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. 2011 Aug 2;20(Suppl 5):609–618. doi: 10.1007/s00586-011-1928-x

Fig. 3.

Fig. 3

Mechanism of compensation of a progressive kyphosis. a Normal situation with a slight pelvis retroversion and C7 PL over the sacral endplate. b With a progressive loss of lordosis, pelvis retroversion permits maintaining C7 PL behind the femoral heads. c In case of severe kyphosis, hip extension (HE) limits the pelvis retroversion. It is compensated by flexion of the knees. C7 PL passes forward to the femoral heads. Due to the tilt of the femoral shaft, PT = PFA + HE