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AIM The aim of the study was to determine whether platelet-associated inflammation parameters (PAIP) could be useful for evaluating inflammation in sagittal imbalance (SI) by investigating its relationship with pelvic tilt (PT), sacral slope (SS), pelvic incidence (PI), lumbar lordosis (LL) and thoracic kyphosis (TK). MATERIAL AND METHODS The study included 57 patients (19 males, 38 females) who were diagnosed with SI and 44 healthy control subjects. Spinal sagittal balance was evaluated using digitalized-standing lumbar lateral radiog