SDSG Classification (Lumbosacral Spondylolisthesis)

Sorts an L5-S1 developmental spondylolisthesis into Spinal Deformity Study Group types 1 to 6 from the lateral radiograph.

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

Example

Slip of L5 on S1
60 %
Sacropelvic balance
Unbalanced (high pelvic tilt, low sacral slope)
C7 plumb line relative to the femoral heads
At or behind the femoral heads

Result: SDSG type 5: high-grade slip with an unbalanced pelvis and a C7 plumb line at or behind the femoral heads.

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

What you enter

  • Slip of L5 on S1
  • Pelvic incidence (slip of 50% or less)
  • Sacropelvic balance (slip over 50%)
  • C7 plumb line relative to the femoral heads
How this is calculated

Citation

Labelle H, Mac-Thiong JM, Roussouly P. Spino-pelvic sagittal balance of spondylolisthesis: a review and classification. Eur Spine J. 2011;20(Suppl 5):641-646. Criteria as described in Camino Willhuber G, Kido G. Clin Orthop Relat Res. 2020;478(3):681-684. Read the sources: Labelle 2011 ↗, Camino Willhuber 2020 ↗

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.