Citation, DOI, disclosures and article data
Citation:
Gaillard F, Knipe H, Hacking C, et al. Sagittal balance. Reference article, Radiopaedia.org (Accessed on 19 Feb 2025) https://doi.org/10.53347/rID-49585
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
Sagittal balance, along with coronal balance, reflects the innate neutral standing position with C7 positioned over S1 as a feature of human bipedalism 1,3.
Sagittal balance can change depending on various factors, including spinal deformities such as a loss of lumbar lordosis 1.
Radiographic assessment includes 1
Treatment and prognosis
Sagittal imbalance predicts higher rates of pain and dysfunction after spinal fusion 1 and adjacent level disease 2.
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1. Murtagh R, Quencer R, Uribe J. Pelvic Evaluation in Thoracolumbar Corrective Spine Surgery: How I Do It. Radiology. 2016;278(3):646-56. doi:10.1148/radiol.2015142404 - Pubmed
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2. Phan K, Nazareth A, Hussain A et al. Relationship Between Sagittal Balance and Adjacent Segment Disease in Surgical Treatment of Degenerative Lumbar Spine Disease: Meta-Analysis and Implications for Choice of Fusion Technique. Eur Spine J. 2018;27(8):1981-91. doi:10.1007/s00586-018-5629-6 - Pubmed
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3. Le Huec J, Thompson W, Mohsinaly Y, Barrey C, Faundez A. Sagittal Balance of the Spine. Eur Spine J. 2019;28(9):1889-905. doi:10.1007/s00586-019-06083-1 - Pubmed
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