Cirillo Totera Juan I, Fleiderman Valenzuela José G, Garrido Arancibia Jorge A, Pantoja Contreras Samuel T, Beaulieu Lalanne Lyonel, Alvarez-Lemos Facundo L
Clínica Universidad de los Andes, Santiago, Chile.
Hospital del Trabajador, Santiago, Chile.
EFORT Open Rev. 2021 Dec 10;6(12):1193-1202. doi: 10.1302/2058-5241.6.210062.
Adequate sagittal balance (SB) is essential to maintain an upright, efficient, and painless posture. It has been shown that sagittal profile alterations affect quality of life of patients with a similar or even greater impact than chronic disease. Evaluation of the SB has gained much relevance in recent years, with recognition of its importance in the evaluation of spinal pathology. This review summarizes the basic principles of SB, aiming to obtain a practical, simple and understandable evaluation of the sagittal profile of a patient. SB is a dynamic process that involves a varying degree of energy expenditure. Distinguishing between a balanced, compensated imbalance or decompensated imbalanced patient, is relevant to diagnosis and therapeutic decision-making.
足够的矢状面平衡（SB）对于维持直立、高效且无痛的姿势至关重要。研究表明，矢状面轮廓改变对患者生活质量的影响与慢性疾病相似甚至更大。近年来，由于认识到矢状面平衡在脊柱病理学评估中的重要性，对其评估变得越来越重要。本综述总结了矢状面平衡的基本原则，旨在对患者的矢状面轮廓进行实用、简单且易懂的评估。矢状面平衡是一个动态过程，涉及不同程度的能量消耗。区分平衡、代偿性失衡或失代偿性失衡的患者，对于诊断和治疗决策具有重要意义。
