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Sample text

The incidence of spina bifida occulta in a historic and a modern London population. J Anat. 1988;158:91–3. 27. Seitsalo S, et al. Progression of spondylolisthesis in children and adolescents. A long-term follow-up of 272 patients. Spine (Phila Pa 1976). 1991;16(4): 417–21. 28. Meyerding HW. Spondylolisthesis. Surg Gynecol Obstet. 1932;54:371–7. 29. Boxall D, et al. Management of severe spondylolisthesis in children and adolescents. J Bone Joint Surg Am. 1979;61(4):479–95. 30. Glavas P, et al. Assessment of lumbosacral kyphosis in spondylolisthesis: a computer-assisted reliability study of six measurement techniques.

Patients with sagittal imbalance often suffer from axial pain that directly relates to their spinopelvic mismatch. The mismatch forces them to consume more energy in order to maintain an upright posture because of the increased activity of the paraspinal musculature. In the spinal deformity literature, multiple studies have demonstrated a positive correlation between worsening sagittal imbalance and more severe clinical symptoms as well as health related quality of life (HRQOL) [11–13]. The principle of spinopelvic alignment has also been applied to patients with spondylolisthesis.

Mac-Thiong JM, et al. Can c7 plumbline and gravity line predict health related quality of life in adult scoliosis? Spine (Phila Pa 1976). 2009;34(15):E519–27. 4. Hresko MT, et al. Classification of high-grade spondylolisthesis based on pelvic version and spine balance: possible rationale for reduction. Spine (Phila Pa 1976). 2007;32(20):2208–13. 5. Labelle H, et al. The importance of spino-pelvic balance in L5-S1 developmental spondylolisthesis: a review of pertinent radiologic measurements. Spine (Phila Pa 1976).

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