Pelvic Tilt

Pelvic Tilt is defined angle between the vertical and the line through the midpoint of the sacral plate to femoral heads axis.

Pelvic tilt, sacral slope and pelvic incidence

Pelvic tilt, sacral slope and pelvic incidence

Normal average is 40°.

Overhang defined as the horizontal offset between the midpoint of the sacral plate and the femoral heads axis.

Sum of sacral slope and pelvic tilt gives pelvic incidence.

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Sacral Slope

The sacral slope is value of the angle between the superior plate of S1 and a horizontal line.

Measurement of Sacral Slope

Measurement of Sacral Slope

Thus a  vertical sacrum is described by a low value, a horizontal sacrum measures a high value.

Pelvic tilt, sacral slope and pelvic incidence

Pelvic tilt, sacral slope and pelvic incidence

Sum of sacral slope and pelvic tilt gives pelvic incidence.

Image Credit:thejns.org