[The disputes in the radiographic measurements of sagittal balance and how to deal with them].

Objective: To review the process of radiographic measurements of sagittal balance and offer reference for the clinical practice.
Methods: The related literature of spino-pelvic sagittal parameters and their clinical application was reviewed and analyzed from the aspects such as the clinical application, the advantages and disadvantages, and how to use them effectively.
Results: All parameters have their advantages and disadvantages, and they are influenced by age and race. Sagittal vertical axis can only reflect the global balance, and T ₁ pelvic angle which accounts for both spinal inclination and pelvic tilt can't be controlled in the surgery. The correction goal for western people may be not suitable for Chinese.
Conclusion: The parameters should be used wisely when evaluating the sagittal balance, the global balance and local balance should be considered together and the different groups of people need different correction goals.