Introduction Leg length inequalities (LLIs) are a common finding in every orthopaedic practice. They can be classified into anatomical and functional LLIs. LLIs can e.g. cause gait and balance disabilities, low back pain and functional scoliosis of the spine. In patients with a total hip replacement a higher rate of aseptic loosening of the prosthesis was found when LLIs were present (Gurney 2002). Until today LLIs are treated statically by wooden blocs, which are placed under the shorter extremity, until the pelvis is levelled. However, the correction of LLIs should also be evaluated dynamically to examine the influence of correction onto the spine and pelvis during gait. Therefore, we seek to evaluate in this pilot study the influence of simulated LLIs on spine and pelvis during gait. Methods A total of 30 healthy subjects (17 females & 13 males) with an average age of 24.4 years were measured in this study. First, LLIs (1 to 4 cm) were simulated with the subjects standing on a simulation platform, which height could be controlled, as previously described (Betsch 2012). In addition, a specially designed sandal with different insole heights (1 to 4 cm) was used to simulate LLIs under dynamic condition while subjects were walking on a treadmill. Changes in pelvic position and spinal posture caused by the LLIS were measured using a rasterstereographic system (Formetric 4D motion, Diers International GmbH, Germany). All data were checked for Gaussian distribution by the Chi square test. Student t-tests were used to check for differences between the LLIs. The level of significance was set at p