척추 전장 측면 방사선검사 시 손바닥 정면 자세가 척추골반지표에 미치는 영향

• Published in: 방사선기술과학 Vol. 45; no. 5; pp. 391 - 396
• Main Authors: 주영철(Young-Cheol Joo), 김한용(Han-Yong Kim), 김동환(Dong-Hwan Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한방사선과학회(구 대한방사선기술학회) 31.10.2022; KOREAN SOCIETY OF RADIOLOGICAL TECHNOLOGY; 대한방사선과학회
• Subjects: 방사선과학; Whole spine lateral radiography; 척추 전장 측면 방사선검사; 팔을 끌어안은자세; Palm facing forward posture; 척추골반지표; Cross arm posture; 상완골 골곡각; EOS; 손바닥 정면자세; Humerus flexion angle; Spinopelvic parameter
• ISSN: 2288-3509; 2384-1168

The purpose of this study was to investigate the effect of cross arms and palms facing forward on spinopelvic parameters during the whole spine lateral radiography. In addition, we would like to present the usefulness of a posture with the palm facing forward during whole spine lateral radiography of the spine using EOS. The subjects of this study were images of a total of 50 patients (18 males, 32 females) who whole spine lateral radiography using the conventional method and the EOS method from October 2020 to March 2021. The posture used in this study was set as 'CAP' for cross arms and 'PUSH' for posture with palms facing forward. In this study, among the spinal stability factors, thoracic kyphosis (thoracic vertebrae 4 to 12), lumbar lordosis (lumbar vertebrae 1 to sacrum 1), sagittal vertical axis, sacral slope, and shoulder flexion angle were compared on average. The mean thoracic kyphosis was 34.52±12.46° for CAP and 28.46±10.81° for PUSH (p<0.01). The lumbar lordosis of CAP was 42.45±17.45°and that of PUSH was 40.56±16.14°(p>0.57). The sagittal vertical axis was 26.59±34.34 mm in CAP and 21.21±35.41 mm in PUSH (p>0.44). In CAP, the sacral slope was 30.96±10.29°, and in PUSH, it was 31.01±10.19° (p>0.98). shoulder flexion angle was 38.31±8.24° for CAP and 26,08±6.71° for PUSH(p<0.01). As a result of this study, the PUSH posture is considered to be a posture that can minimize the shoulder flexion angle and can perform a stable examination while minimizing changes in spino-pelvic parameter.