CHANGES IN THE SAGITTAL BALANCE IN CONGENITAL SCOLIOSIS CORRECTION SURGERY

Sagittal Balance in Adolescent Idiopathic Scoliosis

The relationship between spinal sagittal alignment and pelvic parameters is well known in adolescent idiopathic scoliosis. However, few studies have reported the sagittal spinopelvic relationship after selective posterior fusion of thoracolumbar/lumbar (TL/L) curves. We evaluated the relationship between spinal sagittal alignment and the pelvis, and analyzed how the pelvic sagittal state is adj...

Comparison between the effects of Harrington Rod and multisegmented instrumentations in sagittal plane correction of idiopathic scoliosis

 Abstract Objective: To present the changes in projected thoracic hypokyphosis and the behavior of lumbar lordosis within and below the fusion and to compare these changes between the Harrington rod (HR) and posterior multisegmented hook instrumentation. Methods: 178 patients with idiopathic scoliosis, who had undergone posterior spinal fusion with Harrington technique (106 patients) or multise...

Scoliosis and sagittal balance in Parkinson’s disease: analysis of correlations

Methods 64 consecutive PD patients were included: 53 males, 11 females; 69.5±8.1 years; 5.6±4.1 years of disease (YOD); Hoehn Yahr (H&Y) 2.4±1.1, UPDRS-M 16.1±12.5. The clinical assessment included HY and UPDRS-M score, Pain NRS 0-10 and trunk rotation in bending (ATR). Lumbar lordosis (LL), thoracic kyphosis (TK), scoliosis curves (SC), spinosacral angle (SSA), spinopelvic angle (SPA), pelvic ...

Scoliosis sagittal correction dependence on implant rod curvature

Restoration of Sagittal Balance in Spinal Deformity Surgery

The prevalence of patients with adult spinal deformity (ASD) has been reported as high as 68%. ASD often leads to significant pain and disability. Recent emphasis has been placed on sagittal plane balance and restoring normal sagittal alignment with regards to the three dimensional deformity of ASD. Optimal sagittal alignment has been known to increase spinal biomechanical efficiency, reduce en...