Neurospine.  2023 Jun;20(2):467-477. 10.14245/ns.2346374.187.

From the Spinopelvic Parameters to Global Alignment and Proportion Scores in Adult Spinal Deformity

Affiliations
  • 1Department of Neurosurgery, Ewha Womans University, School of Medicine, Seoul, Korea
  • 2Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea
  • 3Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
  • 4Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 5Department of Neurosurgery, Ewha Womans University College of Medicine, Seoul, Korea

Abstract

In the last 20 years, sagittal alignment and balance of the spine have become one of the most important issues in the field of spine surgery. Recent studies emphasize that sagittal balance and alignment are more important for health-related quality of life. The understanding of normal and abnormal sagittal alignment of the spine is necessary for the diagnosis and appropriate treatment of adult spinal deformity (ASD), and we will discuss the currently used classification of ASD, the parameters of sagittal alignment that are essential for the diagnosis of spinal deformity, compensatory actions to maintain sagittal balance, and the relationship between sagittal alignment and clinical symptoms. Furthermore, we will also discuss the recently introduced Global Alignment and Proportion scores. The Korean Spinal Deformity Society is publishing a series of review articles on spinal deformities to help spine surgeons better understand spinal deformities.

Keyword

Adult spinal deformity; Lumbar kyphosis; Spinal deformity
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