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Pelvic parameters and global spine balance for spine degenerative disease: the importance of containing for the well being of content

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Abstract

Purpose

Spinal 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.

Methods

Review of the literature regarding global spine balance.

Results

Global 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.

Conclusion

Failure 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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Authors and Affiliations

  1. Division of Neurosurgery, Dipartimento di Neuroscienze, A.O. Città della Salute e della Scienza, Presidio Molinette, Corso Bramante 88, 10126, Turin, Italy

    Diego Garbossa & Alessandro Ducati

  2. IVth Spine Surgery Department, IRCSS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161, Milan, Italy

    Matteo Pejrona, Marco Damilano & Pedro Berjano

  3. Orthopaedic Clinic Department, University of Milan, IRCSS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161, Milan, Italy

    Valerio Sansone

Authors
  1. Diego Garbossa
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  2. Matteo Pejrona
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  3. Marco Damilano
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  4. Valerio Sansone
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  5. Alessandro Ducati
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  6. Pedro Berjano
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Correspondence to Matteo Pejrona.

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Garbossa, D., Pejrona, M., Damilano, M. et al. Pelvic parameters and global spine balance for spine degenerative disease: the importance of containing for the well being of content. Eur Spine J 23 (Suppl 6), 616–627 (2014). https://doi.org/10.1007/s00586-014-3558-6

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  • DOI: https://doi.org/10.1007/s00586-014-3558-6

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