Basic Pelvic Parameters Associated with Lumbar Degenerative Disease - Review Article -  (요추부 퇴행성 질환에 있어서 골반 인자들의 기본 개념 - 문헌 고찰 - )

주윤석; 조재환

Basic Pelvic Parameters Associated with Lumbar Degenerative Disease - Review Article -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2016, 23(4), pp.239-245
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

주윤석 ¹, 조재환 ¹

¹울산대학교 의과대학 서울아산병원 정형외과학교실

Accredited

ABSTRACT

Study Design: Literature review. Objectives: The aim of this study was to present updated information on the basic pelvic parameters associated with lumbar degenerative disease. Summary of Literature Review: Sagittal imbalance has been known to be related to a poor prognosis in almost all adult spine problems, including lumbar degenerative disease. Materials and Methods: Review of the relevant literature. Results: Pelvic incidence is a morphologic parameter of the pelvis. It influences lumbar lordosis and thoracic kyphosis, and determines the limitations of pelvic retroversion in sagittal imbalance. Pelvic tilt is a positional parameter of the pelvis, indicating the degree of compensation for sagittal imbalance. A C7-sagittal vertical axis >5 cm, pelvic tilt >20°, and pelvic incidence-lumbar lordosis mismatch are known to be independent factors predictive of poor outcomes. Conclusions: The C7-sagittal vertical axis, pelvic tilt, and pelvic incidence-lumbar lordosis mismatch should be considered when surgery is planned for a patient with degenerative lumbar disease.

KEYWORDS

Sagittal imbalance, Sagittal vertical axis, Pelvic incidence, Pelvic tilt

Citation status

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

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