COMPARATIVE STUDY
JOURNAL ARTICLE
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Radiological analysis of lumbar degenerative kyphosis in relation to pelvic incidence.

BACKGROUND CONTEXT: Lumbar degenerative kyphosis (LDK) is characterized by sagittal imbalance resulting from a loss of lumbar lordosis (LL). The pelvic incidence (PI) regulates the sagittal alignment of the spine and pelvis.

PURPOSE: The purpose of this study is to evaluate the spinopelvic parameters in patients with LDK and to compare them with those of a normal population.

STUDY DESIGN/SETTING: A cross-sectional study.

PATIENT SAMPLE: The selected patients showed characteristic clinical features of LDK. As control group, asymptomatic volunteers without spinal pathology were recruited.

OUTCOME MEASURES: Full-length radiographs of the spine in the anteroposterior and lateral planes were taken, extending from the base of the skull to the proximal femur. Pelvic incidence, sacral slope (SS), pelvic tilt (PT), main thoracic kyphosis (TK), thoracolumbar junction (TLJ), LL, and sagittal vertical axis (SVA) were evaluated.

METHODS: In terms of PI, the patient and control groups were divided into three groups: low (PI≤45°), middle (45°

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