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Characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall

OBJECTIVES: Distal radius fractures occur due to reflex clasp when falling. Recently, attention has been focused on the strong relationship between sagittal spine alignment and falls. Therefore, we investigated the parameters of sagittal spinal alignment in distal radius fractures in female patients...

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Autores principales: Kaneko, Ayaka, Naito, Kiyohito, Nagura, Nana, Obata, Hiroyuki, Goto, Kenji, Sugiyama, Yoichi, Koike, Masato, Nojiri, Hidetoshi, Iwase, Yoshiyuki, Kaneko, Kazuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452564/
https://www.ncbi.nlm.nih.gov/pubmed/32904191
http://dx.doi.org/10.1016/j.heliyon.2020.e04756
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author Kaneko, Ayaka
Naito, Kiyohito
Nagura, Nana
Obata, Hiroyuki
Goto, Kenji
Sugiyama, Yoichi
Koike, Masato
Nojiri, Hidetoshi
Iwase, Yoshiyuki
Kaneko, Kazuo
author_facet Kaneko, Ayaka
Naito, Kiyohito
Nagura, Nana
Obata, Hiroyuki
Goto, Kenji
Sugiyama, Yoichi
Koike, Masato
Nojiri, Hidetoshi
Iwase, Yoshiyuki
Kaneko, Kazuo
author_sort Kaneko, Ayaka
collection PubMed
description OBJECTIVES: Distal radius fractures occur due to reflex clasp when falling. Recently, attention has been focused on the strong relationship between sagittal spine alignment and falls. Therefore, we investigated the parameters of sagittal spinal alignment in distal radius fractures in female patients. PATIENTS AND METHODS: The subjects were group D: 28 female patients with distal radius fractures aged 50 years or older (mean age: 69.3 years), and group C: 26 healthy female patients without a history of fragility fractures (mean age: 70.5 years). Height, body weight, and body mass index (BMI) were measured as physical indices. As parameters of sagittal spinal alignment, the sagittal vertical axis (SVA), pelvic tilt (PT), pelvic incidence (PI), sacral slope (SS), lumber lordosis (LL), and thoracic kyphosis (TK) were measured on lateral whole-spine plain radiographs in a standing position. The measured physical indices and sagittal spinal alignment parameters were compared between groups. RESULTS: Height, weight, and BMI did not differ significantly between the two groups. Among the sagittal spinal alignment parameters, PT, PI, SS, LL, and TK did not differ significantly between groups, whereas SVA was significantly higher in group D than in group C (P < 0.05). CONCLUSION: In this study, SVA was significantly higher in group D than in group C. As SVA increased, the center of gravity of the body shifts forward, which can cause the body to lose balance and fall. This study suggested that an increase in SVA is associated with distal radius fractures.
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spelling pubmed-74525642020-09-03 Characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall Kaneko, Ayaka Naito, Kiyohito Nagura, Nana Obata, Hiroyuki Goto, Kenji Sugiyama, Yoichi Koike, Masato Nojiri, Hidetoshi Iwase, Yoshiyuki Kaneko, Kazuo Heliyon Article OBJECTIVES: Distal radius fractures occur due to reflex clasp when falling. Recently, attention has been focused on the strong relationship between sagittal spine alignment and falls. Therefore, we investigated the parameters of sagittal spinal alignment in distal radius fractures in female patients. PATIENTS AND METHODS: The subjects were group D: 28 female patients with distal radius fractures aged 50 years or older (mean age: 69.3 years), and group C: 26 healthy female patients without a history of fragility fractures (mean age: 70.5 years). Height, body weight, and body mass index (BMI) were measured as physical indices. As parameters of sagittal spinal alignment, the sagittal vertical axis (SVA), pelvic tilt (PT), pelvic incidence (PI), sacral slope (SS), lumber lordosis (LL), and thoracic kyphosis (TK) were measured on lateral whole-spine plain radiographs in a standing position. The measured physical indices and sagittal spinal alignment parameters were compared between groups. RESULTS: Height, weight, and BMI did not differ significantly between the two groups. Among the sagittal spinal alignment parameters, PT, PI, SS, LL, and TK did not differ significantly between groups, whereas SVA was significantly higher in group D than in group C (P < 0.05). CONCLUSION: In this study, SVA was significantly higher in group D than in group C. As SVA increased, the center of gravity of the body shifts forward, which can cause the body to lose balance and fall. This study suggested that an increase in SVA is associated with distal radius fractures. Elsevier 2020-08-20 /pmc/articles/PMC7452564/ /pubmed/32904191 http://dx.doi.org/10.1016/j.heliyon.2020.e04756 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Kaneko, Ayaka
Naito, Kiyohito
Nagura, Nana
Obata, Hiroyuki
Goto, Kenji
Sugiyama, Yoichi
Koike, Masato
Nojiri, Hidetoshi
Iwase, Yoshiyuki
Kaneko, Kazuo
Characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall
title Characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall
title_full Characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall
title_fullStr Characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall
title_full_unstemmed Characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall
title_short Characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall
title_sort characteristics of sagittal spine alignment in female patients with distal radius fractures due to fall
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452564/
https://www.ncbi.nlm.nih.gov/pubmed/32904191
http://dx.doi.org/10.1016/j.heliyon.2020.e04756
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