nach oben

European Spine Journal

Erschienen in:

01.10.2014 | Original Article

Pelvic parameters and global spine balance for spine degenerative disease: the importance of containing for the well being of content

verfasst von: Diego Garbossa, Matteo Pejrona, Marco Damilano, Valerio Sansone, Alessandro Ducati, Pedro Berjano

Erschienen in: European Spine Journal | Sonderheft 6/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Spinal deformities and pathologies of the spinopelvic junction are conditions affecting up to 60–70 % of the general aging population. In this review, we discuss the more recent knowledge on sagittal balance and its clinical implications.

Methods

Review of the literature regarding global spine balance.

Results

Global spinal balance and its relationship to the pelvis correlate closely with disability and quality of life. It has been demonstrated that extensive surgery, previously considered to have poor balance between risks and outcomes, causes great improvements in health-related quality of life in the oldest age groups.

Conclusion

Failure to restore normal sagittal alignment in patients primarily operated for other than deformity results in unacceptable rates of poor results and revision surgery.

Aebi M (2005) The adult scoliosis. Eur Spine J 14(10):925–948PubMedCrossRef

Bernhardt M, Bridwell KH (1989) Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction. Spine 14:717–721PubMedCrossRef

Berven SH, Deviren V, Smith JA, Hu SH, Bradford DS (2003) Management of fixed sagittal plane deformity: outcome of combined anterior and posterior surgery. Spine 28(15):1710–1715PubMed

Booth KC, Bridwell KH, Lenke LG, Baldus CR, Blanke KM (1999) Complications and predictive factors for the successful treatment of flatback deformity (fixed sagittal imbalance). Spine 24(16):1712–1720PubMedCrossRef

Boulay C, Tardieu C, Hecquet J, Benaim C, Mouilleseaux B, Marty C, Prat-Pradal D, Legaye J, Duval-Beaupère G, Pélissier J (2006) Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis. Eur Spine J 15:415–422PubMedCrossRefPubMedCentral

Bourghli A, Guérin P, Vital JM, Aurouer N, Luc S, Gille O, Pointillart V, Obeid I (2012) Posterior spinal fusion from T2 to the sacrum for the management of major deformities in patients with Parkinson disease: a retrospective review with analysis of complications. J Spinal Disord Tech 25(3):53–60CrossRef

Bridwell KH, Lewis SJ, Lenke LG, Baldus C, Blanke K (2003) Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance. J Bone Joint Surg Am 85(3):454–463PubMed

Cho KJ, Bridwell KH, Lenke LG, Berra A, Baldus C (2005) Comparison of Smith-Petersen versus pedicle subtraction osteotomy for the correction of fixed sagittal imbalance. Spine 30(18):2030–2037PubMedCrossRef

Cho KJ, Lenke LG, Bridwell KH, Kamiya M, Sides B (2009) Selection of the optimal distal fusion level in posterior instrumentation and fusion for thoracic hyperkyphosis: the sagittal stable vertebra concept. Spine 34:765–770PubMedCrossRef

10.

Finocchiaro FM, Nena U, Lo Scalzo V, Monterumici DA (2012) Treatment of kyphotic deformities in adults: our experience. Eur Spine J 21(1):S100–S107PubMedCrossRef

11.

Gelb DE, Lenke LG, Bridwell KH, Blanke K, McEnery KW (1995) An analysis of sagittal spinal alignment in 100 asymptomatic middle and older aged volunteers. Spine 20:1351–1358PubMedCrossRef

12.

Gill JB, Levin A, Burd T, Longley M (2008) Corrective osteotomies in spine surgery. J Bone Joint Surg Am 90(11):2509–2520PubMedCrossRef

13.

Glassman SD, Berven S, Bridwell K, Horton W, Dimar JR (2005) Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682–688PubMedCrossRef

14.

Heary RF, Kumar S, Bono CM (2008) Decision making in adult deformity. Neurosurgery 63(3):69–77PubMedCrossRef

15.

Jackson RP, Hales C (2000) Congruent spinopelvic alignment on standing lateral radiographs of adult volunteers. Spine 25:2808–2815PubMedCrossRef

16.

Jackson RP, McManus AC (1994) Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex, and size. A prospective controlled clinical study. Spine 19:1611–1618PubMedCrossRef

17.

Lafage V, Schwab F, Patel A, Hawkinson N, Farcy JP (2009) Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine 34:599–606CrossRef

18.

Lafage V, Schwab F, Vira S, Patel A, Ungar B, Farcy JP (2011) Spinopelvic parameters after surgery can be predicted: a preliminary formula and validation of standing alignment. Spine 36:1037–1045PubMedCrossRef

19.

Lamartina C, Berjano P, Petruzzi M, Sinigaglia A, Casero G, Cecchinato R, Damilano M, Bassani R (2012) Criteria to restore sagittal balance in deformity and degenerative spondylolisthesis. Eur Spine J 21:27–31CrossRefPubMedCentral

20.

Lamartina C, Berjano P (2014) Classification of sagittal imbalance based on spinal alignment and compensatory mechanism. Eur Spine J 23(6):1177–1189PubMedCrossRef

21.

Lazennec JY, Ramaré S, Arafati N, Laudet CG, Gorin M, Roger B, Hansen S, Saillant G, Maurs L, Trabelsi R (2000) Sagittal alignment in lumbosacral fusion: relations between radiological parameters and pain. Eur Spine J 9:47–55PubMedCrossRefPubMedCentral

22.

