2020
DOI: 10.1016/j.spinee.2020.05.643
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232. Optimal lumbar lordosis correction for adult spinal deformity with severe sagittal imbalance in patients over age 65: role of pelvic tilt and pelvic tilt ratio

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(2 citation statements)
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“…46,47 This is substantiated by the ideal discrepancy between PI and LL (i.e., PI-LL), initially quoted as ± 10 degrees, 48 which is lately found to be able to accept a much lower LL in the elderly. 49 In fact, age-adjusted values of PI-LL now guide the target LL in spinal realignment surgery with slightly reduced mechanical complications, and stems from our understanding that aged adults have forward sagittal spinal imbalance which can be considered 'physiological' and hence acceptable. 50 Overzealous correction of LL will lead to increase stress at junctional areas of the spine leading to PJF.…”
Section: Discussionmentioning
confidence: 99%
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“…46,47 This is substantiated by the ideal discrepancy between PI and LL (i.e., PI-LL), initially quoted as ± 10 degrees, 48 which is lately found to be able to accept a much lower LL in the elderly. 49 In fact, age-adjusted values of PI-LL now guide the target LL in spinal realignment surgery with slightly reduced mechanical complications, and stems from our understanding that aged adults have forward sagittal spinal imbalance which can be considered 'physiological' and hence acceptable. 50 Overzealous correction of LL will lead to increase stress at junctional areas of the spine leading to PJF.…”
Section: Discussionmentioning
confidence: 99%
“…Lumbar lordosis is mandatory in bipeds to be able to stand upright, and it is often closer to PI in the young, healthy adults and much less than PI in the elderly or in diseased spines with loss of sagittal profile 46,47 . This is substantiated by the ideal discrepancy between PI and LL (i.e., PI-LL), initially quoted as ±10 degrees, 48 which is lately found to be able to accept a much lower LL in the elderly 49 . In fact, age-adjusted values of PI-LL now guide the target LL in spinal realignment surgery with slightly reduced mechanical complications, and stems from our understanding that aged adults have forward sagittal spinal imbalance which can be considered ‘physiological’ and hence acceptable 50 .…”
Section: Discussionmentioning
confidence: 99%