Sagittal balance of the spine : from normal to pathology : a key for treatment strategy

Unique resource from internationally renowned experts details the key role of sagittal spine balance Through evolution, human verticality became associated with a wide range of normal pelvic shapes and associated pelvic incidence angles (PIs). While all types of sagittal alignment generally provide adequate support to young adults, age, stress, and related degeneration can progressively lead to sagittal imbalance and contribute to various spinal pathologies. Sagittal Balance of the Spine by Pierre Roussouly, João Luiz Pinheiro-Franco, Hubert Labelle, Martin Gehrchen, and a cadre of esteemed international contributors focuses on the importance of sagittal alignment and spino-pelvic shape identification in clinical practice. Offering the most comprehensive text on sagittal balance to date, this state-of-the-art, richly illustrated book fills a void in the literature, offering clinical pearls throughout seven sections and 24 chapters. Key Highlights The biomechanics of sagittal balance including spine modeling, primary parameters, spinal curves segmentation, and lumbar lordosis classification The role of sagittal balance in low back pain and degeneration, with discussion of spinal orientation and the contact forces theory, spinal degeneration associated with spinopelvic morphotypes, and compensatory mechanisms Comprehensive analysis of the relationship between sagittal imbalance and isthmic lysis spondylolisthesis, degenerative spondylolisthesis, Scheuermann's kyphosis, adolescent idiopathic scoliosis, and adult scoliosis Posterior and anterior treatment approaches - from spinal fixation and spinal fusion - to spinal osteotomy techniques and management of surgical failure This text is essential reading for every neurosurgical and orthopaedic resident, as well as veteran surgeons who evaluate and treat patients with spine conditions. Clinicians will learn why incorporating sagittal balance evaluations into spinal exams is integral to devising more effective treatment strategies and achieving improved outcomes. Historical background of spinal sagittal balance / Pierre Roussouly and Nishant Nishant -- The acquisition of human verticality / Christine Tardieu and Martin Haeusler -- From the head to the feet : anatomy of the upright position / Jean Marc Vital, Jacques Sénégas, and Jean-Etienne Castelain -- Modeling of the spine / Carl-Eric Aubin and Xiaoyu Wang -- Sagittal balance : the main parameters / João Luiz Pinheiro-Franco and Pierre Roussouly -- Spinal curves segmentation and lumbar lordosis classification / Amer Sebaaly and Pierre Roussouly -- Normative values of sagittal balance in children and adults / Jean-Marc Mac-Thiong and Fethi Laouissat -- Sagittal balance in the elderly / Martin Gehrchen -- Local stresses : segmental mechanism of low back pain and degeneration. Stresses according to spinal orientation - contact forces theory / Pierre Roussouly and Amer Sebaaly -- Mechanisms of spinal degeneration according to spinopelvic morphotypes / João Luiz Pinheiro-Franco and Pierre Roussouly -- Sagittal imbalance compensatory mechanisms / Martin Gehrchen -- Isthmic lytic spondylolisthesis : the physiopathology, classification, and treatment better explained by the sagittal balance / Hubert Labelle, Jean-Marc Mac-Thiong, Stefan Parent, and Pierre Roussouly -- Degenerative spondylolisthesis : does the sagittal balance matter? / Cédric Y. Barrey, Charles Peltier, Amir El Rahal, and Pierre Roussouly -- Degenerative (aging) spine : a challenge for contemporaneous societies / J.C. Le Huec, W. Thompson, A. Leglise, M. Petit, and T. Cloché -- Scheuermann's kyphosis / Stefan Parent, Abdulmajeed Alzakri, and Hubert Labelle -- Cervical sagittal alignment and cervicarthrosis / Darryl Lau and Christopher P. Ames -- Advantages and limitations of the SRS-Schwab classification for adult spinal deformity / Hideyuki Arima, Leah Y. Carreon, and Steven D. Glassman -- Specificities in growing spine / Shahnawaz Haleem and Colin Nnadi -- Sagittal balance incidence on treatment strategy in AIS / Stephan Parent -- From pathological to normal shapes in adult scoliosis / Pierre Roussouly and Amer Sebaaly -- Sagittal balance treatment strategy in a posterior approach / Fethi Laouissat and Pierre Roussouly -- Adult scoliosis treatment with an anterior approach / Anthony M. DiGiorgio, Mohanad Alazzeh, and Praveen V. Mummaneni -- Techniques for spine osteotomies and clinical applications / Ibrahim Obeid and Derek T. Cawley -- Surgical failures mechanisms and their treatment / Pierre Roussouly, Hyoungmin Kim, Amer Sebaaly, and Daniel Chopin

Unique resource from internationally renowned experts details the key role of sagittal spine balance

Through evolution, human verticality became associated with a wide range of normal pelvic shapes and associated pelvic incidence angles (PIs). While all types of sagittal alignment generally provide adequate support to young adults, age, stress, and related degeneration can progressively lead to sagittal imbalance and contribute to various spinal pathologies.

Sagittal Balance of the Spine by Pierre Roussouly, João Luiz Pinheiro-Franco, Hubert Labelle, Martin Gehrchen, and a cadre of esteemed international contributors focuses on the importance of sagittal alignment and spino-pelvic shape identification in clinical practice. Offering the most comprehensive text on sagittal balance to date, this state-of-the-art, richly illustrated book fills a void in the literature, offering clinical pearls throughout seven sections and 24 chapters.

Key Highlights

• The biomechanics of sagittal balance including spine modeling, primary parameters, spinal curves segmentation, and lumbar lordosis classification
• The role of sagittal balance in low back pain and degeneration, with discussion of spinal orientation and the contact forces theory, spinal degeneration associated with spinopelvic morphotypes, and compensatory mechanisms
• Comprehensive analysis of the relationship between sagittal imbalance and isthmic lysis spondylolisthesis, degenerative spondylolisthesis, Scheuermann's kyphosis, adolescent idiopathic scoliosis, and adult scoliosis
• Posterior and anterior treatment approaches – from spinal fixation and spinal fusion – to spinal osteotomy techniques and management of surgical failure

This text is essential reading for every neurosurgical and orthopaedic resident, as well as veteran surgeons who evaluate and treat patients with spine conditions. Clinicians will learn why incorporating sagittal balance evaluations into spinal exams is integral to devising more effective treatment strategies and achieving improved outcomes.

Unique resource from internationally renowned experts details the key role of sagittal spine balance Through evolution, human verticality became associated with a wide range of normal pelvic shapes and associated pelvic incidence angles (PIs). While all types of sagittal alignment generally provide adequate support to young adults, age, stress, and related degeneration can progressively lead to sagittal imbalance and contribute to various spinal pathologies. Sagittal Balance of the Spine by Pierre Roussouly, Joo Luiz Pinheiro-Franco, Hubert Labelle, Martin Gehrchen, and a cadre of esteemed international contributors focuses on the importance of sagittal alignment and spino-pelvic shape identification in clinical practice. Offering the most comprehensive text on sagittal balance to date, this state-of-the-art, richly illustrated book fills a void in the literature, offering clinical pearls throughout seven sections and 24 chapters. Key Highlights This text is essential reading for every neurosurgical and orthopaedic resident, as well as veteran surgeons who evaluate and treat patients with spine conditions. Clinicians will learn why incorporating sagittal balance evaluations into spinal exams is integral to devising more effective treatment strategies and achieving improved outcomes. This book includes complimentary access to a digital copy on