Pelvic parameters: origin and significance
Introduction The adoption by humans of an upright position resulted in broadening and verticalisation of the pelvis together with the appearance of characteristic spinal curves, has profoundly modified the structure of the muscles supporting the spine. Material In order to characterise the sagittal...
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| Veröffentlicht in: | European spine journal 2011-09, Vol.20 (Suppl 5), p.564-571 |
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| creator | Le Huec, J. C. Aunoble, S. Philippe, Leijssen Nicolas, Pellet |
| description | Introduction
The adoption by humans of an upright position resulted in broadening and verticalisation of the pelvis together with the appearance of characteristic spinal curves, has profoundly modified the structure of the muscles supporting the spine.
Material
In order to characterise the sagittal balance of the pelvis, it is necessary to define parameters based on notable biomechanical forces involved in the transmission of constraints. The angle of incidence was constructed to enable reproducible analysis of the anatomical characteristics of the pelvis in the sagittal plane. The angle of incidence is the algebraic sum of two complementary angles: pelvic tilt (PT) and sacral slope (SS). Since the value of incidence is fixed for any given patient, the sum of pelvic tilt and sacral slope is a constant value: when one increases, the other necessarily decreases.
Result
The position of the lumbar spine, attached to the sacral plateau, is thus affected by the pelvic tilt and by the sacral slope. Consequently, the pelvic parameters affect the entire underlying sagittal spinal profile.
Conclusion
Global spinal balance involves harmonisation of lumbar lordosis and thoracic kyphosis taking into account the pelvic parameters. |
| doi_str_mv | 10.1007/s00586-011-1940-1 |
| format | Article |
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The adoption by humans of an upright position resulted in broadening and verticalisation of the pelvis together with the appearance of characteristic spinal curves, has profoundly modified the structure of the muscles supporting the spine.
Material
In order to characterise the sagittal balance of the pelvis, it is necessary to define parameters based on notable biomechanical forces involved in the transmission of constraints. The angle of incidence was constructed to enable reproducible analysis of the anatomical characteristics of the pelvis in the sagittal plane. The angle of incidence is the algebraic sum of two complementary angles: pelvic tilt (PT) and sacral slope (SS). Since the value of incidence is fixed for any given patient, the sum of pelvic tilt and sacral slope is a constant value: when one increases, the other necessarily decreases.
Result
The position of the lumbar spine, attached to the sacral plateau, is thus affected by the pelvic tilt and by the sacral slope. Consequently, the pelvic parameters affect the entire underlying sagittal spinal profile.
Conclusion
Global spinal balance involves harmonisation of lumbar lordosis and thoracic kyphosis taking into account the pelvic parameters.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-011-1940-1</identifier><identifier>PMID: 21830079</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Animals ; Humans ; Kyphosis - physiopathology ; Lordosis - physiopathology ; Medicine ; Medicine & Public Health ; Neurosurgery ; Pelvis - physiology ; Postural Balance - physiology ; Review ; Review Article ; Sacrum - physiology ; Spine - physiology ; Surgical Orthopedics ; Weight-Bearing - physiology</subject><ispartof>European spine journal, 2011-09, Vol.20 (Suppl 5), p.564-571</ispartof><rights>Springer-Verlag 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4491-64aa962ee1b3bde47d21794abbd76a0fa0aa4e2dac221e50456cb848d0c13c913</citedby><cites>FETCH-LOGICAL-c4491-64aa962ee1b3bde47d21794abbd76a0fa0aa4e2dac221e50456cb848d0c13c913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175921/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175921/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21830079$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Le Huec, J. C.</creatorcontrib><creatorcontrib>Aunoble, S.</creatorcontrib><creatorcontrib>Philippe, Leijssen</creatorcontrib><creatorcontrib>Nicolas, Pellet</creatorcontrib><title>Pelvic parameters: origin and significance</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Introduction
The adoption by humans of an upright position resulted in broadening and verticalisation of the pelvis together with the appearance of characteristic spinal curves, has profoundly modified the structure of the muscles supporting the spine.
Material
In order to characterise the sagittal balance of the pelvis, it is necessary to define parameters based on notable biomechanical forces involved in the transmission of constraints. The angle of incidence was constructed to enable reproducible analysis of the anatomical characteristics of the pelvis in the sagittal plane. The angle of incidence is the algebraic sum of two complementary angles: pelvic tilt (PT) and sacral slope (SS). Since the value of incidence is fixed for any given patient, the sum of pelvic tilt and sacral slope is a constant value: when one increases, the other necessarily decreases.
