In reconstructive spinal surgery particularly in degenerative spinal diseases, measuring radiographic pelvic and spinal parameters for sagittal balance analysis has become more important. Sagittal balance should be addressed during posterior interbody fusion for degenerative spondylolisthesis to improve surgical outcome and maintain spinal balance. Clinical and radiological spinopelvic parameters of sagittal balance should be routinely measured in degenerative spinal disease as part of surgical intervention to prevent post operative functional impairment. The authors present a case of adjacent segment degeneration with sagittal imbalance post lumbar interbody fusion, which was successfully treated with revision surgery by carefully calculating the corrections needed based on the spinopelvic parameters. Restoration of sagittal balance base on calculation of spinopelvic parameters in our case has shown to have a good clinical outcome.