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KMID : 0388720160230020131
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Journal of Korean Society of Spine Surgery
2016 Volume.23 No. 2 p.131 ~ p.138
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The Role of the Pelvis in Sagittal Alignment of Lumbar Degenerative Disease Patients
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Kim Yong-Chan
You Ki-Han
Jang Chul-Young
Cui Ji-Hao
Wilartratsami Sirichai
Kim Tae-Hwan
Oh Jae-Keun
Park Moon-Soo
Kim Seok-Woo
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Abstract
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Study Design: Literature review.
Objectives : To present updated information on the relationship of the pelvis and lumbar degenerative disease (LDD) patients and to emphasize the importance of the pelvis in sagittal alignment of LDD patients.
Summary of Literature Review: Although the relationship of the pelvis and sagittal alignment of LDD patients is controversial, many authors have reported a significant impact of the pelvis on LDD sagittal alignment.
Materials and Methods: The authors identified references through a literature search on the pelvis and LDD and continuous monitoring of the literature during the past 30 years.
Results: The pelvis and lumbar levels were related to whole-body sagittal alignment. The pelvis is also closely related to sagittal alignment of LDD patients. Therefore, the entire area should be regarded as a lumbopelvic complex.
Conclusions: We need to consider the concept of a lumbopelvic joint and lumbopelvic lordosis, not a lumbosacral joint and lumbar lordosis. We must also evaluate the lumbopelvic complex to assess whole-body sagittal alignment and dynamic balance.
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KEYWORD
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Pelvis, Lumbar degenerative disease, Radiographic parameter, Lumbopelvic complex, Total body sagittal alignment
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