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

Journal of Neurosurgery: Spine - Tập 16 Số 6 - Trang 547-564 - 2012
Christopher P. Ames1, Justin S. Smith2, Justin K. Scheer3, Shay Bess4, S. Samuel Bederman5, Vedat Deviren6, Virginie Lafage7, Frank J. Schwab7, Christopher I. Shaffrey2
1Department of Neurological Surgery, University of California, San Francisco, USA. [email protected]
22Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia.
33University of California, San Diego, School of Medicine, San Diego;
44Rocky Mountain Hospital for Children, Denver, Colorado; and
55Department of Orthopaedic Surgery, University of California, Irvine, Orange, California;
66Orthopedic Surgery, University of California, San Francisco;
77Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York

Tóm tắt

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.

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Journal of Neurosurgery: Spine

Tập 16 Số 6

547-564

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