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seventh and eighth decades. However, the incidence of pelvic ring fractures rises with increasing age. The immobilization associated with pelvic ring fractures has severe side effects, especially for the elderly, so the main focus within the treatment of
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assessed by the pelvic incidence (PI) angle, a concept that originated from Duval-Beaupère’s studies, 16 which can be measured in a sagittal standing radiograph. PI is defined as the angle created by the intersection of the line drawn from the centre
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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fusion rates following sacral fractures have been reported to be 85–90%. 6 , 105 Malunion can occur after delayed treatment or insufficient reduction, with a consequent alteration of pelvic incidence. This is more frequent with Roy-Camille II and III
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aspect of the femur ( 7 ). Spinopelvic parameters such as sacral slope (SS), pelvic tilt (PT), and pelvic incidence (PI) aid in classifying such positional changes ( Figs 1 and 2 ). Figure 1 Reduction of sacral slope (SS, blue lines) between the
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bicoxofemoral axis to the midpoint of the sacral plate and the vertical ( 47 ). Pelvic incidence (PI) Pelvic incidence is defined as the angle between a line perpendicular to the sacral plate at its midpoint and a line connecting the same point to the
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, sagittal facets). More recently, the role of sagittal alignment was highlighted: DS patients had on average higher pelvic incidence than asymptomatic subjects. 38 Based on these findings, one explanation of the physiopathology of DS might be that high
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findings that there was no incidence of hip dysplasia among fetuses aborted below 20 weeks of gestation, it seems that most of the changes that lead to a DDH appear in the last months of intrauterine life. Diverse theories and risk factors have been
Department of Clinical Research, University of Southern Denmark, Odense, Denmark
University College Absalon, Center of Nutrition and Rehabilitation, Department of Physiotherapy, Region Zealand, Denmark
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Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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Odense Patient data Explorative Network (OPEN), Odense, Denmark
Centre for Evidence-Based Medicine Odense (CEBMO), Odense University Hospital, Odense, Denmark
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Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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, loss of function or reduced quality of life. The relationship between mechanical factors and incidence of LBP was assessed in 600 individuals and no association between anterior pelvic tilt and LBP was found. 36 This systematic review found a very
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type 2. Conversely, an extension of the spine will lead to type 3. The SPD can change the shape of the sacrum and acetabulum, thereby altering the position of the acetabula within the pelvis and changing the pelvic incidence (cf. Fig. 3 ). Pelvic
Hospital del Trabajador, Santiago, Chile
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Hospital del Trabajador, Santiago, Chile
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Hospital Roberto del Río, Santiago, Chile
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”, “sagittal balance”, “sagittal imbalance”, “pelvic incidence” and “lumbar lordosis”. The inclusion criteria were articles, clinical guidelines, systematic reviews and randomized controlled trials (RCTs) published in indexed journals, with full