Sagittal Spinal Pelvic Alignment

被引：75

作者：

Klineberg, Eric ^{[1
]}

Schwab, Frank ^{[2
]}

Smith, Justin S. ^{[3
]}

Gupta, Munish C. ^{[1
]}

Lafage, Virginie ^{[2
]}

Bess, Shay ^{[4
]}

机构：

[1] Univ Calif Davis, Dept Orthopaed Surg, Sacramento, CA 95817 USA

[2] NYU, Hosp Joint Dis, Dept Orthopaed Surg, New York, NY 10003 USA

[3] Univ Virginia, Dept Neurosurg, Charlottesville, VA 22908 USA

[4] Rocky Mt Hosp Children, Denver, CO 80205 USA

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2013年 / 24卷 / 02期

关键词：

Spine; Deformity; Adult; Radiographic; Pelvic; Sagittal; SPINOPELVIC BALANCE; SCOLIOSIS; CLASSIFICATION; PARAMETERS; DEFORMITY; SPONDYLOLISTHESIS; VALIDATION; ADULTS; AGE;

D O I：

10.1016/j.nec.2012.12.003

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

The goal of any ambulatory patient is to maintain a horizontal gaze with the least amount of energy expenditure. With progressive deformity, and in particular sagittal malalignment, significant compensatory mechanisms must be used to achieve this goal. Each pelvis dictates the amount of lumbar lordosis required through its morphometric parameter pelvic incidence. The pelvis may compensate for decreasing lumbar lordosis (eg, age, flat back deformity) by retroverting and increasing pelvic tilt and decreasing the sacral slope. Underappreciation for these spinopelvic compensatory mechanisms leads to surgical under-correction, iatrogenic flat back and poor clinical outcomes.

引用

页码：157 / +

页数：7

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