[How to restore the proper lumbar lordosis in spine surgery]

Zhonghua Wai Ke Za Zhi. 2018 Sep 1;56(9):656-660. doi: 10.3760/cma.j.issn.0529-5815.2018.09.004.
[Article in Chinese]

Abstract

Sagittal alignment of the spine significantly affects the physical function. In this article, we review the clinical application of several spinal-pelvic parameters, analyze the impact factors of sagittal alignment and provide calculating methods to value the correcting degrees. Spine surgeons should get a deep understanding of the spinal-pelvic parameters, differentiate the functional and structural imbalance. Every patient needs thorough preoperative evaluation to restore the proper alignment during surgery and avoid overcorrection.

脊柱的矢状位平衡状态对于机体的功能具有重要的意义。本文回顾性分析了多项脊柱骨盆参数在临床中的运用,探讨了脊柱矢状位曲线的影响因素,并总结了多种矫形度数的估算方法。脊柱外科医师应当加深对于脊柱骨盆参数的理解,区分功能性失衡与结构性失衡,对于手术患者应通过详细的术前计划恢复合适的矢状位曲线,避免过度矫形的发生。.

Keywords: Lumbar; Sagittal alignment; Spinal-pelvic parameters; Surgical procedures, operative.

Publication types

  • Review

MeSH terms

  • Humans
  • Lordosis* / diagnostic imaging
  • Lordosis* / surgery
  • Pelvis / surgery
  • Radiography
  • Spine / surgery