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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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) is dictated by SS and again by pelvic morphology (PI). 1 Ideal surgical restoration of these parameters is important to try to avoid mechanical complications. 36 , 37 Pelvic morphology and spine sagittal profile Four different types

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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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). Fig. 1 Economy cone scheme according to Dubousset. 1 Sagittal profile alterations have been shown to affect quality of life of patients with a similar or even greater impact than pathologies such as chronic lung disease, visual disturbances

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Philipp Schleicher Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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Andreas Pingel Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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Frank Kandziora Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Germany

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lower cervical spine. For instance, an axial load onto the head might create either an impression fracture of the occipital condyles, an atlas ‘ring’ burst fracture or a compression fracture of a subaxial vertebral body. 8 - 10 In contrast, sagittal

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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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the spine sagittal profile, the PI, and the related acetabulum type differentiates LPC type 1 from LPC type 2. In LPC type 1, the pelvis has a low PI (<40°, spine type 1 or 2) and a high anteverted acetabulum (type 1). Patients with LPC type 1

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Kashif Ansari Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Manjot Singh Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Jake R McDermott Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
SUNY Downstate Medical School, New York City, New York, USA

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Jerzy A Gregorczyk Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Mariah Balmaceno-Criss Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Mohammad Daher Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Christopher L McDonald Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Bassel G Diebo Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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Alan H Daniels Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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tilt ( 35 ). In parallel, the Roussouly classification was refined and identified ‘current’ and ‘theoretical’ sagittal profiles based on pelvic incidence ( 36 ). Now, concurrent consideration of both the SRS-Schwab and the Roussouly classification

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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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others ( 8 , 9 , 10 , 11 , 12 ). Furthermore, a large number or patients with cup orientations outside these boundaries do not exhibit hip instability ( 8 , 9 , 10 ). The interaction between the hip and spine and the assessment of the sagittal plane

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Amer Sebaaly Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Maroun Rizkallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Falah Bachour Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Firas Atallah Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Pierre Emmanuel Moreau Department of Orthopedic Surgery, Centre Hospitalier Paris Saint Joseph, Paris, France

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Ghassan Maalouf Department of Orthopedic Surgery, Bellevue Medical Center University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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improved at six- and 12-month follow-up. 36 Results from these trials should be interpreted with caution since most of these studies are also sponsored by industry. 5 Sagittal balance of the spine has become an important concept in understanding

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Charles Court Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Leonard Chatelain Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Barthelemy Valteau Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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Charlie Bouthors Department of Orthopedic Surgery and Traumatology, Spine and tumor Unit, Bicetre University Hospital, Assistance Publique Hôpitaux de Paris, Paris Saclay University, Le Kremlin-Bicêtre, France

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) that are potentially life-treating. Due to the intimate relationship of the lumbosacral osseous components with the neural structures and the critical role played by the pelvis in transmitting forces between the spine and lower limbs, injuries in this

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Shu-Hao Du Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Yong-Hui Zhang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Qi-Hao Yang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yu-Chen Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China

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Yu Fang Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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Xue-Qiang Wang Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China

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kyphosis, including body position, muscle changes, and affected joints. Figure 7 Round back/kyphosis. Flat back The flat back position reduces lumbar lordosis and adversely affects the sagittal balance of the spine ( 36 ). This

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Andreas F. Mavrogenis Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Panayiotis D. Megaloikonomos Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Vasileios G. Igoumenou Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Georgios N. Panagopoulos Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Efthymia Giannitsioti Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Antonios Papadopoulos Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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Panayiotis J. Papagelopoulos Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece

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: autologous iliac bone strut versus cage . J Neurosurg Spine 2008 ; 8 : 405 - 412 . 107 Klöckner C Valencia R Weber U . Alignment of the sagittal profile after surgical therapy of nonspecific destructive spondylodiscitis

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