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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 YOU KIHAN ORD ID 2 장철영 2 Ji Hao Cui 3 Sirichai Wilartratsami 4 Tae-Hwan Kim 5 JAE KEUN OH ORD ID 1 Moon Soo Park 1 Seok Woo Kim ORD ID 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.

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