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Javier Pizones Spine Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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Eduardo García-Rey Hip Unit, Department of Orthopaedic Surgery, Hospital Universitario La Paz, Madrid, Spain

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). 14 Compensation commonly starts with cranial adjacent segment retrolisthesis and thoracic hypokyphosis. If this is not effective, pelvic retroversion and subsequently hip extension is recruited. This is usually sufficient to compensate for disc

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Emmanuelle Ferrero Service de chirurgie orthopédique, Hôpital européen Georges Pompidou, France, APHP, Université Paris V

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Pierre Guigui Service de chirurgie orthopédique, Hôpital européen Georges Pompidou, France, APHP, Université Paris V

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pelvic retroversion. In the groups of DS patients with anterior malalignment, large pelvic incidence was associated with a lack of lumbar lordosis. Moreover, in each group, lumbosacral lordosis was decreased: < 46% of total lordosis versus 66% in

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Charles Rivière MSK Lab, Imperial College London, UK
South West London Elective Orthopaedic Centre, UK

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Stefan Lazic South West London Elective Orthopaedic Centre, UK

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Louis Dagneaux CHU de Montpellier, France

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Catherine Van Der Straeten London Hip Unit, UK

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Justin Cobb MSK Lab, Imperial College London, UK

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Sarah Muirhead-Allwood London Hip Unit, UK

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retroversion (SS decreases and PT increases), therefore reducing the lumbopelvic complex curvature and flexibility. In the early stages, the patient compensates for this abnormal pelvic retroversion, in the standing position, by permanently extending the hips

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Juan I. Cirillo Totera Clínica Universidad de los Andes, Santiago, Chile
Hospital del Trabajador, Santiago, Chile

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José G. Fleiderman Valenzuela Clínica Universidad de los Andes, Santiago, Chile
Hospital del Trabajador, Santiago, Chile

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Jorge A. Garrido Arancibia Clínica Universidad de los Andes, Santiago, Chile

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Samuel T. Pantoja Contreras Clínica Universidad de los Andes, Santiago, Chile
Hospital Roberto del Río, Santiago, Chile

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Lyonel Beaulieu Lalanne Clínica Universidad de los Andes, Santiago, Chile

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Facundo L. Alvarez-Lemos Clínica Universidad de los Andes, Santiago, Chile

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and at the thoracolumbar transition level, with little capacity for pelvic retroversion, predisposing to isthmic spondylolisthesis at the level of L5–S1 ‘nutcracker-type’ and thoracolumbar discopathy. Type II: low PI (< 45°), low SS (< 35°), LL plus

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Charles Rivière MSK Lab, Imperial College London, UK; South West London Elective Orthopaedic Center, UK

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Stefan Lazic South West London Elective Orthopaedic Center, UK

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Loïc Villet Centre de l’arthrose, Merignac, France

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Yann Wiart Unfallchirurgie, Theresienkrankenhauss Mannheim, Germany

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Sarah Muirhead Allwood London Hip Unit, UK

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Justin Cobb MSK Lab, Imperial College London, UK

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two types of abnormal lumbopelvic sagittal kinematics which may influence complications after THA. 9 The first one is related to insufficient pelvic retroversion ( Fig. 4 ) when sitting or squatting (type 1) 9 , 47 - 51 , 61 and the second

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Luigi Zagra Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Francesco Benazzo Chirurgia Protesica ad Indirizzo Robotico, Fondazione Poliambulanza, Brescia, Italy

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Dante Dallari Reconstructive Orthopaedic Surgery and Innovative Techniques – Musculoskeletal Tissue Bank, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

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Francesco Falez Department of Orthopaedics and Traumatology, ASL Roma 1, S. Filippo Neri Hospital, Rome, Italy

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Giuseppe Solarino Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic & Trauma Unit, School of Medicine, University of Bari Aldo Moro, AOU Consorziale ‘Policlinico’, Bari, Italy

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Rocco D’Apolito Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Claudio Carlo Castelli FROM, Research Foundation Papa Giovanni XXIII Hospital, Bergamo, Italy

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imbalance, compensatory postures, scoliosis, flattening of the lumbar spine, and pelvic retroversion may be evident at clinical examination. These circumstances warrant further radiological studies in addition to the conventional workup for THA. Imaging

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Eduardo Moreira Pinto Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Artur Teixeira Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Ricardo Frada Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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Pedro Atilano Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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António Miranda Orthopaedic and Traumatology Surgery, Spine Division, Entre Douro e Vouga Hospital Center, Santa Maria da Feira, Portugal

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pelvic retroversion during standing. After fusion, the inability to correct an increased PT is associated with a higher predisposition to develop ASD, suggesting that sagittal alignment was not optimally corrected. 70 Given the association between

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George Grammatopoulos The Ottawa Hospital, Ottawa, Ontario, Canada

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Moritz Innmann Heidelberg University Hospital, Heidelberg, Germany

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Philippe Phan The Ottawa Hospital, Ottawa, Ontario, Canada

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Russell Bodner Midwest Orthopedic Institute, Sycamore, United States of America

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Geert Meermans Bravis Hospital, Roosendaal, The Netherlands

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movement. A large variability in terminology exists in the literature to describe pelvic movement (pelvic retroversion/anteversion, pelvic flexion/extension, and positive/negative tilt), which can lead to confusion, and for the purpose of this review

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