The Role of the Pelvis in Sagittal Alignment of Lumbar Degenerative Disease Patients (요추부 퇴행성질환 환자들의 시상면 정렬에 대한 골반의 역할)

김용찬; Ki-Han You (유기한); 장철영; Ji Hao Cui; Sirichai Wilartratsami; Tae-Hwan Kim (김태환); JAE KEUN OH (오재근); Moon Soo Park (박문수); Seok Woo Kim (김석우)

The Role of the Pelvis in Sagittal Alignment of Lumbar Degenerative Disease Patients

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2016, 23(2), pp.131-138
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

김용찬 ¹, Ki-Han You ², 장철영 ², Ji Hao Cui ³, Sirichai Wilartratsami ⁴, Tae-Hwan Kim ⁵, JAE KEUN OH ¹, Moon Soo Park ¹, Seok Woo Kim ¹

¹한림대학교
²한림대학교 의과대학 정형외과학교실
³Guangzhou Medical University 정형외과학교실
⁴Mahidol University 정형외과학교실
⁵한림대학교성심병원

Accredited

ABSTRACT

Study Design: Literature review. Objectives: To present updated information on the relationship of the pelvis and lumbar degenerative disease (LDD) patients and to emphasize the importance of the pelvis in sagittal alignment of LDD patients. Summary of Literature Review: Although the relationship of the pelvis and sagittal alignment of LDD patients is controversial, many authors have reported a significant impact of the pelvis on LDD sagittal alignment. Materials and Methods: The authors identified references through a literature search on the pelvis and LDD and continuous monitoring of the literature during the past 30 years. Results: The pelvis and lumbar levels were related to whole-body sagittal alignment. The pelvis is also closely related to sagittal alignment of LDD patients. Therefore, the entire area should be regarded as a lumbopelvic complex. Conclusions: We need to consider the concept of a lumbopelvic joint and lumbopelvic lordosis, not a lumbosacral joint and lumbar lordosis. We must also evaluate the lumbopelvic complex to assess whole-body sagittal alignment and dynamic balance.

KEYWORDS

Pelvis, Lumbar degenerative disease, Radiographic parameter, Lumbopelvic complex, Total body sagittal alignment

Citation status

* References for papers published after 2023 are currently being built.

[journal] Lee CS / 2001 / Normal Patterns of Sagittal Alignment of the Spine in Young Adults Radiological Analysis in a Korean Population / SPINE 36 : E1648~E1654

[journal] Barrey C / 2007 / Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases / Eur Spine J 16 : 1459~1467

[journal] Le Huec JC / 2011 / Pelvic parameters:origin and significance / Eur Spine J 20 : 564~571

[book] Suk SI / 2013 / Textbook of Spinal Surgery / Newest Medical Publishing Company : 797~801

[journal] Guillot M / 1988 / Methods of measuring the mechanical stresses on the human lumbar spine and their results / Rev Rhum Mal Osteoartic 55 : 351~359

[journal] Swanson RL / 2013 / Biotensigrity: a unifying theory of biological architecture with applications to osteopathic practice, education, and research / J Am Osteopath Assoc 113 : 34~52

[journal] Pierre Roussouly / 2011 / Sagittal parameters of the spine: biomechanical approach / Eur Spine J 20 : 578~585

[journal] 이종서 / 2012 / The Association of Lumbosacral Sagittal Alignments and the Patterns of Lumbar Disc Degeneration / 대한척추외과학회지 / 대한척추외과학회 19(4) : 145~151

[journal] Bao H / 2015 / Will Immediate Postoperative Imbalance Improve in Patients With ThoracolumbarLumbar Degenerative Kyphoscoliosis / Spine 40 : E293~E300

[journal] Boulay C / 2006 / Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis / Eur Spine J 15 : 415~422

[journal] Chaleat-Valayer E / 2011 / Sagittal spinopelvic alignment in chronic low back pain / Eur Spine J 5 : 634~640

[journal] Faldini C / 2015 / Does surgery for Scheuermann kyphosis influence sagittal spinopelvic parameters? / Eur Spine J

[journal] Duval K / 2010 / The mechanical relationship between the rearfoot, pelvis and low-back / Gait Posture 32 : 637~640

[journal] Yoshimoto H / 2005 / Spinopelvic alignment in patients with osteoarthrosis of the hip: a radiographic comparison to patients with low back pain / Spine 30 : 1650~1657

[journal] Lee CS / 2013 / The effect of simulated knee flexion on sagittal spinal alignment: novel interpretation of spinopelvic alignment / Eur Spine J 22 : 1059~1065

[journal] Betsch M / 2011 / Influence of foot positions on the spine and pelvis / Arthritis Care Res 63 : 1758~1765

[journal] Pinto R / 2008 / Bilateral and unilateral increases in calcaneal eversion affect pelvic alignment in standing position / Man Ther 13 : 513~519

[journal] Kumar MN / 2001 / Correlation between sagittal plane changes and adjacent segment degeneration following lumbar spine fusion / Eur Spine J 10 : 314~319

[journal] Roussouly P / 2005 / Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position / Spine 30 : 346~353

[journal] Schwab F / 2012 / Scoliosis research society-Schwab adult spinal deformity classification: a validation study / Spine 37 : 1077~1082

[journal] Boissiere L / 2015 / Lumbo-pelvic related indexes: impact on adult spinal deformity surgery / Eur Spine J 24 : 1212~1218

[journal] Lafage V / 2009 / Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adult with spinal deformity / Spine 34 : 599~606

[journal] Boissiere L / 2013 / The lumbar lordosis index: a new ratio to detect spinal malalignmnet with a therapeutic impact for sagittal balance correction decisions in adult scoliosis surgery / Eur Spine J 22 : 1339~1345

[journal] During J / 1985 / Toward standards for posture. Postural characteristics of the lower back system in normal and parhologic conditions / Spine 10 : 83~87

[journal] Jackson RP / 2000 / Congruent spinopelvic alignment on standing lateral radiographs of adult volunteers / Spine 25 : 2808~2815

[journal] Gnat R / 2008 / Induced static asymmetry of the pelvis is associated with functional asymmetry of the Lumbo-Pelvic-Hip complex / J Manipulative Physiol Ther 31 : 204~211

[journal] James CR / 2015 / Kinematic and ground reaction force accommodation during weighted walking / Hum Mov Sci 44 : 327~337

KJCKorea
Journal Central

Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03