Spine and pelvis constitute the stent body and jointly maintain the overall body balance in the sagittal plane. Sagittal balance in patients with hip disease may have different degrees of abnormal changes. Many parameters have been linked to evaluate the quality of life of patients and postoperative outcome. Researchers have gradually started to pay attention to sagittal balance of the patients with hip disease in recent years. Therefore, this article reviewed the spinal-pelvic sagittal balance imaging and its clinical significance in the study of patients with hip diseases to provide a reference for future research.