Spinopelvic sagittal balance: what does the radiologist need to know?

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  • Additional Information
    • Source:
      Publisher: Colegio Brasileiro De Radiologia Country of Publication: Brazil NLM ID: 1305000 Publication Model: Print Cited Medium: Print ISSN: 0100-3984 (Print) Linking ISSN: 01003984 NLM ISO Abbreviation: Radiol Bras Subsets: PubMed not MEDLINE
    • Publication Information:
      Original Publication: Rio De Janeiro : Colegio Brasileiro De Radiologia
    • Abstract:
      Sagittal balance describes the optimal alignment of the spine in the sagittal plane, resulting from the interaction between the spine and lower limbs, via the pelvis. Understanding sagittal balance has gained importance, especially in the last decade, because sagittal imbalance correlates directly with disability and pain. Diseases that alter that balance cause sagittal malalignment and may trigger compensatory mechanisms. Certain radiographic parameters have been shown to be clinically relevant and to correlate with clinical scores in the evaluation of spinopelvic alignment. This article aims to provide a comprehensive review of the literature on the spinopelvic parameters that are most relevant in clinical practice, as well as to describe compensatory mechanisms of the pelvis and lower limbs.
    • References:
      Spine (Phila Pa 1976). 2009 Apr 20;34(9):949-54. (PMID: 19532003)
      Eur Spine J. 2011 Sep;20 Suppl 5:647-62. (PMID: 21845396)
      Spine (Phila Pa 1976). 2005 May 1;30(9):1082-5. (PMID: 15864163)
      J Bone Joint Surg Am. 2004 Aug;86(8):1793-808. (PMID: 15292431)
      Spine (Phila Pa 1976). 2016 Sep 15;41(18):E1081-7. (PMID: 26987107)
      Eur J Orthop Surg Traumatol. 2016 Oct;26(7):735-43. (PMID: 27562589)
      Eur Spine J. 2016 Nov;25(11):3644-3649. (PMID: 27323962)
      Neurosurgery. 2015 Mar;76 Suppl 1:S42-56; discussion S56. (PMID: 25692368)
      Spine (Phila Pa 1976). 2005 Feb 1;30(3):346-53. (PMID: 15682018)
      Ann Biomed Eng. 1992;20(4):451-62. (PMID: 1510296)
      Int Orthop. 2015 Jan;39(1):87-95. (PMID: 25192690)
      Eur Spine J. 2007 Sep;16(9):1459-67. (PMID: 17211522)
      Spine (Phila Pa 1976). 2009 Aug 1;34(17):1828-33. (PMID: 19644334)
      Spine (Phila Pa 1976). 2010 Dec 1;35(25):2224-31. (PMID: 21102297)
      JBJS Rev. 2018 May;6(5):e2. (PMID: 29738410)
      Acta Orthop Belg. 2005 Apr;71(2):213-20. (PMID: 16152857)
      Spine (Phila Pa 1976). 2009 Aug 1;34(17):E599-606. (PMID: 19644319)
      Spine (Phila Pa 1976). 2018 Apr 15;43(8):571-577. (PMID: 28767630)
      Bull Acad Natl Med. 2005 Feb;189(2):287-97; discussion 297-300. (PMID: 16114859)
      Spine (Phila Pa 1976). 2013 Jun 1;38(13):E803-12. (PMID: 23722572)
      Spine (Phila Pa 1976). 2006 May 15;31(11):E320-5. (PMID: 16688022)
      Spine (Phila Pa 1976). 2008 Jun 15;33(14):1572-8. (PMID: 18552673)
      Eur Spine J. 2011 Sep;20 Suppl 5:634-40. (PMID: 21870097)
      Eur Spine J. 1998;7(5):408-12. (PMID: 9840475)
