Sagittal Balance Concept and Spinopelvic Parameters
-
Mohammad Sadeghian
,
Mohammad Reza Golbakhsh
,
Abbas Rahimiam
,
Parham Talebiyan
,
Mohammad Javad Dehghani firoozabadi
Abstract
“Sagittal balance” is defined by the anatomic relationship between the pelvis and the spine in the sagittal plane to keep the center of gravity over the feet. It is important to calculate the anatomical parameters of cervical, thoracic, lumbar, and spinopelvic regions and how any static and dynamic changes could affect the sagittal balance to understand the conditions necessary for such a balance. One of the effective changes in sagittal balance is aging, which leads to changes in spine parameters and further activation of compensatory mechanisms. Understanding the relationships between these parameters, especially in pathological cases, helps correct spine sagittal imbalance.
1. Bridwell KH. Bridwell and DeWald's textbook of spinal surgery. Philadelphia, PA: Lippincott Williams & Wilkins; 2019.
2. Le Huec JC, Thompson W, Mohsinaly Y, Barrey C, Faundez A. Sagittal balance of the spine. Eur Spine J. 2019;28(9):1889-905.
doi: 10.1007/s00586-019-06083-1. [PubMed: 31332569].
3. Lafage V, Schwab F, Vira S, Patel A, Ungar B, Farcy JP. Spino-pelvic parameters after surgery can be predicted: A preliminary formula and validation of standing alignment. Spine (Phila Pa 1976). 2011;36(13):1037-45. doi: 10.1097/BRS.0b013e3181eb9469. [PubMed: 21217459].
4. Pavithra AS, Premavathy D. Estimation of McRae line, McGregor line, and Chamberlain line in South Indian dry skull. Drug Invention Today. 2019;12(4):848-50.
5. Xing R, Liu W, Li X, Jiang L, Yishakea M, Dong J. Characteristics of cervical sagittal parameters in healthy cervical spine adults and patients with cervical disc degeneration. BMC Musculoskelet Disord. 2018;19(1):37. doi: 10.1186/s12891-018-1951-8. [PubMed: 29390994]. [PubMed Central: PMC5795794].
6. Ling FP, Chevillotte T, Leglise A, Thompson W, Bouthors C, Le Huec JC. Which parameters are relevant in sagittal balance analysis of the cervical spine? A literature review. Eur Spine J. 2018;27(Suppl 1):8-15. doi: 10.1007/s00586-018-5462-y. [PubMed: 29332239].
7. Takasawa E, Kawamura N, Iizuka Y, Ohya J, Onishi Y, Kunogi J, et al. The standing T1-L1 pelvic angle: A useful radiographic predictor of proximal junctional kyphosis in adult spinal deformity. J Neurosurg Spine. 2022;36(4):609-15. doi: 10.3171/2021.7.SPINE21571. [PubMed: 34740179].
8. Roussouly P, Gollogly S, Berthonnaud E, Dimnet J. Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976). 2005;30(3):346-53. doi: 10.1097/01.brs.0000152379.54463.65. [PubMed: 15682018].
9. Laouissat F, Sebaaly A, Gehrchen M, Roussouly P. Classification of normal sagittal spine alignment: refounding the Roussouly classification. Eur Spine J. 2018;27(8):2002-11. doi: 10.1007/s00586-017-5111-x. [PubMed: 28455623].
10. Legaye J, Duval-Beaupere G, Hecquet J, Marty C. Pelvic incidence: A fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J. 1998;7(2):99-103. doi: 10.1007/s005860050038. [PubMed: 9629932]. [PubMed Central: PMC3611230].
11. Bess S, Schwab F, Lafage V, Shaffrey CI, Ames CP. Classifications for adult spinal deformity and use of the Scoliosis Research Society-Schwab Adult Spinal Deformity Classification. Neurosurg Clin N Am. 2013;24(2):185-93. doi: 10.1016/j.nec.2012.12.008. [PubMed: 23561557].
