Biomechanical aspects of preoperative planning: What is really important?

Voellner, F. and Grifka, J. (2019) Biomechanical aspects of preoperative planning: What is really important? ORTHOPADE, 48 (1). pp. 44-49. ISSN 0085-4530, 1433-0431

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Abstract

BackgroundSagittal balance is dependent on acomplex interplay of the spinal curves, shape and setting of the pelvis, but also the position of the joints of the lower limb. Degenerative processes such as stiffening of the spine, aging of musculature, or reduction of the range of motion of the joints lead to imbalance of the spine after all compensatory mechanisms have been exhausted.ObjectivesBased on standardized imaging, compensation mechanisms must be identified within abiomechanical analysis of the spine, the original sagittal spine profile anticipated and included in the planning of the corrective intervention.ResultsThis review presents the most important global and spinopelvic parameters for the biomechanical analysis of the spine. In addition, normal variations of the sagittal alignment are discussed, compensation mechanisms are shown, and the planning of the rebalancing of the sagittal alignment is shown according to the full balance integrated model.

Item Type: Article
Uncontrolled Keywords: SAGITTAL ALIGNMENT; PELVIS; SPINE; BALANCE; Spine; Sagittal balance; Sagittal alignment; Compensatory mechanisms; Treatment planning
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 22 Apr 2020 06:53
Last Modified: 22 Apr 2020 06:53
URI: https://pred.uni-regensburg.de/id/eprint/27892

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