      Eur Spine J. 2011 Sep;20 Suppl 5:681-5. (PMID: 21870096)
      Eur Spine J. 2016 Nov;25(11):3687-3693. (PMID: 26831540)
      Spine (Phila Pa 1976). 2000 Mar 1;25(5):575-86. (PMID: 10749634)
      Int Orthop. 2002;26(2):104-8. (PMID: 12078871)
      Eur Spine J. 2011 Sep;20 Suppl 5:602-8. (PMID: 21830081)
      Eur Spine J. 2013 Nov;22 Suppl 6:S834-41. (PMID: 24052406)
      Eur Spine J. 2000 Feb;9(1):47-55. (PMID: 10766077)
      Spine (Phila Pa 1976). 2010 Oct 15;35(22):E1193-8. (PMID: 20959772)
      Spine (Phila Pa 1976). 1994 Jul 15;19(14):1611-8. (PMID: 7939998)
      Clin Spine Surg. 2017 May;30(4):E412-E417. (PMID: 28437346)
      Eur Spine J. 2011 Sep;20 Suppl 5:609-18. (PMID: 21809016)
      Spine (Phila Pa 1976). 2006 Dec 1;31(25):E959-67. (PMID: 17139212)
      Eur Spine J. 2011 Sep;20 Suppl 5:626-33. (PMID: 21796393)
      Eur Spine J. 2018 Feb;27(2):489-496. (PMID: 29177554)
      Spine (Phila Pa 1976). 2004 Mar 15;29(6):671-6. (PMID: 15014278)
      Med Hypotheses. 2006;66(6):1060-8. (PMID: 16530977)
      PLoS One. 2018 Jul 5;13(7):e0200198. (PMID: 29975763)
      Eur Spine J. 1998;7(2):99-103. (PMID: 9629932)
      J Bone Joint Surg Am. 2014 Oct 1;96(19):1631-40. (PMID: 25274788)
      Eur Spine J. 2010 Nov;19(11):1824-36. (PMID: 20567858)
      Eur Spine J. 2011 Sep;20 Suppl 5:558-63. (PMID: 21809013)
      Hip Int. 2007;17 Suppl 5:S91-104. (PMID: 19197889)
      Spine (Phila Pa 1976). 1985 Jan-Feb;10(1):83-7. (PMID: 3157224)
      Spine (Phila Pa 1976). 2005 Sep 15;30(18):2024-9. (PMID: 16166889)
      Neurosurgery. 2013 Oct;73(4):559-68. (PMID: 23756751)
      Spine (Phila Pa 1976). 1989 Jul;14(7):717-21. (PMID: 2772721)
    • Contributed Indexing:
      Keywords: Kyphosis/diagnostic imaging; Lordosis/diagnostic imaging; Pelvis; Postural balance; Radiography; Spinal curvatures/diagnostic imaging; Spine
      Local Abstract: [Publisher, Portuguese] O equilíbrio sagital descreve o alinhamento ideal da coluna vertebral no plano sagital, sendo resultante da interação entre a coluna e os membros inferiores, por meio da bacia. O entendimento do equilíbrio sagital ganhou importância principalmente na última década, uma vez que o desequilíbrio sagital se correlaciona diretamente com incapacidade e dor. Doenças que alterem este equilíbrio podem causar mal alinhamento sagital e desencadear mecanismos compensatórios, os quais tentam restaurar a postura ereta. A literatura relata parâmetros radiográficos clinicamente relevantes, que possuem relação estabelecida com escores clínicos, para avaliar o alinhamento espinopélvico. Este artigo tem como objetivo fornecer uma ampla revisão da literatura sobre os parâmetros espinopélvicos mais relevantes na prática clínica, e descrever os mecanismos compensatórios da pelve e membros inferiores.
    • Publication Date:
      Date Created: 20200627 Latest Revision: 20200928
    • Publication Date:
      20240829
    • Accession Number:
      PMC7302896
    • Accession Number:
      10.1590/0100-3984.2019.0048
    • Accession Number:
      32587427