Jokes and fun with colleagues 3:58 Steve Glassman Paper - The importance of sagittal alignment. 4:43 Ways of compensating when not sagittally 5:09 Cone of Economy - John Dubousset emphasizes the importance of the pelvis and coined term "pelvic vertebrae" 5:30 Study published in Spine summarizes principles of spinal alignment 5:55 Pelvic Parameters 6:39 Lumbar Lordosis importance - Loss of Lumbar (relatively flat) Lordosis is not tolerated well 6:53 The parameters - Pelvic Incidence, Pelvic Tilt, sacral slope 7:09 Pelvic incidence parameter & how to measure 8:33 Pelvic Incidence & Lordosis 10:22 Example of 64 yr old man who had surgery and was still in alot of pain 11:53 Pelvic Tilt parameter 13:50 Sacral slope 14:19 Studies of every measurement available show that there are 3 measurements that go with higher rates of success - #1 - mismatch between Lumbar lordosis and pelvic incidence 15:30 Alignment Objectives - constantly being evaluated 16:15 Mechanisms of Compensation 17:14 Keys for successful sagittal plane analysis - Long films essential 18:09 Conclusion
Thanks for this video. The wonderful complexities of the human body never cease to amaze. I've been searching for a simple, single mind body connection thought to achieve proper posture and the one that seems to help is to do with maintaining the sacral slope, so, just thinking "30 degrees" whilst visualising L5 sitting at 30 degrees on the sacrum seems to help maintain a neutral spine and proper posture. How important is it to maintain the sacral angle and has any formal research been done on this concept?
I don't understand why not these people just hold their mass center in the center on the frontal plane (not beyond it, not in front of it), if we imagine that frontal plane crosses center of pelvis? if their spine is bowed forward, why not they just lean backward to make their spine straight?
I am recipient of a Nuvasive L3/L4 fusion a year and a half ago and laminectomy discectomy 3 years ago. My problem is fatigue while walking and after having being seated for more than 1h. No surgeon, neuro or orto has conducted such studies before the surgeries. Now in Spain, I have been diagnosed with sagittal imbalance ... and suggestion if a sacroiliac joint fusion to help eliminate the pain... that is still persistent. I am 50YO
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Jokes and fun with colleagues
3:58 Steve Glassman Paper - The importance of sagittal alignment.
4:43 Ways of compensating when not sagittally
5:09 Cone of Economy - John Dubousset emphasizes the importance of the pelvis and coined term "pelvic vertebrae"
5:30 Study published in Spine summarizes principles of spinal alignment
5:55 Pelvic Parameters
6:39 Lumbar Lordosis importance - Loss of Lumbar (relatively flat) Lordosis is not tolerated well
6:53 The parameters - Pelvic Incidence, Pelvic Tilt, sacral slope
7:09 Pelvic incidence parameter & how to measure
8:33 Pelvic Incidence & Lordosis
10:22 Example of 64 yr old man who had surgery and was still in alot of pain
11:53 Pelvic Tilt parameter
13:50 Sacral slope
14:19 Studies of every measurement available show that there are 3 measurements that go with higher rates of success - #1 - mismatch between Lumbar lordosis and pelvic incidence
15:30 Alignment Objectives - constantly being evaluated
16:15 Mechanisms of Compensation
17:14 Keys for successful sagittal plane analysis - Long films essential
18:09 Conclusion
Great lecture!
Thanks for this video. The wonderful complexities of the human body never cease to amaze.
I've been searching for a simple, single mind body connection thought to achieve proper posture and the one that seems to help is to do with maintaining the sacral slope, so, just thinking "30 degrees" whilst visualising L5 sitting at 30 degrees on the sacrum seems to help maintain a neutral spine and proper posture. How important is it to maintain the sacral angle and has any formal research been done on this concept?
Might this be because bolvic incidence and pelvic tilt are predicated on on sacral slope, even though PI = PT +SS ?
Congratulations, this is great. Greetings from Mexico.
I don't understand why not these people just hold their mass center in the center on the frontal plane (not beyond it, not in front of it), if we imagine that frontal plane crosses center of pelvis?
if their spine is bowed forward, why not they just lean backward to make their spine straight?
Great
I am recipient of a Nuvasive L3/L4 fusion a year and a half ago and laminectomy discectomy 3 years ago. My problem is fatigue while walking and after having being seated for more than 1h. No surgeon, neuro or orto has conducted such studies before the surgeries. Now in Spain, I have been diagnosed with sagittal imbalance ... and suggestion if a sacroiliac joint fusion to help eliminate the pain... that is still persistent. I am 50YO
Can