title: Impact of spinopelvic alignment on decision making in deformity surgery in adults: A review.
abstract: Sagittal spinal misalignment (SSM) is an established cause of pain and disability. Treating physicians must be familiar with the radiographic findings consistent with SSM. Additionally, the restoration or maintenance of physiological sagittal spinal alignment after reconstructive spinal procedures is imperative to achieve good clinical outcomes. The C-7 plumb line (sagittal vertical axis) has traditionally been used to evaluate sagittal spinal alignment; however, recent data indicate that the measurement of spinopelvic parameters provides a more comprehensive assessment of sagittal spinal alignment. In this review the authors describe the proper analysis of spinopelvic alignment for surgical planning. Online videos supplement the text to better illustrate the key concepts.
authors.affiliation: Department of Neurological Surgery, University of California, San Francisco, USA. amesc@neurosurg.ucsf.edu
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Ames
authors.forename: Justin S
authors.initials: JS
authors.lastname: Smith
authors.forename: Justin K
authors.initials: JK
authors.lastname: Scheer
authors.forename: Shay
authors.initials: S
authors.lastname: Bess
authors.forename: S Samuel
authors.initials: SS
authors.lastname: Bederman
authors.forename: Vedat
authors.initials: V
authors.lastname: Deviren
authors.forename: Virginie
authors.initials: V
authors.lastname: Lafage
authors.forename: Frank
authors.initials: F
authors.lastname: Schwab
authors.forename: Christopher I
authors.initials: CI
authors.lastname: Shaffrey
mesh_terms: D003657:Decision Making; D006801:Humans; D010027:Osteotomy; D011859:Radiography; D013121:Spinal Curvatures / Q000000981:diagnostic imaging* / Q000601:surgery; D013123:Spinal Fusion; D013131:Spine / Q000000981:diagnostic imaging* / Q000601:surgery