Pelvic Morphology: Itís Role in the Differential Causes of Pelvic Pain pp. 199-210
Authors: (Rajesh Rout, Colin Nnadi, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, United Kingdom)
Abstract: Pelvic morphology plays a significant role in the Spino-pelvic relationship. Its character influences the alignment of the spine in the lateral plane. Normally the head of an individual is centred over the pelvis in the frontal and lateral planes. In certain cases this does not always occur. When this happens in the lateral plane it is described as a sagittal plane deformity. This condition involves a misappropriation of spinal alignment and pelvic morphology characterized by compensatory mechanisms which manifest as a painful deformity of the back. The patient will often describe pain located anywhere from the top to the bottom of the spine including the pelvis. This problem is being investigated and treated ever more frequently. There are many causes of sagittal plane deformity (SPD): Trauma, degenerative disease, inflammatory conditions, infection and tumour. Advancing age is commonly associated with SPD otherwise described as the forward stoop of old age.