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Correlation of Sagittal Imbalance and Recollapse after Percutaneous Vertebroplasty for Thoracolumbar Osteoporotic Vertebral Compression Fracture: A Multivariate Study of Risk Factors

Kim WJ, Ma SB, Shin HM, Song DG, Lee JW, Chang SH, Park KY, Choy WS, Oh TH

Study Design: A retrospective case control study. Purpose: This study aimed to assess the clinical significance of sagittal balance for predicting and managing the recollapse of cemented vertebra following percutaneous vertebroplasty...
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Clinical, Radiographic, and Genetic Analyses in a Population-Based Cohort of Adult Spinal Deformity in the Older Population

Shin JJ, Kim B, Kang J, Choi J, Moon BJ, Ryu DS, Yoon SH, Chin DK, Lee JK, Kim KN, Ha Y

Objective: This study aimed to identify the sagittal parameters associated with health-related quality of life and genetic variations that increase the risk of adult spinal deformity (ASD) onset in the...
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Thoracolumbar Slope Is Useful Parameter for Evaluating HealthRelated Quality of Life and Sagittal Imbalance Aggravation in Adult Spinal Deformity: A Prospective Observational Cohort Study

Moon BJ, Han MS, Kim JY, Lee JK

Objective: The purpose of the present study was to evaluate the natural course of primary degenerative sagittal imbalance (PDSI), its aggravating factors, and health-related quality of life (HRQoL) associated with...
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Comparison of Clinical Outcomes and Complications of Primary and Revision Surgery Using a Combined Anterior and Posterior Approach in Patients with Adult Spinal Deformity and Sagittal Imbalance

Kim WJ, Shin HM, Song DG, Lee JW, Park KY, Chang SH, Bae JH, Choy WS

Background: The purpose of this study was to compare clinical outcomes and complications of primary and revision surgery in patients with adult spinal deformity (ASD) accompanied by sagittal imbalance. Revision...
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Adult Spinal Deformity: Current Concepts and Decision-Making Strategies for Management

Kim HJ, Yang JH, Chang DG, Suk SI, Suh SW, Song KS, Park JB, Cho W

Adult spinal deformity (ASD) is characterized by three-dimensional abnormalities of the thoracic or thoracolumbar spine that exerts significant impacts on the health-related quality of life (HRQoL). With the important effects...
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Validation Study of Rajasekaran’s Kyphosis Classification System: Do We Clearly Understand Single- and Two-Column Deficiencies?

Shetty AP, Rajavelu R, Viswanathan VK, Watanabe K, Chhabra HS, Kanna RM, Cheung JPY, Hai Y, Kwan MK, Wong CC, Liu G, Basu S, Nene A, Naresh-Babu J, Garg B

Study Design: Multicenter validation study. Purpose: To evaluate the inter-rater reliability of Rajasekaran’s kyphosis classification through a multicenter validation study. Overview of Literature: The classification of kyphosis, developed by Rajasekaran, incorporates factors...
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Treatment of Adult Spinal Deformity with Sagittal Imbalance Using Oblique Lumbar Interbody Fusion: Can We Predict How Much Lordosis Correction Is Possible?

Kim WJ, Lee JW, Park KY, Chang SH, Song DG, Choy WS

STUDY DESIGN: Prospective, single-center study. PURPOSE: The current trend of operative treatment for adult spinal deformity (ASD) is combined anterior-posterior staged surgery. When anterior surgery was first performed, oblique lumbar interbody...
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The Effects of Sagittal Spino-Pelvic Alignment on the Clinical Symptoms of Thoracolumbar Kyphosis in Osteoporotic Patients

Kim WJ, Song DG, Lee JW, Chang SH, Park KY, Kim YH, Ma SB, Choy WS

STUDY DESIGN: Retrospective study. OBJECTIVES: The purpose of this study was to assess the effect of sagittal spino-pelvic alignment on the clinical symptoms of thoracolumbar kyphosis (TLK; T10-L2 Cobb's angle >20°)...
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Pelvic Incidence Can Be Changed not only by Age and Sex, but also by Posture Used during Imaging

Moon JW, Shinn JK, Ryu D, Oh SY, Shim YS, Yoon SH

OBJECTIVE: Computed tomography (CT), rather than conventional 2-dimensional radiography, was used to scan and measure pelvic parameters. The results were compared with measurements using X-ray. METHODS: Pelvic parameters were measured using...
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Basic Pelvic Parameters Associated with Lumbar Degenerative Disease: Review Article

Joo YS, Cho JH

STUDY DESIGN: Literature review. OBJECTIVES: The aim of this study was to present updated information on the basic pelvic parameters associated with lumbar degenerative disease. SUMMARY OF LITERATURE REVIEW: Sagittal imbalance has...
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Radiologic Findings of Pelvic Parameters Related to Sagittal Balance

Kim SB, Lee GS, Won YG, Jun JB, Hwang CM, Hong CH

STUDY DESIGN: A literature review on the radiologic findings of pelvic parameters for treatment of spinal deformity OBJECTIVES: This review examines sagittal spine alignment, pelvic parameters, and methods for assessing alignment,...
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Retrolisthesis as a Compensatory Mechanism in Degenerative Lumbar Spine

Jeon I, Kim SW

OBJECTIVE: Posterior vertebral translation as a type of spondylolisthesis, retrolisthesis is observed commonly in patients with degenerative spinal problems. Nevertheless, there is insufficient literature on retrolisthesis compared to anterolisthesis. The...
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Changes of Spinopelvic Parameter using Iliac Screw In Surgical Correction of Sagittal Imbalance Patients

Kim WJ, Chi YJ, Song DG, Park KH, Park KY, Sung HI, Koo JY, Kwon WC, Choy WS

STUDY DESIGN: A retrospective-based study. OBJECTIVES: To evaluate the usefulness of iliac screws in the surgical correction of sagittal imbalance by changes of spinopelvic parameters. SUMMARY OF LITERATURE REVIEW: Although reports exist...
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Proximal Junctional Problems in Surgical Treatment of Lumbar Degenerative Sagittal Imbalance Patients and Relevant Risk Factors

Kim WJ, Song DG, Lee JW, Kang JW, Park KY, Koo JY, Kwon WC, Choy WS

STUDY DESIGN: Retrospective study. OBJECTIVES: As we analyze the incidence and the risk factor for proximal junctional problem after surgical treatment of lumbar degenerative sagittal imbalance, we want to contribute to...
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The Impact on Clinical Results by Sagittal Imbalance in Posterior Fixation for Thoraco-lumbar Burst Fractures

Baek SW, Shim KD, Park YS

  • KMID: 2333504
  • J Korean Fract Soc.
  • 2011 Oct;24(4):354-360.
PURPOSE: Evaluate the effects of sagittal imbalance on the clinical outcomes in thoracolumbar burst fractures. MATERIALS AND METHODS: We evaluated 11 patients who had received posterior fixation for unstable burst fractures....
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Optimal Standing Radiographic Positioning in Patients with Sagittal Imbalance

Kim WJ

STUDY DESIGN: This is a review of the literature about radiographic positioning for patients with sagittal imbalance. OBJECTIVES: We wanted to verify the optimal radiographic positioning for patients with sagittal imbalance. SUMMARY...
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Sagittal Imbalance

Jang JS

  • KMID: 1460910
  • Korean J Spine.
  • 2010 Mar;7(1):1-9.
Sagittal imbalance in adult population has a significant impact on health-related quality of life. Successful surgical treatment of sagittal plane deformities is crucial because it can significantly improve patient's quality...
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Clinical Outcomes and Complications after Pedicle Subtraction Osteotomy for Fixed Sagittal Imbalance Patients : A Long-Term Follow-Up Data

Hyun SJ, Rhim SC

OBJECTIVE: Clinical, radiographic, and outcomes assessments, focusing on complications, were performed in patients who underwent pedicle subtraction osteotomy (PSO) to assess correction effectiveness, fusion stability, procedural safety, neurological outcomes, complication...
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Sagittal Imbalance

Kim KT, Lee JH

Sagittal spinal balance is an essential factor for not only the external appearance, but also for the spine's function. Fixed sagittal imbalance is the result of different causes, and this...
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Loss of Sagittal Balance and Clinical Outcomes following Corrective Osteotomy for Lumbar Degenerative Kyphosis

Kim KT, Lee SH, Suk KS, Lee JH, Im YS, Seo EM

PURPOSE: To report the loss of correction of a sagittal imbalance and the clinical outcomes after a corrective osteotomy for lumbar degenerative kyphosis. MATERIALS AND METHODS: This study analyzed the radiological...
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