Le Huec JC, Leijssen P, Duarte M, Aunoble S (2011) Thoracolumbar imbalance analysis for osteotomy planification using a new method: FBI technique. Eur Spine J 20(5):669–680PubMedCrossRefPubMedCentral

23.

Mac-Thiong JM, Roussouly P, Berthonnaud E, Guigui P (2010) Sagittal parameters of global spinal balance: normative values from a prospective cohort of seven hundred nine Caucasian asymptomatic adults. Spine 35:1193–1198CrossRef

24.

Mac-Thiong JM, Transfeldt EE, Mehbod AA, Perra JH, Denis F, Garvey TA, Lonstein JE, Wu C, Dorman CW, Winter RB (2009) Can C7 plumbline and gravity line predict health related quality of life in adult scoliosis? Spine 34(15):519–527CrossRef

25.

Mehta VA, Amin A, Omeis I, Gokaslan ZL, Gottfried ON (2012) Implications of spinopelvic alignment for the spine surgeon. Neurosurgery 70:707–721PubMedCrossRef

26.

Mi Kyung K, Sun-Ho L, Eun-Sang K, Whan E, Sung-Soo C, Chong-Suh L (2011) The impact of sagittal balance on clinical results after posterior interbody fusion for patients with degenerative spondylolisthesis: a pilot study. BMC Musculoskelet Disord 12:69. doi:10.1186/1471-2474-12-69 CrossRef

27.

Neal CJ, McClendon J, Halpin R, Acosta FL, Koski T, Ondra SL (2011) Predicting ideal spinopelvic balance in adult spinal deformity. J Neurosurg Spine 15:82–91PubMedCrossRef

28.

Ondra SL, Marzouk S, Koski T, Silva F, Salehi S (2006) Mathematical calculation of pedicle subtraction osteotomy size to allow precision correction of fixed sagittal deformity. Spine 31:973–979CrossRef

29.

Rose PS, Bridwell KH, Lenke LG, Cronen GA, Mulconrey DS, Buchowski JM, Kim YJ (2009) Role of pelvic incidence, thoracic kyphosis, and patient factors on sagittal plane correction following pedicle subtraction osteotomy. Spine 34:785–791PubMedCrossRef

30.

Roussouly P, Nnadi C (2010) Sagittal plane deformity: an overview of interpretation and management. Eur Spine J 19:1824–1836PubMedCrossRefPubMedCentral

31.

Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M, Farcy JP (2005) Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine 30:1082–1085PubMedCrossRef

32.

Schwab F, Lafage V, Patel A, Farcy JP (2009) Sagittal plane considerations and the pelvis in the adult patient. Spine 34:1828–1833PubMedCrossRef

33.

Schwab F, Patel A, Ungar B, Farcy JP, Lafage V (2010) Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery. Spine 35:2224–2231PubMedCrossRef

34.

Smith JS, Shaffrey CI, Berven S, Glassman S, Hamill C, Horton W, Ondra S, Schwab F, Shainline M, Fu KM, Bridwell K (2009) Improvement of back pain with operative and non operative in adults with scoliosis. Neurosurgery 65:86–93PubMedCrossRef

35.

Smith JS, Shaffrey CI, Glassman SD, Berven SH, Schwab FJ, Hamill CL, Horton WC, Ondra SL, Sansur CA, Bridwell KH (2011) Risk-benefit assessment of surgery for adult scoliosis: an analysis based on patient age. Spine 36:817–824PubMedCrossRef

36.

Smith-Petersen MN, Larson CB, Aufranc OE (1969) Osteotomy of the spine for correction of flexion deformity in rheumatoid arthritis. Clin Orthop Relat Res 66:6–9PubMed

37.

Vaz G, Roussouly P, Berthonnaud E, Dimnet J (2002) Sagittal morphology and equilibrium of pelvis and spine. Eur Spine J 11:80–87PubMedCrossRefPubMedCentral

38.

Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P (2005) Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Joint Surg 87:260–267PubMedCrossRef

Titel: Pelvic parameters and global spine balance for spine degenerative disease: the importance of containing for the well being of content
verfasst von: Diego Garbossa
Matteo Pejrona
Marco Damilano
Valerio Sansone
Alessandro Ducati
Pedro Berjano
Publikationsdatum: 01.10.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe Sonderheft 6/2014
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-014-3558-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

25.04.2024 | Hypertonie | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Pelvic parameters and global spine balance for spine degenerative disease: the importance of containing for the well being of content

Abstract

Purpose

Methods

Results

Conclusion

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Sonderheft 6/2014

Pedicle subtraction osteotomy for the treatment of chin-on-chest deformity in a post-radiotherapy dropped head syndrome: a case report and review of literature

Estimating the risk for symptomatic adjacent segment degeneration after lumbar fusion: analysis from a cohort of patients undergoing revision surgery

Adult scoliosis: age-related deformity and surgery

Revision surgery after PSO failure with rod breakage: a comparison of different techniques

Variations of cervical lordosis and head alignment after pedicle subtraction osteotomy surgery for sagittal imbalance

Percutaneous short fixation vs conservative treatment: comparative analysis of clinical and radiological outcome for A.3 burst fractures of thoraco-lumbar junction and lumbar spine

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie