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Related Experiment Video

Updated: Jun 13, 2026

A Human-machine-interface Integrating Low-cost Sensors with a Neuromuscular Electrical Stimulation System for Post-stroke Balance Rehabilitation
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A Human-machine-interface Integrating Low-cost Sensors with a Neuromuscular Electrical Stimulation System for Post-stroke Balance Rehabilitation

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Applications in spinal imbalance.

J-L Husson1, J-F Mallet, H Parent

  • 1Orthopedics and Traumatology Department, Rennes University Hospital, 35033 Rennes, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR
|May 8, 2010
PubMed
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The human pelvis, a unique spinal vertebra, evolved with bipedalism, creating a distinct lumbosacral angle. Analyzing pelvic and spinal parameters is crucial for managing spinal balance and preventing issues like kyphosis and flat back.

Area of Science:

  • Orthopedics
  • Evolutionary Anatomy
  • Biomechanical Engineering

Background:

  • The pelvis functions as a critical link between the spine and lower limbs.
  • Evolutionary changes, particularly the shift to bipedalism, significantly altered pelvic anatomy and spinal curvature (lumbar lordosis).
  • Humans exhibit a unique and pronounced lumbosacral angle compared to other mammals.

Purpose of the Study:

  • To highlight the significance of pelvic and spinal radiological parameters in assessing sagittal balance in humans.
  • To underscore the clinical applications of these parameters in managing spinal deformities and imbalances.
  • To emphasize the importance of considering individual sagittal balance in spinal surgery.

Main Methods:

  • Radiological analysis of pelvic and spinal parameters.

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  • Comparative anatomical and evolutionary perspectives on pelvic structure.
  • Clinical case review and surgical outcome analysis related to spinal balance.

    • Main Results:

    • Pelvic and spinal parameters accurately reflect spinal sagittal balance in bipedal individuals.
    • These parameters are essential for understanding and managing conditions like degenerative kyphosis and postoperative flat back.
    • Individual sagittal balance assessment is vital for optimizing scoliosis surgery outcomes and preventing long-term balance issues.

    Conclusions:

    • The lumbosacral angle and other pelvic/spinal parameters are key indicators of human spinal health.
    • Integrating sagittal balance assessment into clinical practice improves management of spinal disorders.
    • Failure to account for individual sagittal balance can lead to adult-onset balance problems after adolescent spinal surgery.