Turkish Neurosurgery
The Impact of Various Breast Size of Women on Vertebral Column and Spinopelvic Parameters
Tamer Tunçkale1, Sibel Özkan Gürdal2, Tezcan Çalışkan1, Birol Topçu3, Mehmet Onur Yüksel4
1Tekirdağ Namık Kemal University School of Medicine, Neurosurgery, Tekirdağ,
2Tekirdağ Namık Kemal University School of Medicine, General Surgery, Tekirdağ,
3Tekirdağ Namık Kemal University School of Medicine, Biostatistics, Tekirdağ,
4Istanbul Medipol University School of Medicine, Neurosurgery, İstanbul,
DOI: 10.5137/1019-5149.JTN.30936-20.2

Aim:The study aims to find out the anatomical changes in spine and pelvis and the impact of various breast sizes of women on the quality of life.Material and Methods:Sixty women with back pain volunteered to participate in this study. Their body mass index was calculated. Clinical evaluation of the pain was assessed using the Oswestry Disability Index and visual analogue scale. Breast volumes were measured using the Grossman Rounder device. Scoliosis radiography, the cervical lordosis, thoracic kyphosis, lumbar lordosis, sacral slope, pelvic incidence and pelvic tilt angles were measured in patients. The relationship between the increasing breast size and Body mass index (BMI) was investigated through all these parameters.Results:Increase in breast size positively changes the sagittal balance (r = 0.356, p = 0.005) and increases cervical lordosis (r = 0.300, p = 0.020). Increase in BMI leads to a positive sagittal balance (r = 0.329, p = 0.010) and increases the pelvic tilt (r = 0.460, p = 0.000). In patients with a positive sagittal balance, the sacral slope (r = -0.350, p = 0.006) and the lumbar lordosis angle decrease (r = -0.552, p = 0.000), whereas the pelvic tilt increases (r = 0.298, p = 0.021).Conclusion:Macromastia has an impact on cervical lordosis and sagittal balance, while indirectly impacting the pelvic tilt rather than the thoracic kyphosis and lumbar lordosis.

Corresponding author : Tamer Tunçkale