12. Vialle R, Ilharreborde B, Dauzac C, Lenoir T, Rillardon L, Guigui P. Is there a sagittal imbalance of the spine in isthmic spondylolisthesis? A correlation study. Eur Spine J. 2007;16(10):1641-9. doi: 10.1007/s00586-007-0348-4. [PubMed: 17437136]. [PubMed Central: PMC2078287].
2. Le Huec JC, Thompson W, Mohsinaly Y, Barrey C, Faundez A. Sagittal balance of the spine. Eur Spine J. 2019;28(9):1889-905.
doi: 10.1007/s00586-019-06083-1. [PubMed: 31332569].
3. Lafage V, Schwab F, Vira S, Patel A, Ungar B, Farcy JP. Spino-pelvic parameters after surgery can be predicted: A preliminary formula and validation of standing alignment. Spine (Phila Pa 1976). 2011;36(13):1037-45. doi: 10.1097/BRS.0b013e3181eb9469. [PubMed: 21217459].
4. Pavithra AS, Premavathy D. Estimation of McRae line, McGregor line, and Chamberlain line in South Indian dry skull. Drug Invention Today. 2019;12(4):848-50.
5. Xing R, Liu W, Li X, Jiang L, Yishakea M, Dong J. Characteristics of cervical sagittal parameters in healthy cervical spine adults and patients with cervical disc degeneration. BMC Musculoskelet Disord. 2018;19(1):37. doi: 10.1186/s12891-018-1951-8. [PubMed: 29390994]. [PubMed Central: PMC5795794].
6. Ling FP, Chevillotte T, Leglise A, Thompson W, Bouthors C, Le Huec JC. Which parameters are relevant in sagittal balance analysis of the cervical spine? A literature review. Eur Spine J. 2018;27(Suppl 1):8-15. doi: 10.1007/s00586-018-5462-y. [PubMed: 29332239].
7. Takasawa E, Kawamura N, Iizuka Y, Ohya J, Onishi Y, Kunogi J, et al. The standing T1-L1 pelvic angle: A useful radiographic predictor of proximal junctional kyphosis in adult spinal deformity. J Neurosurg Spine. 2022;36(4):609-15. doi: 10.3171/2021.7.SPINE21571. [PubMed: 34740179].
8. Roussouly P, Gollogly S, Berthonnaud E, Dimnet J. Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976). 2005;30(3):346-53. doi: 10.1097/01.brs.0000152379.54463.65. [PubMed: 15682018].
9. Laouissat F, Sebaaly A, Gehrchen M, Roussouly P. Classification of normal sagittal spine alignment: refounding the Roussouly classification. Eur Spine J. 2018;27(8):2002-11. doi: 10.1007/s00586-017-5111-x. [PubMed: 28455623].
10. Legaye J, Duval-Beaupere G, Hecquet J, Marty C. Pelvic incidence: A fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J. 1998;7(2):99-103. doi: 10.1007/s005860050038. [PubMed: 9629932]. [PubMed Central: PMC3611230].
11. Bess S, Schwab F, Lafage V, Shaffrey CI, Ames CP. Classifications for adult spinal deformity and use of the Scoliosis Research Society-Schwab Adult Spinal Deformity Classification. Neurosurg Clin N Am. 2013;24(2):185-93. doi: 10.1016/j.nec.2012.12.008. [PubMed: 23561557].
12. Vialle R, Ilharreborde B, Dauzac C, Lenoir T, Rillardon L, Guigui P. Is there a sagittal imbalance of the spine in isthmic spondylolisthesis? A correlation study. Eur Spine J. 2007;16(10):1641-9. doi: 10.1007/s00586-007-0348-4. [PubMed: 17437136]. [PubMed Central: PMC2078287].
| Files | ||
| Issue | Vol 9, No 1 (2023) | |
| Section | Educational Corner | |
| DOI | https://doi.org/10.18502/jost.v9i1.12568 | |
| Keywords | ||
| Spinal Curvatures Lordosis Kyphosis Pelvis | ||
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How to Cite
1.
Sadeghian M, Golbakhsh MR, Rahimiam A, Talebiyan P, Dehghani firoozabadi MJ. Sagittal Balance Concept and Spinopelvic Parameters. J Orthop Spine Trauma. 2023;9(1):31-4.
