Sagittal Imbalance
Serving the South Florida and Orlando Areas
Dr. Andreas C. Tomac, MD, PhD, FAANS is a distinguished neurosurgeon specializing in diagnosing and treating Sagittal Imbalance.
What is Sagittal Imbalance?
Sagittal imbalance refers to an abnormal alignment of the spine in the sagittal plane, which is the plane that divides the body into left and right halves. In a balanced spine, the vertebrae are aligned in a way that maintains proper curvature and alignment from the front to the back. Sagittal imbalance occurs when there is a disruption in this alignment, leading to an abnormal forward or backward curvature of the spine.
Sagittal imbalance can result from various factors, including degenerative changes in the spine, spinal deformities, fractures, tumors, or surgical complications. Conditions such as kyphosis (excessive forward curvature) or lordosis (excessive backward curvature) can contribute to sagittal imbalance. Orthopedic spine surgeons or neurosurgeons specializing in spinal disorders are often involved in the evaluation and management of sagittal imbalance. They can determine the most appropriate treatment approach based on the specific characteristics of the condition and the individual’s overall health.
Who can it affect?
Sagittal imbalance can affect individuals of various ages and backgrounds, and its occurrence is associated with a range of factors. While it may develop as a result of degenerative changes in the spine, spinal deformities, fractures, or other spinal conditions, it can impact people regardless of their demographic. Older adults may be more susceptible to sagittal imbalance due to age-related changes in the spine, such as disc degeneration and loss of bone density. However, it can also affect younger individuals, especially if they have underlying spinal deformities or conditions that disrupt the natural alignment of the spine. The condition may result from a variety of causes, highlighting the importance of recognizing symptoms and seeking timely evaluation by specialists such as orthopedic spine surgeons or neurosurgeons. A comprehensive assessment is crucial to determine the underlying cause and formulate an appropriate treatment plan tailored to the individual’s unique circumstances.
What are the symptoms?
The symptoms of sagittal imbalance can vary depending on the severity of the condition and its impact on the spine and surrounding structures. Common symptoms may include:
- Back Pain: Persistent or chronic back pain, often localized in the lumbar (lower back) or thoracic (mid-back) region.
- Difficulty Maintaining Upright Posture: Individuals with sagittal imbalance may find it challenging to maintain an upright posture. There may be a noticeable forward or backward shift in the alignment of the spine.
- Changes in Gait: Walking abnormalities or changes in gait may occur, potentially affecting balance and mobility.
- Muscle Fatigue: Muscles supporting the spine may become fatigued due to the altered spinal alignment, leading to discomfort and weakness.
- Neurological Symptoms: In severe cases, compression of the spinal cord or nerves may result in neurological symptoms such as numbness, tingling, or weakness in the legs.
- Impaired Quality of Life: Sagittal imbalance can impact an individual’s overall quality of life, affecting daily activities, work, and recreational pursuits.
Treating Sagittal Imbalance
How is Sagittal Imbalance diagnosed?
Diagnosing sagittal imbalance involves a thorough evaluation by a healthcare professional, and a neurosurgeon like Dr. Tomac may play a crucial role in the diagnostic process. Dr. Tomac typically begins by gathering a detailed medical history, exploring the onset and characteristics of symptoms, and assessing factors that may contribute to spinal imbalance. A comprehensive physical examination is conducted to evaluate posture, spinal curvature, and neurological signs. Advanced imaging studies, such as X-rays, Magnetic Resonance Imaging (MRI), or Computed Tomography (CT) scans, are often employed to visualize the spine and assess its alignment. Dr. Tomac’s expertise in neurosurgery allows for a detailed analysis of spinal images, identification of any structural abnormalities or deformities, and the formulation of an accurate diagnosis. The collaboration between the patient and Dr. Tomac is crucial in developing an individualized treatment plan tailored to address the specific characteristics of sagittal imbalance and improve overall spinal alignment. Seeking timely medical attention is essential for a comprehensive evaluation and appropriate management of this condition.
What treatments are available?
The treatment options for sagittal imbalance depend on the underlying cause, the severity of symptoms, and the individual’s overall health. A neurosurgeon like Dr. Tomac can provide expertise in both non-surgical and surgical interventions. Common treatment approaches include:
- Conservative Treatments:
- Physical Therapy: Targeted exercises to improve spinal alignment, strengthen supporting muscles, and enhance flexibility.
- Pain Management: Medications or injections to manage pain and inflammation.
- Postural Correction: Guidance on maintaining proper posture and making lifestyle adjustments to alleviate symptoms.
- Bracing: In some cases, a brace may be recommended to provide support and help improve spinal alignment, particularly for individuals with mild to moderate sagittal imbalance.
- Surgical Interventions:
- Spinal Fusion: Surgical procedure to fuse vertebrae together, stabilizing the spine and improving alignment.
- Osteotomies: Surgical procedures to reshape or realign the bones of the spine, correcting deformities and restoring balance.
Dr. Tomac can assess the specific case, discuss treatment options, and recommend the most appropriate course of action based on the cause and severity of symptoms. Surgical intervention is typically considered in more severe cases or when conservative measures are ineffective.
The decision on the most suitable treatment plan is made collaboratively between the patient and Dr. Tomac, considering the individual’s unique circumstances and goals. Regular follow-up and postoperative care are essential to monitor progress and address any concerns. Seeking timely medical attention allows for a comprehensive evaluation and the development of an individualized treatment strategy for sagittal imbalance.