From the Department of Orthopedic Surgery, NYU Langone Health, New York, NY (Dr. Buchalter, Ms. Gall, Dr. Buckland, Dr. Schwarzkopf, Dr. Meftah, and Dr. Hepinstall); and the Melbourne Orthopaedic Group, Spine and Scoliosis Research Associates, Melbourne, Australia (Dr. Buckland).
J Am Acad Orthop Surg Glob Res Rev. 2023 Jun 8;7(6). doi: 10.5435/JAAOSGlobal-D-22-00290. eCollection 2023 Jun 1.
The term "spinopelvic mobility" is most often applied to motion within the spinopelvic segment. It has also been used to describe changes in pelvic tilt between various functional positions, which is influenced by motion at the hip, knee, ankle and spinopelvic segment. In the interest of establishing a consistent language for spinopelvic mobility, we sought to clarify and simplify its definition to create consensus, improve communication, and increase consistency with research into the hip-spine relationship.
A literature search was performed using the Medline (PubMed) library to identify all existing articles pertaining to spinopelvic mobility. We reported on the varying definitions of spinopelvic mobility including how different radiographic imaging techniques are used to define mobility.
The search term "spinopelvic mobility" returned a total of 72 articles. The frequency and context for the varying definitions of mobility were reported. 41 papers used standing and upright relaxed-seated radiographs without the use of extreme positioning, and 17 papers discussed the use of extreme positioning to define spinopelvic mobility.
Our review suggests that the definitions of spinopelvic mobility is not consistent in the majority of published literature. We suggest descriptions of spinopelvic mobility independently consider spinal motion, hip motion, and pelvic position, while recognizing and describing their interdependence.
“脊柱骨盆活动性”一词通常用于描述脊柱骨盆节段内的运动。它也被用于描述在各种功能位置下骨盆倾斜度的变化，这受到髋关节、膝关节、踝关节和脊柱骨盆节段运动的影响。为了为脊柱骨盆活动性建立一个一致的术语，我们试图澄清和简化其定义，以达成共识，改善沟通，并增加与髋关节-脊柱关系研究的一致性。
使用 Medline（PubMed）库进行文献检索，以确定所有与脊柱骨盆活动性相关的现有文章。我们报告了脊柱骨盆活动性的不同定义，包括不同的影像学技术如何用于定义活动性。
搜索词“脊柱骨盆活动性”共返回 72 篇文章。报告了活动性的不同定义的频率和上下文。41 篇文章使用站立和直立放松坐姿的射线照片，不使用极端定位，17 篇文章讨论了使用极端定位来定义脊柱骨盆活动性。
我们的综述表明，在大多数已发表的文献中，脊柱骨盆活动性的定义并不一致。我们建议描述脊柱骨盆活动性时应独立考虑脊柱运动、髋关节运动和骨盆位置，同时认识到并描述它们的相互依存关系。
