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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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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
South West London Elective Orthopaedic Centre, 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
Hospital del Trabajador, Santiago, Chile
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Hospital Roberto del Río, 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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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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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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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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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