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Study of the course of the incidence angle during growth
Authors:Paolo Mangione  Dominique Gomez  Jacques Senegas
Institution:(1) Department of Spine Surgery, Pr J Senegas, Pellegrin Tripode Hospital, Place Amélie Raba Leon, F-33076 Bordeaux Cedex, France
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.
Keywords:Sagittal balance  Sacral inclination or slope  Pelvis  Gravity  Sagittal plane compensatory mechanisms  Posture
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