External linkage type spine motion analysis was developed for relative trunk motion respect to the pelvis. A special programs for calculation of the relative angular motion and for graphical display were also developed. The developed device assured its accuracy and conveniency after application to 15 normal vol- unteers. Compare to the normal subjects, 18 patients treated with fixations and decompression surgery showed relatively large coupling motion. Optimal trajectory of the trunk motion derived from mathematical model in flexion and extension matched well with measurement for normal subjects.