Sacrum Torsion

A physiologic function occurring in the sacrum during ambulation and forward

bending. A sacral somatic dysfunction around an oblique axis in which a torque
occurs between the sacrum and innominates. The L5 vertebra rotates in the
opposite direction of the sacrum. If the L5 does not rotate opposite to the sacrum,
L5 is termed maladapted.Other terms for this maladaption include: rotations about
an oblique axis, anterior or posterior sacrum and a torsion with a non-compensated
L5.

Forward torsions occur when the spine is in “easy neutral”, that is without significant
flexion or extension. Backward torsions occur with flexion of the lumbar spine and
extension of the sacral base (rotation about the middle transverse axis).

Left on Left Anterior Sacral Torsion -- L5 Adaptive

A anterior or forward torsion of the sacrum to the left on the left oblique axis (LOL)
results from an inability of the right sacral base to move into posterior nutation
(sacral extension) with flexion of the lumbar spine. In the neutral position, the
sacrum is side bent right and rotated left. When lumbar flexion is introduced,
asymmetry increases. When lumbar extension is introduced, symmetry improves.

Left on Right Posterior Sacral Torsion -- L5 Adaptive

A posterior or backward torsion of the sacrum to the left on the right oblique axis
(LOR) results from an inability of the left sacral base to move into anterior nutation
(sacral flexion) with extension of the lumbar spine. In the neutral position, the
sacrum is side bent right and rotated left.

Right on Left Posterior Sacral Torsion -- L5 Adaptive

A posterior or backward torsion of the sacrum to the right on the left oblique axis
(ROL) results from an inability of the right sacral base to move into anterior nutation
(sacral flexion) with extension of the lumbar spine. In the neutral position, the
sacrum is side bent left and rotated right.