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Published on: July 15, 2021
Sagittal balance and pelvic parameters--a paradigm shift in spinal surgery
R D Johnson1, A Valore, A Villaminar
1Regional Department of Spinal Surgery, Aziendale ULSS 4, Via SC De Lellis 1, Schio 36015, Alto Vicentino, Italy. reubenjohnson@doctors.org.uk
Summary
Global assessment of spinal sagittal balance and pelvic parameters are crucial for managing degenerative spine conditions. Understanding these concepts is vital for surgeons to recognize imbalance and improve surgical outcomes.
Area of Science:
- Orthopedics and Spine Surgery
- Biomechanical Analysis of the Spine
Background:
- Degenerative spine disorders necessitate global assessment of spinal sagittal balance.
- Pelvic parameters are increasingly utilized by spinal surgeons, particularly in deformity cases, despite a limited evidence base.
- A working knowledge of spinal sagittal balance and compensatory mechanisms is essential for all spinal surgeons.
Purpose of the Study:
- To outline the core concepts of spinal sagittal balance and pelvic parameters.
- To explain the paradigm shift in surgical management of spinal disorders driven by these concepts.
- To advocate for the integration of pelvic parameter analysis in evaluating new surgical techniques.
Main Methods:
- Review of current literature and clinical practices regarding spinal sagittal balance.
- Explanation of key pelvic parameters and their correlation with spinal health.
- Discussion of the impact of sagittal balance assessment on surgical decision-making.
Main Results:
- Spinal sagittal balance and associated pelvic parameters are critical for understanding degenerative spine conditions.
- These parameters correlate with disease progression and surgical outcomes.
- Widespread adoption by spinal surgeons indicates perceived clinical utility.
Conclusions:
- Analysis of pelvic parameters is fundamental for assessing spinal sagittal balance.
- These parameters represent a paradigm shift in the surgical management of spinal disorders.
- Integration into the evaluation of new surgical techniques is proposed for comprehensive assessment.
