• Asato Maekawa, Kenji Endo, Hidekazu Suzuki, Yasunobu Sawaji, Hirosuke Nishimura, Yuji Matsuoka, Kazuma Murata, Taichiro Takamatsu, Takeshi Seki, Takamitsu Konishi, Takuya Kusakabe, Takato Aihara, and Kengo Yamamoto.
• Department of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
• Eur Spine J. 2019 Sep 1; 28 (9): 1914-1919.

PurposeLumbo-pelvic sagittal alignment is affected by pelvic incidence (PI), and the PI represents the compensatory capacity of lumbo-pelvic sagittal alignment. The purpose of this study was to analyze changes in lumbo-pelvic sagittal alignment between the standing and sitting positions and to analyze its association with PI.MethodsThis study included 253 subjects (160 men and 93 women; age 53.6 ± 7.4 years). The subjects were divided into three groups (younger age group (YG), from 20 to 49 years; middle age group, from 50 to 69 years, and older age group (OG), of 70 years and above). Lumbar lordotic angle (LL), sacral slope (SS), pelvic tilt (PT), pelvic incidence (PI), and the associations between the changes in LL (∆LL), SS (∆SS), PT (∆PT), and PI were analyzed.ResultsIn the YG, the amount of change in LL, SS, and PT was larger than in the OG. These parameters correlated with age in the standing position but not in the sitting position. On the other hand, in all groups, there were positive correlations between PI and changes between the standing and sitting positions. Multiple logistic regression analysis demonstrated that ∆LL = 3.81 - 0.72 × PT + 0.52 × PI, ∆SS = - 4.50 - 5.3 × PT + 0.34 × PI, and ∆PT = - 9.1 + 3.5 × PT - 0.21 × PI.ConclusionsChange in lumbo-pelvic parameters between the sitting and standing positions correlated with PI. These slides can be retrieved under Electronic Supplementary Material.

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