Sagittal Vertical Axis (SVA)

Synonyms
SVA

The Sagittal Vertical Axis (SVA) is a parameter used to determine Sagittal balance. To calculate the value, a vertical line is drawn from the 7th cervical vertebra to the level of the 1st sacral vertebra. This line is connected to the posterior edge of the superior endplate of the 1st sacral vertebra.

Figure

Schematic illustration of the SVA
Schematic illustration for calculating the SVA, adapted from Drago A. et al. (2018)

Interpretation

The horizontal connecting line should be less than 5 cm [^1].

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