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  • Author: Facundo L. Alvarez-Lemos x
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Juan I. Cirillo Totera, José G. Fleiderman Valenzuela, Jorge A. Garrido Arancibia, Samuel T. Pantoja Contreras, Lyonel Beaulieu Lalanne, and Facundo L. Alvarez-Lemos

  • Adequate sagittal balance (SB) is essential to maintain an upright, efficient, and painless posture. It has been shown that sagittal profile alterations affect quality of life of patients with a similar or even greater impact than chronic disease.

  • Evaluation of the SB has gained much relevance in recent years, with recognition of its importance in the evaluation of spinal pathology.

  • This review summarizes the basic principles of SB, aiming to obtain a practical, simple and understandable evaluation of the sagittal profile of a patient.

  • SB is a dynamic process that involves a varying degree of energy expenditure. Distinguishing between a balanced, compensated imbalance or decompensated imbalanced patient, is relevant to diagnosis and therapeutic decision-making.

Cite this article: EFORT Open Rev 2021;6:1193-1202. DOI: 10.1302/2058-5241.6.210062