Pelvic parameters and global spine balance for spine degenerative disease: the importance of containing for the well being of content

被引:45
作者
Garbossa, Diego [1 ]
Pejrona, Matteo [2 ]
Damilano, Marco [2 ]
Sansone, Valerio [3 ]
Ducati, Alessandro [1 ]
Berjano, Pedro [2 ]
机构
[1] AO Citta Salute & Sci, Div Neurosurg, Dipartimento Neurosci, I-10126 Turin, Italy
[2] IRCSS Ist Ortoped Galeazzi, Spine Surg Dept 4, I-20161 Milan, Italy
[3] Univ Milan, Orthopaed Clin Dept, IRCSS Ist Ortoped Galeazzi, I-20161 Milan, Italy
关键词
Sagittal balance; Review; Deformities; Scoliosis; Pelvic; Compensatory; Spino-femoral angle; PEDICLE SUBTRACTION OSTEOTOMY; SAGITTAL PLANE DEFORMITY; SPINOPELVIC ALIGNMENT; RADIOGRAPHIC ANALYSIS; ADULT SCOLIOSIS; BACK-PAIN; IMBALANCE; FUSION;
D O I
10.1007/s00586-014-3558-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose Spinal deformities and pathologies of the spinopelvic junction are conditions affecting up to 60-70 % of the general aging population. In this review, we discuss the more recent knowledge on sagittal balance and its clinical implications. Methods Review of the literature regarding global spine balance. Results Global spinal balance and its relationship to the pelvis correlate closely with disability and quality of life. It has been demonstrated that extensive surgery, previously considered to have poor balance between risks and outcomes, causes great improvements in health-related quality of life in the oldest age groups. Conclusion Failure to restore normal sagittal alignment in patients primarily operated for other than deformity results in unacceptable rates of poor results and revision surgery.
引用
收藏
页码:S616 / S627
页数:12
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