Sagittal balance

Last revised by Henry Knipe on 18 May 2024

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

Sagittal imbalance predicts higher rates of pain and dysfunction after spinal fusion 1 and adjacent level disease 2.

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