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Fixed sagittal plane imbalance
- Source :
- Global Spine Journal
- Publication Year :
- 2014
-
Abstract
- Study Design Literature review. Objective To discuss the evaluation and management of fixed sagittal plane imbalance. Methods A comprehensive literature review was performed on the preoperative evaluation of patients with sagittal plane malalignment, as well as the surgical strategies to address sagittal plane deformity. Results Sagittal plane imbalance is often caused by de novo scoliosis or iatrogenic flat back deformity. Understanding the etiology and magnitude of sagittal malalignment is crucial in realignment planning. Objective parameters have been developed to guide surgeons in determining how much correction is needed to achieve favorable outcomes. Currently, the goals of surgery are to restore a sagittal vertical axis Conclusion Sagittal plane malalignment is an increasingly recognized cause of pain and disability. Treatment of sagittal plane imbalance varies according to the etiology, location, and severity of the deformity. Fixed sagittal malalignment often requires complex reconstructive procedures that include osteotomy correction. Reestablishing harmonious spinopelvic alignment is associated with significant improvement in health-related quality-of-life outcome measures and patient satisfaction.
- Subjects :
- Orthodontics
medicine.medical_specialty
business.industry
pedicle subtraction osteotomy
medicine.medical_treatment
adult spinal deformity
Outcome measures
Scoliosis
medicine.disease
Osteotomy
Sagittal plane
Article
Patient satisfaction
medicine.anatomical_structure
medicine
Deformity
Physical therapy
sagittal plane imbalance
Orthopedics and Sports Medicine
Surgery
Neurology (clinical)
medicine.symptom
business
Subjects
Details
- ISSN :
- 21925682
- Volume :
- 4
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Global spine journal
- Accession number :
- edsair.doi.dedup.....f81e8618e7382a4f435d64999f021777