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- The biomechanics of sagittal balance including spine modeling, primary parameters, spinal curves segmentation, and lumbar lordosis classification
- The role of sagittal balance in low back pain and degeneration, with discussion of spinal orientation and the contact forces theory, spinal degeneration associated with spinopelvic morphotypes, and compensatory mechanisms
- Comprehensive analysis of the relationship between sagittal imbalance and isthmic lysis spondylolisthesis, degenerative spondylolisthesis, Scheuermann's kyphosis, adolescent idiopathic scoliosis, and adult scoliosis
- Posterior and anterior treatment approaches – from spinal fixation and spinal fusion – to spinal osteotomy techniques and management of surgical failure
This text is essential reading for every neurosurgical and orthopaedic resident, as well as veteran surgeons who evaluate and treat patients with spine conditions. Clinicians will learn why incorporating sagittal balance evaluations into spinal exams is integral to devising more effective treatment strategies and achieving improved outcomes.
This book includes complimentary access to a digital copyTable of ContentsSection 1 – Introduction to Sagittal Balance
- Chapter 01: Historical Background of Spinal Sagittal Balance
- Chapter 02: The Acquisition of Human Verticality
Section 2 – Biomechanics of Sagittal Balance
- Chapter 03: From the Head to the Feet: Anatomy of the Upright Position
- Chapter 04: Modeling of the Spine
- Chapter 05: Sagittal Balance: The Main Parameters
- Chapter 06 : Spinal Curves Segmentation and Lumbar Lordosis Classification
Section 3 – Normative values following age and populations
- Chapter 07: Normative Values of Sagittal Balance in Children and Adults
- Chapter 08: Sagittal Balance in the Elderly
Section 4 – The Sagittal Balance of the Spine in Pathology
- Chapter 09: Local Stresses: Segmental Mechanism of Low Back Pain and Degeneration. Stresses According to Spinal Orientation - Contact Forces Theory
- Chapter 10: Mechanisms of Spinal Degeneration According to Spinopelvic Morphotypes
- Chapter 11: Sagittal Imbalance Compensatory Mechanisms
Section 5 – The Non Scoliotic Spine
- Chapter 12: Isthmic Lytic Spondylolisthesis–The Physiopathology, Classification, and Treatment Better Explained by the Sagittal Balance
- Chapter 13: Degenerative Spondylolisthesis: Does the Sagittal Balance Matter?
- Chapter 14: Degenerative (Aging) Spine: A Challenge for Contemporaneous Societies
- Chapter 15: Scheuermann's Kyphosis
- Chapter 16: Cervical Sagittal Alignment and Cervicarthrosis
- Chapter 17: Advantages and Limitations of the SRS-Schwab Classification for Adult Spinal Deformity
Section 6 – Adolescent Idiopathic Scoliosis (AIS)
- Chapter 18: Specificities in Growing Spine
- Chapter 19: Sagittal Balance Incidence on Treatment Strategy in AIS
Section 7 – Adult Scoliosis (AS)
- Chapter 20: From Pathological to Normal Shapes in Adult Scoliosis
- Chapter 21: Sagittal Balance Treatment Strategy in a Posterior Approach
- Chapter 22: Adult Scoliosis Treatment with an Anterior Approach
- Chapter 23: Techniques for Spine Osteotomies and Clinical Applications
- Chapter 24: Surgical Failures Mechanisms and Their Treatment
