Comprehensive Analysis of Pelvic Asymmetries in Low Back Pain, Scoliosis, Post-Traumatic Pelvic Dysfunctions and Obstetric Changes: A Narrative Review Focused on Clinical Relevance

Abstract

The human pelvis is a complex structure, which participates in the biomechanical functioning of the musculoskeletal system. Although it is considered a symmetrical entity, the morphology of the pelvis is subject to different factors that alter its anatomy, function or biomechanics, such as age, bipedal locomotion, obstetric changes and sexual dimorphism. However, how these factors influence pelvic asymmetry is unknown. Some evidence suggests that this condition leads to different pathological states, such as chronic low back pain, scoliosis, post-traumatic pelvic dysfunctions and obstetric changes. Therefore, pelvic asymmetries present a significant challenge in clinical practice due to their multifactorial nature and their potential impact on quality of life. Multidisciplinary research and collaboration are essential to improve understanding and develop more effective and specific identification and treatment approaches in the presence of pelvic asymmetries.