PI-LL Mismatch (Spinopelvic Alignment)

PI-LL mismatch (SRS-Schwab; Schwab 2012): pelvic incidence minus lumbar lordosis (degrees).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Pelvic incidence, PI
55 degrees
Lumbar lordosis magnitude, LL
30 degrees

Result: PI-LL 25° — marked malalignment (SRS-Schwab modifier ++).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Modifier
|PI-LL| < 10 = 0 (well aligned), 10-20 = +, > 20 = ++. Realignment target ~ +/- 10 deg (age-adjusted allows more in older patients).

What you enter

  • Pelvic incidence, PI (degrees)
  • Lumbar lordosis magnitude, LL (degrees)
How this is calculated
Formula
PI-LL = pelvic incidence - lumbar lordosis (degrees).

Schwab F, Ungar B, Blondel B, et al. Scoliosis Research Society-Schwab adult spinal deformity classification: a validation study. Spine (Phila Pa 1976). 2012;37(12):1077-1082. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.