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.
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.
Authors: Justin S Smith; Christopher I Shaffrey; Sigurd Berven; Steven Glassman; Christopher Hamill; William Horton; Stephen Ondra; Frank Schwab; Michael Shainline; Kai-Ming Fu; Keith Bridwell Journal: Neurosurgery Date: 2009-07 Impact factor: 4.654
Authors: Andrea Zanirato; Marco Damilano; Matteo Formica; Andrea Piazzolla; Alessio Lovi; Jorge Hugo Villafañe; Pedro Berjano Journal: Eur Spine J Date: 2018-03-01 Impact factor: 3.134
Authors: Francesco Langella; Jorge Hugo Villafañe; Virginie Lafage; Justin S Smith; Christopher Shaffrey; Han Jo Kim; Douglas Burton; Richard Hostin; Shay Bess; Christopher Ames; Gregory Mundis; Eric Klineberg; Frank Schwab; Renault Lafage; Pedro Berjano Journal: Eur Spine J Date: 2018-01-12 Impact factor: 3.134