Pelvic parameters and global spine balance for spine degenerative disease: the importance of containing for the well being of content |
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Authors: | Garbossa Diego Pejrona Matteo Damilano Marco Sansone Valerio Ducati Alessandro Berjano Pedro |
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Affiliation: | 1.Division of Neurosurgery, Dipartimento di Neuroscienze, A.O. Città della Salute e della Scienza, Presidio Molinette, Corso Bramante 88, 10126, Turin, Italy ;2.IVth Spine Surgery Department, IRCSS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161, Milan, Italy ;3.Orthopaedic Clinic Department, University of Milan, IRCSS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161, Milan, Italy ; |
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Abstract: | PurposeSpinal deformities and pathologies of the spinopelvic junction are conditions affecting up to 60–70 % of the general aging population. In this review, we discuss the more recent knowledge on sagittal balance and its clinical implications. MethodsReview of the literature regarding global spine balance. ResultsGlobal spinal balance and its relationship to the pelvis correlate closely with disability and quality of life. It has been demonstrated that extensive surgery, previously considered to have poor balance between risks and outcomes, causes great improvements in health-related quality of life in the oldest age groups. ConclusionFailure to restore normal sagittal alignment in patients primarily operated for other than deformity results in unacceptable rates of poor results and revision surgery. |
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