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European Spine Journal logoLink to European Spine Journal
. 1997 May;6(3):163–167. doi: 10.1007/BF01301430

Study of the course of the incidence angle during growth

Paolo Mangione 1,, Dominique Gomez 1, Jacques Senegas 1
PMCID: PMC3454616  PMID: 9258633

Abstract

Standing posture is made possible by hip extension and lumbar lordosis. Lumbar lordosis is correlated with pelvic parameters, such as the declivity angle of the upper surface of the sacrum and the incidence angle, which determine the sagittal morphotype. Incidence angle, which is different for each individual, is known to be very important for upright posture, but its course during life has not yet been established. Incidence angle was measured on radiographs of 30 fetuses, 30 children and 30 adults, and results were analysed using the correlation coefficientr and Student's t test. A statistically significant correlation between age and incidence angle was observed. Incidence angle considerably increases during the first months, continues to increase during early years, and stabilizes around the age of 10 years. Incidence is a mark of bipedism, and its role in sagittal balance is essential.

Key words: Sagittal balance, Sacral inclination or slope, Pelvis, Gravity, Sagittal plane compensatory mechanisms, Posture

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References

  • 1.Abitbol MM. Evolution of the lumbosacral angle. Am J Physiol Anthropol. 1987;72:361–372. doi: 10.1002/ajpa.1330720309. [DOI] [PubMed] [Google Scholar]
  • 2.Bagnall KM, Harris PF, Jones PR. A radiographic study of the growth in width of the human fetal vertebral column. Anat Rec. 1982;204:265–270. doi: 10.1002/ar.1092040311. [DOI] [PubMed] [Google Scholar]
  • 3.Bogduk N, Macintosh JE, Pearcy MJ. A universal model of the lumbar back muscles in the upright position. Spine. 1992;17:897–913. doi: 10.1097/00007632-199208000-00007. [DOI] [PubMed] [Google Scholar]
  • 4.Delmas A. L'homme devant Fhominisation. Q Anat Prat. 1972;1–4(Suppl 28):22–56. [Google Scholar]
  • 5.During J, Goudfrooij H, Keesen W, Beeker Th W, Crowe A. Toward standards for posture. Postural characteristics of the lower back system in normal and pathological conditions. Spine. 1985;10:83–87. [PubMed] [Google Scholar]
  • 6.Duval-Beaupère G, Schmidt C, Cosson PH. A barycentremetric study of the sagittal shape of spine and pelvis. Ann Biomed Eng. 1992;20:451–462. doi: 10.1007/BF02368136. [DOI] [PubMed] [Google Scholar]
  • 7.Gelb DE, Lenke LG, Bridwell KH, Blanke K, McEnery KW. An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine. 1995;20:1351–1358. [PubMed] [Google Scholar]
  • 8.Legaye J, Hecquet J, Marty C, Duval-Beaupere G. Equilibre sagittal du rachis. Relations entre bassin et courbures rachidiennes sagittales en position debout. Rachis. 1993;5:215–226. [Google Scholar]
  • 9.Mamay T. Equilibre du rachis et du bassin. Cah Enseign SOFCOT. 1988;31:281–313. [Google Scholar]
  • 10.Milne JS, Lauder IJ. Age effects in kyphosis and lordosis in adults. Ann Human Biol. 1974;1:327–337. doi: 10.1080/03014467400000351. [DOI] [PubMed] [Google Scholar]
  • 11.Runge H, Zippel H. Untersuchungen zur Entwicklung des Wirbelbogens im Lumbosacralbereich. Beitr Orthop Traumatol. 1976;23:19–29. [PubMed] [Google Scholar]
  • 12.Sturesson B, Selvic G, Udén A. Movements of the sacroiliac joints. A roentgen stereophotogrammetric analysis. Spine. 1989;14:162–165. doi: 10.1097/00007632-198902000-00004. [DOI] [PubMed] [Google Scholar]
  • 13.Voutsinas SA, MacEwan GD. Sagittal Profiles of the spine. Clin Orthop. 1986;210:235–242. [PubMed] [Google Scholar]

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