Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jun 18, 2015; 6(5): 413-415
Published online Jun 18, 2015. doi: 10.5312/wjo.v6.i5.413
Importance of balance and profile in adult spinal reconstruction
Marco GA Teli
Marco GA Teli, Department of Orthopaedic Surgery, Civile Regional Hospital, 20025 Legnano (Mi), Italy
Author contributions: Teli MGA designed and wrote the review.
Conflict-of-interest: Marco GA Teli has received fees for serving as a speaker for Alphatec Spine. Biomet Spine and Medtronic.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Marco GA Teli, MD, Department of Orthopaedic Surgery, Civile Regional Hospital, via Papa Giovanni Paolo II, 20025 Legnano (Mi), Italy. marcoteli@hotmail.com
Telephone: +39-331-449828 Fax: +39-331-449593
Received: February 2, 2015
Peer-review started: February 3, 2015
First decision: April 10, 2015
Revised: May 4, 2015
Accepted: May 5, 2015
Article in press: May 6, 2015
Published online: June 18, 2015

Long before its current understanding, the concept of balance was common among spine surgeons dealing with deformities, but it was a hard one to transfer to clinical practice. Thanks to the pioneering work of Duval-Beaupere and followers, the idea of balancing the sagittal contour of the spine has gained scientific status and is now in the armamentarium of the skilled surgeon as the single most important tool to achieve superior clinical results in adult spinal deformity surgery.

Keywords: Sagittal balance, Sagittal profile, Adult spinal deformity, Anterior fusion, Posterior fusion

Core tip: Adult spinal reconstruction is set to become the emerging trend in the next years in spinal surgery. Failure of restoration of adequate spinal balance and profile in the sagittal plane is now recognised as the single most important factor determining inadequate improvement in quality of life in adult patients undergoing reconstructive surgery for spinal deformity.