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KMID : 0388720160230040239
Journal of Korean Society of Spine Surgery
2016 Volume.23 No. 4 p.239 ~ p.245
Basic Pelvic Parameters Associated with Lumbar Degenerative Disease: Review Article
Joo Youn-Suk

Cho Jae-Hwan
Abstract
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.
KEYWORD
Sagittal imbalance, Sagittal vertical axis, Pelvic incidence, Pelvic tilt
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