{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T06:33:56Z","timestamp":1782196436347,"version":"3.54.5"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T00:00:00Z","timestamp":1646956800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A cirurgia da coluna continua a expandir seus horizontes para cuidar dos pacientes incapacitados com dor e deformidades. Desde a \u00faltima d\u00e9cada, nosso conhecimento sobre o alinhamento espinal, do cr\u00e2nio \u00e0 pelve, aumentou consideravelmente. Portanto, faz-se necess\u00e1ria a expans\u00e3o de tal conhecimento para o ortopedista geral, para que possamos proporcionar melhores cuidados para essa popula\u00e7\u00e3o.<\/jats:p><jats:p>O alinhamento espinal global \u00e9 um conceito cr\u00edtico no entendimento do impacto ocasionado pela condi\u00e7\u00e3o patol\u00f3gica (doen\u00e7a degenerativa, trauma, deformidade) e mesmo do seu tratamento, como na instrumenta\u00e7\u00e3o e artrodese da coluna. O tratamento de qualquer doen\u00e7a na coluna deve incluir o entendimento da complexidade do alinhamento espinop\u00e9lvico.<\/jats:p><jats:p>A princ\u00edpio, todos os par\u00e2metros parecem puramente matem\u00e1ticos e pouco aplic\u00e1veis \u00e0 realidade do leitor mais desatento. Mas, aos poucos, fica claro que, como tudo em ortopedia, a biomec\u00e2nica faz parte essencial do conhecimento do sistema musculoesquel\u00e9tico, tornando mais claras as l\u00f3gicas da fisiologia do movimento.<\/jats:p><jats:p>O conhecimento dos conceitos de alinhamento sagital e dos par\u00e2metros espinop\u00e9lvicos proporcionam uma melhor compreens\u00e3o dos esqueletos axial e apendicular, al\u00e9m de um melhor entendimento dos processos fisiol\u00f3gicos e adaptativos da coluna frente ao processo degenerativo crescente que ocorre ao longo da vida.<\/jats:p>","DOI":"10.1055\/s-0042-1742602","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T23:42:18Z","timestamp":1647042138000},"page":"001-008","source":"Crossref","is-referenced-by-count":4,"title":["Conceitos de alinhamento sagital e par\u00e2metros 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