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Radiographic Parameters of Adult Lumbar Scoliosis

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Adult Lumbar Scoliosis

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Abstract

Radiographic evaluation has been a key component of the scoliosis workup since the advent of the x-ray. The development of Cobb angles and other coronal deformity measurements have proven invaluable in the management of juvenile deformity. In adults, however, sagittal alignment has been shown to be better predictive of outcomes than coronal scoliosis. The natural curvature of the spine and its variability from patient to patient cloud the evaluation and treatment of sagittal deformity. The intertwined relationship between the spine and the pelvis further complicates the management of this disease. The pelvis and the lumbar, thoracic, and cervical spine, together with the lower limbs and head, form a “chain of interdependence” that must be considered for each patient. As a result, radiographic parameters have been established and evaluated through the prism of patient-reported outcomes to help guide surgeons in managing this complex, full body pathology.

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Authors and Affiliations

  1. Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA

    Patrick Reid MD, Jeffrey Varghese BS & Virginie Lafage PhD

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  1. Patrick Reid MD
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  2. Jeffrey Varghese BS
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  3. Virginie Lafage PhD
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Correspondence to Virginie Lafage PhD .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, University of California - Davis, Sacramento, California, USA

    Eric O. Klineberg

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Reid, P., Varghese, J., Lafage, V. (2017). Radiographic Parameters of Adult Lumbar Scoliosis. In: Klineberg, E. (eds) Adult Lumbar Scoliosis. Springer, Cham. https://doi.org/10.1007/978-3-319-47709-1_3

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  • DOI: https://doi.org/10.1007/978-3-319-47709-1_3

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