ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2015
Pelvic retroversion is the key protective mechanism of L4-5 degenerative spondylolisthesis.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 53 citations in OpenAlex.
- The Sloping-Type Adult Spinal Deformity.Spine surgery and related research · 2025Article
- Development and validation of a novel classification for characterizing degenerative spondylolisthesis of lumbar spine.Scientific reports · 2025Article
- Does Adherence to Treatment Guidelines from the Ghailane-Gille Classification for Degenerative Spondylolisthesis of the Lumbar Spine Impact Surgical Outcomes? A Match-Mismatch Study.Journal of clinical medicine · 2025Article
- Posterior lumbar interbody fusion for degenerative spondylolisthesis; slippage reduction can be a risk factor for adjacent segment disease.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Fully Navigated Single-Position Prone Lateral Lumbar Interbody Fusion: A Detailed Technical Report and Description of 15 Cases.International journal of spine surgery · 2025Article
- The Hidden Angles: Predictive Indices of Degenerative Spondylolisthesis at L4-5.International journal of general medicine · 2025Article
- A comparative study of the efficacy of whether or not to preserve the joint capsule during PLIF surgery in patients with isthmic spondylolisthesis.Frontiers in surgery · 2025Article
- The triadic relationship between spinal posture, loading, and degeneration.Frontiers in bioengineering and biotechnology · 2025Article
- Risk factors analysis and predictive model of degree I degenerative lumbar spondylolisthesis.Journal of orthopaedic surgery and research · 2024Article
- The Impact of Preoperative Sagittal Imbalance on Long-term Postoperative Outcomes Following Minimally Invasive Laminectomy.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Lumbar degenerative spondylolisthesis: role of sagittal alignment.Spine deformity · 2024Article
- Artificial intelligence automatic measurement technology of lumbosacral radiographic parameters.Frontiers in bioengineering and biotechnology · 2024Article
- Sagittal alignment in operative degenerative lumbar spondylolisthesis: a scoping review.Journal of spine surgery (Hong Kong) · 2023Article
- Improved Pain and Quality of Life with Corrected Thoracic and Lumbosacral Spondylolisthesis Subluxations Using CBPJournal of radiology case reports · 2022Review
- Analysis of Risk Factors for Adjacent Segment Degeneration after Minimally Invasive Transforaminal Interbody Fusion at Lumbosacral Spine.Computational intelligence and neuroscience · 2022Article
- Automated Measurement of Lumbar Lordosis on Radiographs Using Machine Learning and Computer Vision.Global spine journal · 2020Article
- Straighter low lumbar curvature in isthmic spondylolisthesis at L4.BMC musculoskeletal disorders · 2020Article
- Acquired spondylolysis and spinopelvic sagittal alignment.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Correlation between the sagittal spinopelvic alignment and degenerative lumbar spondylolisthesis: a retrospective study.BMC musculoskeletal disorders · 2018Article
- Focal disorders of the spine with compensatory deformities: how to define them.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo explore the role of spinopelvic sagittal alignment in the pathological mechanism of degenerative spondlylolisthesis (DS) development.
methodA total of 52 asymptomatic volunteers, 32 single segment L4-5 DS and 29 lumbar spinal stenosis (LSS) without spondylolisthesis patients were enrolled. All subjects had standard lumbar spine X-ray films with standard position along with lumbar spine magnetic resonance image. Comparative analysis of sagittal parameters and disc degeneration grades among asymptomatic volunteers and patients with the two disorders were performed.
resultsCompared to normal population (NP) and LSS, DS showed significantly greater pelvic incidence (PI), sacral slope (SS) and lumbar lordosis (LL), while LSS showed significantly smaller PT and PT/SS. DS showed significantly greater L5 slope than NP and LSS. In both Great-PI group and Small-PI group, all above differences between DS and LSS remained. LSS showed significantly higher degenerative grade of each adjacent disc than DS. Population with adjacent segment degeneration showed higher incidence of pelvic retroversion (PT/SS ≥1), and LSS showed greater proportion of adjacent segment degeneration than DS.
conclusionsLumbar spine morphology of great LL determined by great PI is a risk factor of L4-5 DS. L5 slope is a parameter that can be used to predict the risk of L4-5 DS. Pelvic retroversion is the key protective mechanism from DS. Adjacent segment degeneration is a driving factor of pelvic retroversion for compensation of lumbar sagittal malalignment.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.