Regional Department of Spinal Surgery, Aziendale ULSS 4, Via SC De Lellis 1, Schio 36015, Alto Vicentino, Italy.
J Clin Neurosci. 2013 Feb;20(2):191-6. doi: 10.1016/j.jocn.2012.05.023. Epub 2012 Dec 8.
It has become evident in recent years that global assessment of spinal sagittal balance is necessary for optimal management of the degenerate spine. Pelvic parameters have been developed which appear to correlate well with the natural history of degenerative spine disorders and outcomes from surgery. Although these parameters have a limited evidence base, they are now in widespread use by spinal surgeons and, in particular, spinal deformity surgeons. It is necessary for all surgeons treating spinal pathology to have a working knowledge of the principles of spinal sagittal balance, to be able to recognise sagittal imbalance and its compensatory mechanisms. In this article we outline the main concepts of spinal sagittal balance and pelvic parameters and how these concepts are leading to a paradigm shift in the surgical management of spinal disorders. We propose that analysis of pelvic parameters of sagittal balance will form an essential part of the evaluation of new surgical techniques for spinal conditions.
近年来，人们已经清楚地认识到，对脊柱矢状平衡进行全球评估对于退行性脊柱的最佳管理是必要的。已经开发出了一些骨盆参数，这些参数似乎与退行性脊柱疾病的自然病史和手术结果密切相关。尽管这些参数的证据基础有限，但它们现在已被脊柱外科医生广泛使用，特别是脊柱畸形外科医生。所有治疗脊柱疾病的外科医生都有必要了解脊柱矢状平衡的原理，能够识别矢状不平衡及其代偿机制。在本文中，我们概述了脊柱矢状平衡和骨盆参数的主要概念，以及这些概念如何导致脊柱疾病治疗的范式转变。我们建议，对矢状平衡的骨盆参数的分析将成为评估脊柱疾病新手术技术的重要组成部分。
