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Creating Consensus in the Definition of Spinopelvic Mobility
Daniel B Buchalter1, Ashley M Gall, Aaron J Buckland
1From the Department of Orthopedic Surgery, NYU Langone Health, New York, NY (Dr. Buchalter, Ms. Gall, Dr. Buckland, Dr. Schwarzkopf, Dr. Meftah, and Dr. Hepinstall); and the Melbourne Orthopaedic Group, Spine and Scoliosis Research Associates, Melbourne, Australia (Dr. Buckland).
Definitions of spinopelvic mobility lack consistency across research. This study suggests defining spinal motion, hip motion, and pelvic position independently while acknowledging their interdependence for clearer communication.
Area of Science:
- Orthopedics
- Biomechanics
- Radiology
Background:
- The term 'spinopelvic mobility' is inconsistently defined in scientific literature, impacting research on the hip-spine relationship.
- Existing definitions vary, encompassing motion within the spinopelvic segment and pelvic tilt changes influenced by lower limb and spinal movement.
Approach:
- A comprehensive literature search was conducted using Medline (PubMed) to identify and analyze existing definitions of spinopelvic mobility.
- The review examined how different radiographic imaging techniques are employed to define and measure spinopelvic mobility.
Key Points:
- The search yielded 72 articles on spinopelvic mobility, revealing diverse definitions and methodologies.
- A significant portion of studies (41) used standard upright radiographs, while others (17) employed extreme positioning to assess mobility.
Conclusions:
- Current definitions of spinopelvic mobility lack consistency in published research.
- Recommendations include independently assessing spinal motion, hip motion, and pelvic position, while acknowledging their interconnectedness for improved clarity and research consistency.
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