KMID : 0388720160230040239
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Journal of Korean Society of Spine Surgery 2016 Volume.23 No. 4 p.239 ~ p.245
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Basic Pelvic Parameters Associated with Lumbar Degenerative Disease: Review Article
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Joo Youn-Suk
Cho Jae-Hwan
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Abstract
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Study Design: Literature review.
Objectives: The aim of this study was to present updated information on the basic pelvic parameters associated with lumbar degenerative disease.
Summary of Literature Review:
Sagittal imbalance has been known to be related to a poor prognosis in almost all adult spine problems, including lumbar degenerative disease.
Materials and Methods: Review of the relevant literature.
Results: Pelvic incidence is a morphologic parameter of the pelvis. It influences lumbar lordosis and thoracic kyphosis, and determines the limitations of pelvic retroversion in sagittal imbalance. Pelvic tilt is a positional parameter of the pelvis, indicating the degree of compensation for sagittal imbalance. A C7-sagittal vertical axis >5 cm, pelvic tilt >20¡Æ, and pelvic incidence-lumbar lordosis mismatch are known to be independent factors predictive of poor outcomes.
Conclusions: The C7-sagittal vertical axis, pelvic tilt, and pelvic incidence-lumbar lordosis mismatch should be considered when surgery is planned for a patient with degenerative lumbar disease.
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KEYWORD
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Sagittal imbalance, Sagittal vertical axis, Pelvic incidence, Pelvic tilt
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