Impact of spinopelvic alignment on decision making in deformity surgery in adults: A review.

Journal Article (Journal Article;Review)

Sagittal spinal misalignment (SSM) is an established cause of pain and disability. Treating physicians must be familiar with the radiographic findings consistent with SSM. Additionally, the restoration or maintenance of physiological sagittal spinal alignment after reconstructive spinal procedures is imperative to achieve good clinical outcomes. The C-7 plumb line (sagittal vertical axis) has traditionally been used to evaluate sagittal spinal alignment; however, recent data indicate that the measurement of spinopelvic parameters provides a more comprehensive assessment of sagittal spinal alignment. In this review the authors describe the proper analysis of spinopelvic alignment for surgical planning. Online videos supplement the text to better illustrate the key concepts.

Full Text

Duke Authors

Cited Authors

  • Ames, CP; Smith, JS; Scheer, JK; Bess, S; Bederman, SS; Deviren, V; Lafage, V; Schwab, F; Shaffrey, CI

Published Date

  • June 2012

Published In

Volume / Issue

  • 16 / 6

Start / End Page

  • 547 - 564

PubMed ID

  • 22443546

Electronic International Standard Serial Number (EISSN)

  • 1547-5646

Digital Object Identifier (DOI)

  • 10.3171/2012.2.SPINE11320


  • eng

Conference Location

  • United States