Description
Unique resource from internationally renowned experts details the key role of sagittal spine balance
Through evolution, human verticality became associated with a wide range of normal pelvic shapes and associated
pelvic incidence angles (PIs). While all types of sagittal alignment generally provide adequate support to young
adults, age, stress, and related degeneration can progressively lead to sagittal imbalance and contribute to
various spinal pathologies.
Sagittal Balance of the Spine by Pierre Roussouly, João Luiz Pinheiro-Franco, Hubert Labelle, Martin Gehrchen,
and a cadre of esteemed international contributors focuses on the importance of sagittal alignment and spino-pelvic
shape identification in clinical practice. Offering the most comprehensive text on sagittal balance to date, this
state-of-the-art, richly illustrated book fills a void in the literature, offering clinical pearls throughout seven
sections and 24 chapters.
Key Highlights
lumbar lordosis classification
contact forces theory, spinal degeneration associated with spinopelvic morphotypes, and compensatory mechanisms
degenerative spondylolisthesis, Scheuermann's kyphosis, adolescent idiopathic scoliosis, and adult scoliosis
techniques and management of surgical failure
I Introduction to Sagittal Balance
1. Historical Background of Spinal Sagittal Balance
2. The Acquisition of Human Verticality
II Biomechanics of Sagittal Balance
3. From the Head to the Feet: Anatomy of the Upright Position
4. Modeling of the Spine
5. Sagittal Balance: The Main Parameters
6. Spinal Curves Segmentation and Lumbar Lordosis Classification
III Normative Values Following Age and Populations
7. Normative Values of Sagittal Balance in Children and Adults
8. Sagittal Balance in the Elderly
IV The Sagittal Balance of the Spine in Pathology
9. Local Stresses: Segmental Mechanism of Low Back Pain and Degeneration, and Stresses According to Spinal
Orientation—Contact Forces Theory
10. Mechanisms of Spinal Degeneration According to Spinopelvic Morphotypes
11. Sagittal Imbalance Compensatory Mechanisms
V The Non Scoliotic Spine
12. Isthmic Lytic Spondylolisthesis—The Physiopathology, Classification, and Treatment Better Explained by the Sagittal
Balance
13. Degenerative Spondylolisthesis: Does the Sagittal Balance Matter?
14. The Degenerative Aging Spine: A Challenge for Contemporaneous Societies
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15. Scheuermann’s Kyphosis
16. Cervical Sagittal Alignment and Cervicarthrosis
17. Advantages and Limitations of the SRS-Schwab Classification for Adult Spinal Deformity
VI Adolescent Idiopathic Scoliosis (AIS)
18. Specificities in Growing Spine
19. Sagittal Balance Incidence on Treatment Strategy in AIS
VII Adult Scoliosis (AS)
20. From Pathological to Normal Shapes in Adult Scoliosis
21. Sagittal Balance Treatment Strategy in a Posterior Approach
22. Adult Scoliosis Treatment with an Anterior Approach
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23. Techniques for Spine Osteotomies and Clinical Applications
24. Surgical Failures Mechanisms and Their Treatment
Index