Impact of spinopelvic alignment on decision making in deformity surgery in adults

被引：239

作者：

Ames, Christopher P. ^{[1
]}

Smith, Justin S. ^{[5
]}

Scheer, Justin K. ^{[3
]}

Bess, Shay ^{[6
]}

Bederman, S. Samuel ^{[4
]}

Deviren, Vedat ^{[2
]}

Lafage, Virginie ^{[7
]}

Schwab, Frank ^{[7
]}

Shaffrey, Christopher I. ^{[5
]}

机构：

[1] Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA

[2] Univ Calif San Francisco, Dept Orthoped Surg, San Francisco, CA 94143 USA

[3] Univ Calif San Diego, Sch Med, San Diego, CA 92103 USA

[4] Univ Calif Irvine, Dept Orthopaed Surg, Orange, CA 92668 USA

[5] Univ Virginia Hlth Syst, Dept Neurol Surg, Charlottesville, VA USA

[6] Rocky Mt Hosp Children, Denver, CO USA

[7] NYU Hosp Joint Dis, Dept Orthopaed Surg, New York, NY USA

来源：

JOURNAL OF NEUROSURGERY-SPINE | 2012年 / 16卷 / 06期

基金：

美国国家卫生研究院;

关键词：

pedicle subtraction osteotomy; complication; instrumentation; spinal deformity; pelvic incidence; pelvic tilt; spinal balance; degenerative disease; SAGITTAL SPINAL ALIGNMENT; RADIOGRAPHIC PARAMETERS; SURGICAL-CORRECTION; THORACIC KYPHOSIS; PELVIC ALIGNMENT; LUMBAR SPINE; BALANCE; VOLUNTEERS; OSTEOTOMY; CLASSIFICATION;

D O I：

10.3171/2012.2.SPINE11320

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Sagittal spinal misalignment (SSM) is an established cause of pain and disability. Treating physicians must be familiar with the radiographic findings consistent with SSM. Additionally, the restoration or maintenance of physiological sagittal spinal alignment after reconstructive spinal procedures is imperative to achieve good clinical outcomes. The C-7 plumb line (sagittal vertical axis) has traditionally been used to evaluate sagittal spinal alignment; however, recent data indicate that the measurement of spinopelvic parameters provides a more comprehensive assessment of sagittal spinal alignment. In this review the authors describe the proper analysis of spinopelvic alignment for surgical planning. Online videos supplement the text to better illustrate the key concepts. (http://thejns.org/doi/abs/10.3171/2012.2.SPINE11320)

引用

页码：547 / 564

页数：18

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