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