Spinopelvic balance

Last revised by Henry Knipe on 11 May 2024

Spinopelvic balance is an important concept in adult spinal deformities. There are numerous ways of assessing spinopelvic balance, using various bony landmarks and angles to evaluate whether or not a normal distribution of weight and stresses is present through the axial skeleton, some incorporating the position of the head, while others focusing on the pelvis, have been described 1-3:

  • sagittal vertical axis / sagittal vertical alignment / C7 plumb line

  • chin-brow vertical angle

  • kyphosis tilt angle 

  • pelvic incidence

  • pelvic tilt

  • sacral slope

  • spinopelvic angle

  • spinosacral angle

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.