Result
The position of the lumbar spine, attached to the sacral plateau, is thus affected by the pelvic tilt and by the sacral slope. Consequently, the pelvic parameters affect the entire underlying sagittal spinal profile.
Conclusion
Global spinal balance involves harmonisation of lumbar lordosis and thoracic kyphosis taking into account the pelvic parameters.</description><subject>Animals</subject><subject>Humans</subject><subject>Kyphosis - physiopathology</subject><subject>Lordosis - physiopathology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Pelvis - physiology</subject><subject>Postural Balance - physiology</subject><subject>Review</subject><subject>Review Article</subject><subject>Sacrum - physiology</subject><subject>Spine - physiology</subject><subject>Surgical Orthopedics</subject><subject>Weight-Bearing - physiology</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtLAzEQx4MoWh8fwIsUL4KwOpPNPuJBEPEFBT3oOcxmpzWyzdakFfz27tL6BE-BzC-_zMxfiH2EEwQoTiNAVuYJICaoFSS4JgaoUpmATuW6GEB_mReot8R2jC8AmGnIN8WWxDLtBHogjh-4eXN2OKNAU55ziGfDNriJ80Py9TC6iXdjZ8lb3hUbY2oi763OHfF0ffV4eZuM7m_uLi9GiVVKY5IrIp1LZqzSqmZV1BILraiq6iInGBMQKZY1WSmRM1BZbqtSlTVYTK3GdEecL72zRTXl2rKfB2rMLLgphXfTkjO_K949m0n7ZlIsMi17wdFKENrXBce5mbpouWnIc7uIpizLVGGuio48_EO-tIvgu-lMJwJZKlAdhEvIhjbGwOOvVhBMn4NZ5mC6HEyfg-lbOPg5w9eLz8V3gFwCsSv5CYfvn_-3fgD9b5KE</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Le Huec, J. C.</creator><creator>Aunoble, S.</creator><creator>Philippe, Leijssen</creator><creator>Nicolas, Pellet</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201109</creationdate><title>Pelvic parameters: origin and significance</title><author>Le Huec, J. C. ; Aunoble, S. ; Philippe, Leijssen ; Nicolas, Pellet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4491-64aa962ee1b3bde47d21794abbd76a0fa0aa4e2dac221e50456cb848d0c13c913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Animals</topic><topic>Humans</topic><topic>Kyphosis - physiopathology</topic><topic>Lordosis - physiopathology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Pelvis - physiology</topic><topic>Postural Balance - physiology</topic><topic>Review</topic><topic>Review Article</topic><topic>Sacrum - physiology</topic><topic>Spine - physiology</topic><topic>Surgical Orthopedics</topic><topic>Weight-Bearing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Le Huec, J. C.</creatorcontrib><creatorcontrib>Aunoble, S.</creatorcontrib><creatorcontrib>Philippe, Leijssen</creatorcontrib><creatorcontrib>Nicolas, Pellet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Le Huec, J. C.</au><au>Aunoble, S.</au><au>Philippe, Leijssen</au><au>Nicolas, Pellet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pelvic parameters: origin and significance</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2011-09</date><risdate>2011</risdate><volume>20</volume><issue>Suppl 5</issue><spage>564</spage><epage>571</epage><pages>564-571</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Introduction
The adoption by humans of an upright position resulted in broadening and verticalisation of the pelvis together with the appearance of characteristic spinal curves, has profoundly modified the structure of the muscles supporting the spine.
Material
In order to characterise the sagittal balance of the pelvis, it is necessary to define parameters based on notable biomechanical forces involved in the transmission of constraints. The angle of incidence was constructed to enable reproducible analysis of the anatomical characteristics of the pelvis in the sagittal plane. The angle of incidence is the algebraic sum of two complementary angles: pelvic tilt (PT) and sacral slope (SS). Since the value of incidence is fixed for any given patient, the sum of pelvic tilt and sacral slope is a constant value: when one increases, the other necessarily decreases.
Result
The position of the lumbar spine, attached to the sacral plateau, is thus affected by the pelvic tilt and by the sacral slope. Consequently, the pelvic parameters affect the entire underlying sagittal spinal profile.
Conclusion
Global spinal balance involves harmonisation of lumbar lordosis and thoracic kyphosis taking into account the pelvic parameters.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21830079</pmid><doi>10.1007/s00586-011-1940-1</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Animals Humans Kyphosis - physiopathology Lordosis - physiopathology Medicine Medicine & Public Health Neurosurgery Pelvis - physiology Postural Balance - physiology Review Review Article Sacrum - physiology Spine - physiology Surgical Orthopedics Weight-Bearing - physiology |
| title | Pelvic parameters: origin and significance |
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