The Role of the Pelvis in Sagittal Alignment of Lumbar Degenerative Disease Patients

Yong-Chan Kim; Ki-Han You; Chulyoung Jang; Ji Hao Cui; Sirichai Wilartratsami; Tae-Hwan Kim; Jae-Keun Oh; Moon-Soo Park; Seok Woo Kim

doi:10.4184/jkss.2016.23.2.131

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Kim, You, Jang, Cui, Wilartratsami, Kim, Oh, Park, and Kim: The Role of the Pelvis in Sagittal Alignment of Lumbar Degenerative Disease Patients

Review Article

Journal of Korean Spine Surg 2016;23(2):131-138.

Published online: 30 June 2016

DOI: https://doi.org/10.4184/jkss.2016.23.2.131

The Role of the Pelvis in Sagittal Alignment of Lumbar Degenerative Disease Patients

Yong-Chan Kim, M.D., Ph.D., Ki-Han You, M.D., Chulyoung Jang, M.D., Ji Hao Cui, M.D.^∗, Sirichai Wilartratsami, M.D.^†,^‡, Tae-Hwan Kim, M.D., Jae-Keun Oh, M.D.^‡, Moon-Soo Park, M.D., Seok Woo Kim, M.D.

Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Medical College of Hallym University, Guangshou, China

^∗Department of Orthopaedic Surgery, The Fourth Affiliated Hospital of Guangzhou Medical University, Dongfeng Xi Road, Guangshou, China

^†Department of OrthopaedicSurgery, SirirajHospital, Mahidol University, Thailand

^‡Department of Neurosurgery, Hallym University Sacred Heart Hospital, Medical College of Hallym University

Corresponding author: Yong-Chan Kim, M.D., Ph.D. Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Medical College of Hallym University, 22, Gwanpyeong-ro 170 beon-gil, Korea, Dongan-gu, Anyang-si, Gyeonggi-do, TEL: +82-31-380-6000, FAX: +82-31-380-4118 E-mail: yckim@hallym.or.kr

Received 18 May 201623 May 2016 Accepted 9 June 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Study Design

Literature review.

Objectives

To present updated information on the relationship of the pelvis and lumbar degenerative disease (LDD) patients and to emphasize the importance of the pelvis in sagittal alignment of LDD patients.

Summary of Literature Review

Although the relationship of the pelvis and sagittal alignment of LDD patients is controversial, many authors have reported a significant impact of the pelvis on LDD sagittal alignment.

Materials and Methods

The authors identified references through a literature search on the pelvis and LDD and continuous monitoring of the literature during the past 30 years.

Results

The pelvis and lumbar levels were related to whole-body sagittal alignment. The pelvis is also closely related to sagittal alignment of LDD patients. Therefore, the entire area should be regarded as a lumbopelvic complex.

Conclusions

We need to consider the concept of a lumbopelvic joint and lumbopelvic lordosis, not a lumbosacral joint and lumbar lordosis. We must also evaluate the lumbopelvic complex to assess whole-body sagittal alignment and dynamic balance.

Keywords: Pelvis, Lumbar degenerative disease, Radiographic parameter, Lumbopelvic complex, Total body sagittal alignment

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