지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 167 - 179 (13page)
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초록· 키워드
오류제보하기
The prevalence of patients with adult spinal deformity (ASD) has been reported as high as 68%. ASD often leads to significant pain and disability. Recent emphasis has been placed on sagittal plane balance and restoring normal sagittal alignment with regards to the three dimensional deformity of ASD. Optimal sagittal alignment has been known to increase spinal biomechanical efficiency, reduce energy expenditure by maintaining a stable posture with improved load absorption, influence better bony union, and help to decelerate adjacent segment deterioration. Increasingly positive sagittal imbalance has been shown to correlate with poor functional outcome and poor self-image along with poor psychological function. Compensatory mechanisms attempt to maintain sagittal balance through pelvic rotation, alterations in lumbar lordosis as well as knee and ankle flexion at the cost of increased energy expenditure. Restoring normal spinopelvic alignment is paramount to the treatment of complex spinal deformity with sagittal imbalance. Posterior osteotomies including posterior column osteotomies, pedicle subtraction osteotomies, and posterior vertebral column resection, as well anterior column support are well known to improve sagittal alignment. Understanding of whole spinal alignment and dynamics of spinopelvic alignment is essential to restore sagittal balance while minimizing the risk of developing sagittal decompensation after surgical intervention.
목차
등록된 정보가 없습니다.
참고문헌 (56)
참고문헌 신청
Ames CP / 2013 / Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy / Spine (Phila Pa 1976) 38(22 Suppl 1):S149~S160
Barrey C / 2007 / Sagittal balance of the pelvisspine complex and lumbar degenerative diseases. A comparative study about 85 cases / Eur Spine J 16:1459~1467
Bernhardt M / 1989 / Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction / Spine (Phila Pa 1976) 14:717~721
Blondel B / 2013 / Posterior global malalignment after osteotomy for sagittal plane deformity: it happens and here is why / Spine (Phila Pa 1976) 38:E394~E401
Bridwell KH / 2006 / Causes of sagittal spinal imbalance and assessment of the extent of needed correction / Instr Course Lect 55:567~575
Barrey C / 2007 / Sagittal balance of the pelvisspine complex and lumbar degenerative diseases. A comparative study about 85 cases / Eur Spine J 16:1459~1467
Bernhardt M / 1989 / Segmental analysis of the sagittal plane alignment of the normal thoracic and lumbar spines and thoracolumbar junction / Spine (Phila Pa 1976) 14:717~721
Blondel B / 2013 / Posterior global malalignment after osteotomy for sagittal plane deformity: it happens and here is why / Spine (Phila Pa 1976) 38:E394~E401
Bridwell KH / 2006 / Causes of sagittal spinal imbalance and assessment of the extent of needed correction / Instr Course Lect 55:567~575
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